This Nurse Practitioner role provides outpatient clinical and research support to the Oncology clinical practice. The practitioner will work collaboratively within a multi-disciplinary health team, providing comprehensive and age-appropriate care to both well and ill patients. This includes educating patients and families and intervening in acute or chronic illness, with a caseload of patients for whom they are the primary provider in the pediatric oncology program.
Responsibilities
Provide comprehensive, age appropriate, and longitudinal survivorship care to patients as a member of the multi-disciplinary health care team
Obtain patient history; perform patient care and physical examinations; attend out-patient clinics and assist with patient management
Prepare and provide treatment summaries, care plans and educational information to childhood cancer survivors in accordance with COG guidelines (or similar survivorship guidelines)
Deliver direct clinical care to survivors according to established guidelines for monitoring late effects, including ordering labs and screening procedures (examples echocardiogram, pulmonary function tests, DEXA scans); evaluating results and referring to subspecialities for abnormal findings
Screen for recurrence of primary disease (e.g. imaging) under the direction of pediatric oncology specialties and consult with specialty provider for any abnormal results
Assist in coordination of patient care for survivorship issues within Johns Hopkins as well as external institutions
Provide information to staff regarding patient's care plan and condition
Consistently develop effective care/treatment plan for assigned patients according to established protocols and procedures
Regularly confer and consult with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan
Consistently structure all patient care plans to meet educational, physical and social needs appropriate to the patient's age
Consistently provide relevant patient care information to the appropriate staff member according to department guidelines
Provide education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information
Perform routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms
Perform advanced procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, and other procedures as necessary
Maintain CPR certification
Maintain airway, breathing, circulation
Start and provide basic CPR
Order and administer anti-anaphylactic and supportive medications
Prescribe medications, including oral, parenteral, intramuscular, or subcutaneous drugs
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Prescribe Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA
Work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms
Coordinate scheduling, order appropriate tests, evaluate results, record data, perform patient evaluations and participate in care of patients on specific protocols regarding specific disease entities and treatment
Work in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements
Develop expertise and expand knowledge in specific areas and share that knowledge and expertise with colleagues as consultant in planning care for patients
Participate in rounds and meetings for consultation
Serve as resource for cancer survivorship care across JHH
Provide educational opportunities to residents and fellows on cancer survivorship issue
Supervise and evaluate student/patient interactions in an academic setting
Assume responsibility for patient care as provided by the student
Perform oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, and other procedures as called upon within the scope of practice
Assume fiscal responsibility with working knowledge of evidence based medical model
Effectively use resources of the patient and the institution
Be aware of and adhere to specific capitations and limitations of the patient’s insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances
Utilize referrals to Home Health in order to provide optimum care in the appropriate setting
Have knowledge of and utilize all available resources in the event that the patient’s resources are limited or unavailable in order to provide medical care and social well-being
Work in collaboration with the physician and realize and be able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources
Requirements
Master's Degree in Nursing
Registered Nurse license and Certified as a Nurse Practitioner
Licensed as NP in State of Maryland or other state where practicing
Current CPR certification
Must maintain current licensure and certification during duration of employment
Benefits
Total rewards package that supports employees' health, life, career and retirement
Important Details
Schedule: Monday-Friday / Day shift
About the Company
Johns Hopkins University offers a total rewards package that supports its employees' health, life, career and retirement.
The university takes its name from 19th-century Maryland philanthropist Johns Hopkins, an entrepreneur with Quaker roots who believed in improving public health and education in Baltimore and beyond..
