Advanced Practice Provider
4 weeks ago
Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job Description:APP provides care in the surgical setting served by Tennessee Oncology and Nashville Breast Center. APP provides quality care to specific populations in cancer prevention, screening, and diagnosis. The APP role includes the assessment, diagnosis, and management of breast cancer, breast disorders, surgical interventions, or related disorders. The APP uses evidence-based literature and works toward evidence-based practice to effect a positive change in the health and healthcare delivered to the patient with a past, current, or potential diagnosis of cancer.ESSENTIAL FUNCTIONS:I) ClinicalAssesses the physical and psychosocial status of patients.Obtains and documents comprehensive health history.Performs and documents complete, system-focused, symptom-specific physical exams.Demonstrates the ability to effective navigate within the EMR.Documents in the EMR, services performed.Performs independent evaluations and treatment procedures in daily clinics.Interprets and integrates data to determine appropriate diagnostic and therapeutic procedure needed. Orders appropriate procedures as directed by physician (in conjunction with physician's standards/protocols).Administers injections and fills and adjusts oral medications. Prepares prescriptions for drugs including controlled substances.Instructs patient and family regarding medications and treatment instructions. Provides patient education including pre and post operative.Triage patient phone calls, consulting with physicians as needed.Provides monitoring and continuity of care between physician visits.Assesses for symptoms commonly seen in patients with cancer, post-operative complications.Rounding on hospital patients or as requested by the physician.Conducts a pharmacologic assessment, including prescriptions drugs, over-the-counter medications, nutritional supplements, and other complementary or alternative therapies.Recognizes deviations from normal in the physical assessment.Orders and interprets findings of ancillary data, including laboratory and diagnostic tests.Prioritizes findings identify urgent or highest priority patient problems.Relays appropriate information regarding patient care to the collaborating physician.Communicates plan of care to patient, caregiver and other members of the health care team.Writes prescriptions for medication, blood products based of laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.Administers therapeutic measures and obtains specimens in accordance with practice guidelines.Provides management for symptoms of cancer and side effects related to cancer treatment.Refers or requests consultation from physicians and other health care professionalsAssists in the management related family dynamics and coping mechanisms during acute and chronic phases of patient care.Serves as resource to other members of the health care team regarding provision of quality care.Evaluates the quality of care provided and recommends changes for improvement.Take call as required by clinic need.Procedures include ultrasound, incision & drainage of abscess/hematoma, fine needle aspiration, skin punch biopsy, skin tag removal, aspiration of cyst.II) TeachingEducates patient and family on treatment plan proposed.Utilizes a variety of age and cultural appropriate teaching methods such as diagrams, handouts, booklets.Educates cancer survivors regarding their risk of long-term effects of cancer and its treatment.Provides formal and informal education to staff.Precepts orientation of new APPs to Tennessee Oncology.Participates in the development of educational materials for patients and healthcare providers. III) CommunicationReports patient information in an accurate, timely manner.Works effectively with others and utilizes the chain of command.Collaborates with other health disciplines to ensure continuity and quality of care.KNOWLEDGE, SKILLS & ABILITIES: Current knowledge of oncology, surgical oncology, and primary care.Ability to work independently. Knowledge of the Advanced Practice Practitioner as outlined in the Tennessee Oncology Team Member Handbook. EDUCATION & EXPERIENCE: License to practice as RN in the state of Tennessee required.Master's degree in nursing or certification as a Physician Assistant required.National certification as NP (American Nurses' Credentialing Center or American Academy of Nurse Practitioners) or Clinical Nurse Specialist who meets criteria for certificate of fitness to prescribe medications, including AOCN, AOCNP and AOCNS requiredPhysical Requirements:Physical Activity RequiredAmount of timeNoneLess than 1/3(Occasionally)1/3 to 2/3(Frequently)More than 2/3(Regularly)StandingXWalkingXSittingXFingering or manual dexterityX Repetitive finger motionXLifting or exerting forceUp to 10 poundsUp to 25 poundsUp to 50 poundsXUp to 100 poundsOver 100 poundsReaching or stretchingX Climbing or balancingX Crouching or stoopingXSpeakingX HearingX Seeing (with correction)X
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