Advanced Practice Provider - Gynecological Oncology
Position Summary:
The Advanced Practice Provider (NP/PA) works collaboratively with their physician sponsor/supervisor to provide comprehensive care for a specific patient population. Provides clinical expertise to individual patients/families and/or groups of patients/families by providing direct and indirect patient care. Collaborates with the health care team in assessing, diagnosing, implementing, and evaluating population-based programs of patient care to enhance high quality patient outcomes, in accordance with practice protocols and applicable State Rules and Regulations. Essential Duties and Responsibilities include clinical care in the outpatient cancer clinic setting, hospital rounding of surgical patients and surgical assistance for GynOnc surgeons.
Essential Duties and Responsibilities:
- Clinical Practice:
- Assesses and examines patients; collects medical history.
- Orders and interprets diagnostic lab and radiology.
- Plans and orders treatments, and administer within the scope of practice.
- Writes prescriptions consistent with state rules and regulations
- Prescribe treatments according to protocols: comfort measures, restorative care, further testing, follow up care, patient education and counseling
- Writes history, physical, and orders for hospital admission.
- Communicates and consults with physicians regarding patients.
- Reviews pathology and records of new patients in consultation with MD
- Identifies patients eligible for research trials in conjunction with MD and research staff.
- Prepare documents as required:
- Discharge summaries
- History and Physical
- Operative reports and procedural notes: endometrial, cervical, vulvar, vaginal biopsies
- Provides continuity of care and interfaces with internal and external departments to coordinate patient’s care. Acts as a resource to other staff/nurses in the practice
- Procedures:
- Application, change and removal of dressing
- Arterial and venous punctures, removal of venous and arterial lines
- Incision and drainage of abscesses, wound care, debridement, cleansing
- Insertion and removal of urinary catheters
- Removal of chest tubes
- Removal, shortening and stripping of drains
- Removal of sutures, staples, and specialized incisional covers
- Suturing of simple lacerations, surgical incisions
- Removal of foreign objects
- Placement of IUD
- Surgical Assistance: using instruments, provide exposure, cutting tissue, removing tissue through incisions or vaginally, manipulator placement and operation, placement and removal of endo-catch bags or devices to extract tissue laparoscopically or robotically, provide hemostasis.
Qualifications/Experience:
- Must hold advanced practice licensure/ certification as required by the state of Tennessee. If Nurse Practitioner, must hold RN license for the state of Tennessee. Certificate to prescribe is required; current DEA required. Certified in Basic Cardiac Life Support required; ACLS preferred (required within 3 years of hire).
- Must have excellent organization and follow-up skills; excellent verbal and written communication skills; excellent problem-solving skills; ability to organize and prioritize work assignments; ability to handle multiple priorities in a fast-paced environment; ability to analyze situations and respond in a timely manner; ability to participate in multi-functional teams; ability to establish and maintain effective working relationships within The West Cancer Center and alternate locations of practice. Must be proficient in computer applications including word processing and e-mail. Additional hours may be required
Work Environment/Physical Demands/Travel:
- Frequent invasive and non-invasive patient contact.
- Exposure to patient body fluids as well as exposure to hazardous or poisonous materials.
- Exposure to excessive heat or cold as required.
- Ability to react quickly to emergency situations.
- Handling or administering of narcotics.
- Ability to read and write to communicate orally and in writing with other individuals.
- Ability to lift and carry up to 25 lbs. without assistance and push and pull up to 50 lbs.
- Ability to sit in one place, stand, walk, squat, kneel, reach, twist, crawl, and bend throughout the shift.
- Ability to perform repetitive hand and wrist motion, as well as using hands for gripping and squeezing.
- Ability to use hands and feet together for repetitive coordinated motions.
- Good hand-eye coordination.
Core Privileges:
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- Prepare documents: examples provided as addendum
- Discharge summaries
- History and Physical
- Operative reports and procedural notes: endometrial, cervical, vulvar, vaginal biopsies
- Billing using standard forms or electronic documentation methods for clinical visits and procedures
- Prepare documents: examples provided as addendum
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