Inpatient Advanced Practice Provider – Nurse Practitioner or Physician Assistant

Department Overview:

The OHSU Knight Cancer Institute, known as one of the pioneers in personalized cancer medicine, is an international leader in research and cancer treatment. Driven by its mission to end cancer as we know it, the institute is building upon its expertise in targeted treatments to advance the early detection of cancer when the disease is most treatable.

The Knight Cancer Institute is seeking inpatient Advanced Practice Providers in the Center for Hematologic Malignancies (CHM) section of the Division of Hematology & Medical Oncology.

Every Knight Cancer employee is expected to embody our guiding principles:

• We act BOLDLY—Breakthroughs require pushing the boundaries of science, exploring new frontiers, and thinking differently
• We SUPPORT each other—Respect leads to trust, which leads to excellence
• We work as a CONNECTED team—We must leverage our collective brain power to conquer cancer because no one individual can do it alone

Function/Duties of Position:

To provide patient care in accordance with allied health privileges granted by OHSU. The Advanced Practice Provider (APP) is under the supervision of the Inpatient APP Manager and provides patient care consistent with the credentials and the philosophy of the Department of Medicine, University Hospitals and Clinics.

The APP functions in a manner which maintains the confidentiality and privacy of each patient, promotes a positive relationship with all health team members, and supports the policies and procedures of the University Hospitals and Clinics.

PRACTICE DESCRIPTION AND SCOPE OF SERVICE

The inpatient APP is responsible for daily rounds in conjunction with the faculty physician, writing of daily notes and orders, coordinating care with the multidisciplinary team, coordinating the inpatient workflow of admissions and discharges, performing appropriate procedures (ie., bone marrow biopsies, lumbar punctures, Ommaya taps, and administration of chemotherapy), and additional duties as assigned.

The inpatient APP team works collaboratively in a clinical and teaching capacity with opportunities to attend and participate in relevant educational conferences and Division-specific research protocols.

Scope and range within unit population: Adolescent through geriatric. Cellular therapy and bone marrow transplant patients, as well as patients undergoing treatment of hematologic and oncologic malignancies.

Key Responsibilities:

• Application of Area Specific Process Model
• Functions within the Inpatient hospital practice model.
• Clinical Process
• Clinical Skills/Knowledge
• Elicits patient history pertinent to current disease status and treatment.
• Performs physical examination.
• Analyzes patient information and laboratory data to form differential diagnoses.
• Formulates plan of care obtaining any additional lab tests or studies, arranging return visits, providing appropriate patient education or referrals/consults for newly identified problems.
• Arranges support services as needed in conjunction with discharge services and social work departments.
• Participates in care conferences and discharge planning conferences.
• Collects, prepares and submits data for review in accordance with collaborative study groups and international data registries.
• Emergent situations
• Contacts attending physician to discuss emergent situations and plans.
• Recognizes unusual or untoward reactions to conditioning or chemotherapy regimens and contacts attending physician, as appropriate.
• Patient education
• Provides education for patients about their disease, treatment, and potential complications.
• Discusses risks/benefits when prescribing medications or treatments.
• Patient Rights
• Provides patient care based on the “Patient Bill of Rights.”
• Respects patient diversity in beliefs and health care concerns.
• Assists patient in problem solving health care concerns.
• Documentation of Practice
• Records all patient visits including lab results, medication changes, current plan of care, return visits and new problems in the Electronic Health Record (EHR).
• Documents hospital discharge summaries, procedure notes, and progress notes into the EHR in a timely manner.
• - Coordination of Activities
• Time Management
• APP is available for daily inpatient rounds.
• Requests RN and clerical assistance to meet patient follow-up needs.
• Communication/Collaboration
• Demonstrates sensitivity in patient and family interactions.
• Respects cultural and ideological concerns of patients and families.
• Interacts with other care providers on a collegial level.
• Collaborates with other health care providers as needed to provide coordination of patient care.
• Arranges channels of communication for patient problems needing urgent or emergent follow up.
• Attends weekly Department patient care meetings.
• Continuous Quality Improvement
• Risk management
• Reviews urgent and emergent problems with the attending physician.
• Adapts clinic follow up guidelines to meet individual patient needs and ensure safe inpatient-to-outpatient transition of care.
• Uses universal precautions with all patient contacts.
• Area-Specific Quality Improvement
• Identifies desired patient outcomes.
• Gathers data reflecting achievement of desired outcome.
• Adapts patient care based on CQI information

• Development of Professional Knowledge
• Assumes responsibility for own professional development
• Participates in pertinent conferences and educational meetings.
• Obtains continuing education hours as needed for state licensure and national certification.
• Completes all University-required education program activities within established guidelines.
• Bases Practice on Current Research and Standards of Practice
• Maintains currency within the specialty of cellular therapy, bone marrow transplant, and hematologic and oncologic malignancies.
• Maintains currency within the primary care of adult patients.
• Education of Others
• A faculty position encompasses education, practice, research and community outreach.
• Participates in the development of patient education tools and programs.
• Provides individualized patient education on aspects of cellular therapy, bone marrow transplant, and hematologic and oncologic malignancies.
• Assumes responsibility for educating others on aspects of cellular therapy, bone marrow transplant, and hematologic and oncologic malignancies.
• Provides student lectures and learning materials as requested.
• Participates in the teaching of nurse practitioner/physician assistant students, medical students, house staff, fellows, and the regional community.
• Personal Effectiveness
• Assumes responsibility for effective interpersonal relationships.
• Recognizes and accepts own role within a multidisciplinary team.
• Respects roles of others.
• Recognizes and seeks assistance in managing conflict situations.
• Leadership
• Demonstrates accountability and responsibility.
• Provides timely, research-based, compassionate care to patients.
• Follows up on patient concerns.
• Maintains visibility within the University Hospitals and Clinics
• Participates in development of practice standards involving cellular therapy, bone marrow transplant, and hematologic and oncologic malignancies.
• Research
• Assists in identifying patients eligible for clinical trials.
• Participates in research projects as appropriate.
• Identifies relevant research projects and uses findings to expand and improve practice.
• Uses research and evidence-based practice in the delivery of quality patient care

• Resource Utilization
• Uses basic support systems (human, material, and technological) to reduce care costs and improve efficiency.
• Considers the need for cost containment when providing care and developing new programs and/or procedures.
• Monitors client load and identifies need for change in resource allocation.
• Group Participation
• Accesses appropriate University committees/task forces for issues or concerns.
• Service Excellence Philosophy: Patient is #1
• Incorporates service excellence philosophy into practice models with clients.
• Provides input on ways to improve care and workflow functions.
• Supports Organizational Policies
• Functions within current and applicable policies.
• Carries out job responsibilities in an ethical, effective and professional manner. Reports compliance problems using the reporting processes as outlined in the Code of Conduct. Models ethical behavior, professional standards, compliance, and personal integrity. Participates in training programs. Understands and complies with the Code of Conduct, OHSU and department policies and procedures, applicable rules, regulations, etc.

Required Qualifications:

• Valid State of Oregon Physician Assistant license
• Current Physician Assistant license for State of Oregon
• State of Oregon Licensure with collaboration to practice in Oregon
• National board certification

• Valid State of Oregon Registered Nurse license
• Current Nurse Practitioner license for the state of Oregon
• State of Oregon Nurse Practitioner Prescriptive Privileges
• Congruence between education, current national board certification, licensure, and OHSU job description and duties as listed above

Preferred Qualifications:

• Membership in professional organization
• Two years of oncology, hematology, bone marrow transplant and/or inpatient hospital medicine

• Acute Care Nurse Practitioner
• Membership in professional nursing organization
• Two years of oncology, hematology, bone marrow transplant and/or inpatient hospital medicine

Additional Details:

Please submit a resume and cover letter with your application.

#linkedin #knightfacultyjobs #knightcancerjobs #knightAPPjobs

All are welcome:

Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.