OverviewOncology Nurse Practitioner/Physician Assistant, Medical Oncology- Inpatient Full Time, 80 Hours per pay period, Day ShiftWeekend call requirement four times a year where the APP will round in the hospital (with physician support) on Saturday and Sunday. Position Summary:The Oncology Nurse Practitioner is a highly specialized APRN focused on providing comprehensive cancer care to Covenant Health Oncology Group (CHOG) patients in both the inpatient and outpatient setting. The Oncology Nurse Practitioner (ONP) will provide care to hematology-oncology patients in collaboration with and under the supervision of their supervising physician. As a member of the TOG provider team, the ONP will follow established treatment protocols in their practice. The ONP will be a primary representative of the TOG provider team in the community and amongst our referring partners and will be expected to display professionalism, communicate clearly, and be an excellent collaborator in support of patients. The ONP can expect a dynamic daily clinic where patients may require anything from primary care services to complex chemotherapy side effect management.
Responsibilities- Triage telephone calls from patients, physicians, hospitals, and home health and hospice agencies requiring medical intervention, collaborating with physician(s) as necessary.
- Performs evaluation and treats acute patient problems, including but not limited to oncologic emergencies, chemotherapy related side effects, and complications from cancer diagnoses.
- Consults with physician and other medical specialties as necessary; adjusts processes as indicated
- Performs history, physical examination, analyzes data for appropriate diagnosis and treatment, initiates plans of care for inpatient and office consults in collaboration with the physician, and follows previously established plans of care for both oncology and hematology patients in both the outpatient and inpatient setting.
- Identifies health hazards in the patient's environment, as well as patient risk factors. Identifies and considers the cultural patterns, economic status and patient resources in plan of care. Collaborates with social services, nurse navigation, and dietary services to provide holistic patient care.
- Provides routine follow-up examinations and makes recommendations for adjustments to plans of care, as appropriate.
- Refers patient to appropriate services when complexity exceeds the scope of practice of the practitioner.
- Provides pre-treatment chemotherapy education to patients and their families in the office setting.
- Provides education to office staff as needed.
- Assists with preparation, administration, and supervision of chemotherapy as staff and physician coverage may require.
- Assists with office medical procedures as required.
- Provides first call coverage and assist with morning or evening hospital rounds as required. Serves as a point-person for the oncology group in the inpatient setting.
- Collaborates with physician to formulate and review medical protocols.
- Monitors and ensures accuracy of recording on patient medical records.
- Documents patient history of present illness, review of systems, physical assessment, and plan of care in the patient's medical record based off of office visit findings.
- Responsible for conducting periodic review of policy and procedures.
- Serves as a resource person for other staff personnel.
- Serves on various committees pertinent to oncology within the Covenant Health System, such as Commission on Cancer and the pharmacy and therapeutics committee
- First responder to infusion related emergencies or reactions in the on-site infusion center.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Perform other related duties as assigned or requested.
QualificationsMinimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience: None, 1 year of NP / PA experience preferred.
Licensure Requirement:Must have and maintain certification by American Nurses Association or American Academy of Nurse Practitioners as an Adult, Family or Acute Care Nurse Practitioner. Must meet State of Tennessee requirements as a Nurse Practitioner. Certification in Oncology by the Oncology Nurses Society preferred.
