Advanced Practice Registered Nurse

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CORE JOB SUMMARY
The Advanced Practice Provider (APP) delivers medical care to a wide variety of patients. The APP also examines and treats patients independently and collaborates with other health care professionals. Ensures proper illness and injury management, also disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care. The APP will work within the oncology service line responsible to execute care in the acute and outpatient care settings.

CORE JOB FUNCTIONS

• Performs and documents complete physical examinations and comprehensive health histories.
• Functions independently to perform age-appropriate history and physical for patients.
• Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
• Implements interventions to support the patient to regain or maintain physiologic stability.
• Assists with the provision of care in accordance with facility, state, and federal regulations.
• Monitors the effectiveness of interventions.
• Facilitates the patient's transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient and family decision making by providing educational tools.
• Serves as a role model and mentor for staff.
• Ensures and coordinates standardization of advanced practice process between patient care services and collaborative teams.
• Integrates current knowledge of professional issues, trends in healthcare and technological advances into scope of practice.
• Participates or leads a hospital committee.
• Co-leads collaborative team in developing a new service or strategic performance improvement.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Participates in survivorship and long term care of patients following completion of treatment.

DEPARTMENT SPECIFIC FUNCTIONS
CTU (Chemotherapy Treatment Unit) / Oncology Care Clinic (OCC)*

• Provide chemotherapy treatment unit (CTU) coverage to main and satellite. This includes on-call and cross coverage.
• Provides new patient and ongoing teaching to oncology patients.
• Able to collaborate with physicians and other providers regarding the care of a patient receiving treatment in the CTU and in all setting including Inpatient.
• Assures appropriate medical documentation.
• Respond to emergencies or rapid responses
• Assures patient is transferred to appropriate physician/specialty/hospital for continuation of care.
• Collaborate with pharmacy and nursing staff to optimize quality of care and time of the patients treated at CTU.
• Refer to support services when needed.
• Precept or mentor nursing staff and nursing students.
• Assists in the management of family dynamics, coping mechanisms during acute and chronic phases of patient care.
• Promotes evidence based nursing practice.
• Participate in unit QI/Research projects.
• Assist when needed optimizing infusion center workflow by providing clinical care to patients (i.e. injections, assuming charge role, etc.)
• Monthly educational in-services to staff based on relevant infusion center topics.
• *Performs patient triage and determines the urgency of physician's evaluation.
• *Provides symptom management for side effects related to oncologic treatment.
• *Communicates daily with triage nurse regarding patients who need to be added to OCC clinic for symptom management, evaluation, and treatment.

Outpatient Oncology Clinics and/or Hospital-based Centers

• May travel to main campus and satellites to provide care to patients that are new to the system and or require follow-up care. This includes but not limited to Same/Next Day appointments, Survivorship visits, and walk-in patients with medical issues.
• Collaborate with physicians, staff, and leaders in the care of these outpatients.
• Provides patient/family education regarding disease processes, treatment options, treatment outcomes, possible complications, medications, discharge planning and lifestyle modification.
• Assure appropriate transfer of patient/communication/documentation regarding the patient's physician and team.
• Participate in weekly Survivorship Operational Committee Meetings and other pertinent meetings related.
• Collects data for patient and program evaluation and participates in quality assessment and improvement activities.
• Provides coverage to areas of need within main campus and the satellites.
• Promotes evidence based nursing practice.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE/DEPARTMENT QUALIFICATIONS
Education:
Master's Degree or higher

Certification and Licensing:

• Florida APRN license or Physician Assistant license
• Graduate of Master of Science in Physician Assistant degree.
• Graduate of Master in Science of Nursing or higher curriculum.
• Board certification as APRN from nationally accredited organization such as American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)
• Board certification as a PA from the National Commission on Certification of Physician Assistants (NCCPA)
• Acute Care Nurse Practitioner Certification preferred
• Current Certification in BLS and ACLS
• CITI certification within three months of employment
• ONS Chemotherapy and Biotherapy certification on hire or during orientation.

Experience:

• Minimum 2 years of relevant advanced practice nursing experience preferred
• Minimum 2 years of experience in treating hematology/oncology, acute care, or intensive care unit patients preferred
• Professional Development
• AOCNP certification within one year of employment
• Participates in 360 ◦ peer review process
• Submits annual protocols to practice site
• Maintains national certification
• Attend one national conference
• Attend monthly educational grand rounds or relevant educational in-house meeting
• Able to author or contribute to an article.

Knowledge, Skills and Attitudes:

• Ability to exercise sound judgment in making critical decisions.
• Skill in completing assignments accurately and with attention to detail.
• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
• Ability to work independently and/or in a collaborative environment.
• Ability to communicate effectively in both oral and written form.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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