Clinical Nurse Practitioner - 7:00am-5:00pm
SMG - Fall River Area
CMGA SAH Fall River Unall
Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where out patents live. Steward - the largest privately held health care company in the U.S. - owns and operations 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lies through the company's managed care and health insurance services. The total number of paneled lives within Steward's integrated care network is projected to reach 3 million in 2018.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
This Nurse Practitioner position will function in the Hematology/Oncology department.
PRIMARY RESPONSIBILITIES & ESSENTIAL FUNCTIONS
- Take patient histories, conduct physical examinations, and record the date in the patient's record; write and dictate progress notes; prepare patient work-ups and summaries noting pertinent positive and negative findings. In collaboration with the supervising physician, the NP will perform diagnostic and therapeutic procedures to assist in diagnosing medical and surgical problems and in prescribing necessary treatment and services for quality patient care.
- Obtain psychosocial history relevant to patient care, and assume responsibility for developing therapeutic relationships with patients.
- Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
- Carry out therapeutic procedures such as paracentesis, wound staple removal and dressing changes; monitor progress of patients, report progress to supervising physician, and maintain record of each patient's progress, consulting with supervising physician when patient's progress does not meet anticipated and/or predetermined criteria.
- Participate in the administration of chemotherapy, provide patient education, and follow appropriate laboratory results for treatment planning, implement computer-driven algorithms for generating chemotherapy orders and tracking patients' progress.
- Participate with other members of the Division of Oncology in the management of patients admitted to the oncology service. Such in-patients include pre- and post-operative patients, patients with surgical complications, patients with chemotherapy-related complications, and those admitted for management of complications related to progressive disease. This activity involves making in-patient rounds in collaboration with the Supervising Physician and the residents assigned to the oncology service.
- Responsible for working with the Hematology/Oncology Unit and Nursing Department to develop protocols and procedures for triage of patient phone calls, chemotherapy administration, and clinical procedures performed in the office.
- Participate in the design, planning, and launching of the Oncology chemotherapy infusion facility.
- Cultivate relationships with other members of the community involved in treating cancer patients. Assist with the establishment of affiliate designation for Oncology Group clinical trials in collaboration with New England Medical Center staff.
- Participates in the interview processes for prospective Oncology team members (i.e.: administrative personnel, MD, NP, RN)
- Develop educational information for patients, families and community as needed.
- Provide continuing education for inpatient nurses in oncology and/or hematology/oncology.
- Maintain own CEUs and necessary educational hours for licensure and certification.
- Shall be accountable for maintaining the confidentiality of all CPN and patient related information.
- Shall abide by all CPN policies and procedures.
MINIMUM QUALIFICATIONS and EXPEREIENCE
- Master's degree in Nursing
- Current licensure in Massachusetts as an Advanced Practice Registered Nurse
- Current CPR certification
- Specialty Certification:
- OCN - Certification from the Oncology Nursing Certification Corporation
PRESCRIPTIVE PRACTICE GUIDELINES
- Nurse Practitioner's prescriptive practice must fall within the categories of medications Nurse Practitioner is sanctioned by Steward Medical Group to prescribe.
- Nurse Practitioner is permitted to prescribe type and class of medications to the extent that their DEA certification allows.
- Nurse Practitioner shall adhere to the appropriate protocols with respect to initiating intravenous therapies and Schedule II drugs.
- Supervising Physician shall monitor Nurse Practitioner's prescribing practices no less than once every three (3) months; provided, however, that initial prescriptions of controlled substances shall be reviewed no less frequently than monthly, and provided further that the initial prescription of Schedule II drugs shall be reviewed within ninety-six (96) hours. Such reviews and the results thereof will be documented by Supervising Physician and Nurse Practitioner.
- Notwithstanding anything to the contrary stated herein, Nurse Practitioner's prescriptive practices shall at all times confirm to M.G.L. c. 94C, 105 CMR 700.000 et seq., and M.G.L. C. 112 §80B, §80E and §80G as applicable.
- In collaboration with the Supervising Physician, the NP communicates the plan of care with all referring providers, MD of record, as well as the patient and her family. May also be responsible for coordination with residents, fellows, nurses, other physicians involved in the care of oncology patients.
- Communicate and collaborate with referring providers through ongoing written and/or dictated documentation.
- Collaborate with outside services providing ongoing patient care such as Visiting Nurses Associations or Hospice Care.
- The NP may be responsible for orientation of the other NPs or RNs within her/his area depending on her/his practice setting.
- Responsible for maintaining knowledge of current research upon which clinical practice is based.
- Participate in research initiatives in the Division of Oncology as appropriate. Appropriate participation includes obtaining patient histories and physical exams for patients on clinical protocols, documenting patient progress on clinical protocols, ordering and evaluating laboratory and radiologic tests in accordance with protocol guidelines.
- May serve as principal investigator or co-investigator on Institutional Review Board approved research projects.
- May serve as a research nurse for clinical protocols if designated in collaboration with Supervising Physician.
Job Status: Full Time
Job Reference #: 100022971