Summary

This is an Open/Continuous Announcement which will remain open until a selection is made.

Duties

• The incumbent practices in the Medicine Hematology Oncology Service as a Nurse Practitioner (NP) to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission
• The NP provides advanced clinical practice - consultation - and management: In collaboration with attending physicians Expected to evaluate - diagnose and develop treatment/management plans for patients with hematological and oncological conditions including but not limited to hematological malignancies - oncological malignancies - and benign hematology
• - It would entail performing comprehensive disease specific history and physical exam in outpatient clinical setting as well as 9E infusion - ordering and interpreting diagnostic exams - labs - and imaging - and establishment of medical diagnosis with appropriate management of such diagnosis
• The NP practices to the full extent of their education - training - and certification
• Core functions are outlined in the clinical privileges that correspond with this position to render the following services to oncological patients as appropriate per scope of practice: Patient care - Oncology workflow care - 9E infusion care - Education and Emergencies PATIENT CARE 1
• NP is responsible for
• development and/or ordering of therapeutic plan of care including prescriptions (scheduled narcotics - oral chemotherapy drugs - anticoagulants etc.) as directed by scope of practice
• 2
• NP is required to
• counseling and education of patient/family member regarding plan of care including disease process - treatment plans - and medication regimens
• Review medications for clinical need - simplification and possible drug-drug interactions and adjust as indicated
• 3
• NP is expected for
• recognition - patient education - management - and treatment of chemotherapy (oral and IV) side effects - infusion reactions - and toxicities
• 4
• NP is expected to
• perform invasive procedures where applicable and as per scope of practice (chemotherapy extravasation - port care)
• ONCOLOGY WORKFLOW 1
• NP will collaborate with supervising attendings as well as fellows regarding admission - discharge and transfer decisions for oncological patient to facilitate patient flow - including inpatient - outpatient and chemotherapy infusion center
• 2
• NP is expected to facilitate patient messages via phone as well as message portal
• 3
• NP must be able to collaborate with the multidisciplinary team including case management - primary care and specialty services to expediate oncology patient care
• 4
• NP may need close collaboration with palliative care and social services to provide holistic needs of cancer patients including hospice discussions when appropriate
• 9E INFUSION 1
• With appropriate supervision - NP should be able to provide ongoing support/assessment of patients receiving chemotherapy and other infusions including toxicity - infusion reactions - side effect management - acute clinical needs or other complaints as appropriate
• This may entail ordering supportive therapies (IVF - anti-emetics - electrolytes - etc)
• 2
• Assess and manage transfusion reactions
• 3
• Triage and assessment of chemotherapy cancellations - patient calls for illness or uncontrolled symptoms
• 4
• Assist with acute direct admissions for toxicity management
• 5
• Discuss and coordinate \"add-on\" patients as requested by Hem/Onc attendings/Fellows as needed
• EDUCATION/RESEARCH 1
• Provide formal and informal educational programs for other members of the health care team consistent with evidence-based practice standards
• 2
• Participate in mentoring activities including preceptorship of nursing students
• 3
• Functions as a clinical resource for other team members including but not limited to interns - residents - fellows - nurses - and medical students
• 4
• Works with physician leaders and hospital administration to achieve service specific outcome targets for key metrics including clinical outcomes - LOS - cost of care and patient satisfaction
• 5
• Actively participates and contributes to various department and division meetings and organizational initiatives
• Other Education/Research duties - as well as other duties as assigned
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday thru Friday 7:30 am to 4:00 pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: NOT Authorized Permanent Change of Station (PCS): NOT Authorized