Nurse Practitioner 2

Title Code

9147

Title Name

NURSE PRACTITIONER 2

Working Title

Nurse Practitioner II

Home Dept Code

171700

Home Dept Name

Department of Medicine

Effective Date

05/23/2024

Description

Type Supervision

General Direction

Job Summary Text

The position of Nurse Practitioner II in the Department of Medicine, Hematology/Oncology Division, requires a highly competent, independent yet team-oriented individual who will be a critical part of the team for caring for patients. Under the supervision ofMedical Director(s) and the Nurse Practitioner Supervisor, and guided by the applicable policies and procedures, the Nurse Practitioner will participate in the comprehensive care of patients in the inpatient settings at the UCI Medical Center Douglas Hospital in Orange, and provide multi-disciplinary care coordination, treatment, education, monitoring, and communication with patients and referring physicians. A Nurse Practitioner is an Advanced Practice Provider (APP) who possesses the advanced education, knowledge, clinical skills and experience necessary to provide advanced nursing care in their area of specialization.

This position may perform:

• Functions as appropriate to their “scope of practice” (In general, the “scope of practice” includes the management of chronic stable medical conditions, routine care, acute or critical care, and medical and surgical procedures per their approved standardized procedure).Familiarity with state statute for their licenses is necessary.
• Approved privileges are unique to each person and are unlikely to include ALL privileges
• The NP professional may provide patient care in age groups based on educational preparation and at all Health licensed settings and affiliates.
• The NP has responsibility for the standards of care for their specified patient population and evidences self-direction and accountability both to quality of care and in the development of their role within the all Health locations and affiliates.
• Advanced Practice Practitioners (APP) are required to be credentialed to practice and be privileged through Medical Staff to function in their clinical role.Credentialing and approval of privileges must be completed prior to the first working day.
• The NP is accountable to, evaluated, and provided feedback by the supervising/collaborating physician, physician designee(s) in the same clinical specialty, or the Administrative Manager.

POPULATION SERVED:

Employee Supervised

Skills, Knowledge and Abilities

Required:

Current, active, unrestricted California Registered Nurse license.

Successful completion of an accredited Nurse Practitioner Program.

Educational training and/or experience to support setting and patient population.

Current, active, unrestricted California Nurse Practitioner license.

Current, active, unrestricted Furnishing license and DEA registration.

Active National Provider Identifier (NPI).

Acceptable Certifications:

• NP National Board Certification:Adult Gerontology Acute Care AGACNP-BC or ACNPC-AG

Current BLS certification and ACLS certification.

Oncology Nursing Society (ONS) Certification (ACONP) and/or ONS Chemotherapy Certification (obtained within 3 months of hire).

Hematology/Oncology Experience (at least 2 or more years)

Inpatient and/or Acute Care Experience (at least 2 or more years)

Ability to obtain UCIMC Allied Health Professional Privileges prior to hire.

Ability to establish and maintain effective working relationships across the program and UCI Health System.

Ability to exercise diplomacy and flexibility in interacting with physicians, nurses, other paramedical personnel, administrators, emergency and law enforcement officers.

Must demonstrate customer service skills appropriate to the job.

Skill to clearly communicate medical information to a broad variety of people, both in person and over the telephone.

Excellent written and verbal communication skills.

Writing skills to prepare clear medical reports, laboratory data and progress notes. Ability to maintain a work pace appropriate to the workload.

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.

Ability to be trained in the use of specialized medical equipment and procedures.

Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.

Desired:

Experience with clinical trial patient participation

Description

First Essential Function

Percent of Time:

80%

GENERIC CLINICAL DUTIES/PATIENT CARE:

• Work collaboratively with the physicians/fellows/APP colleagues and other clinical and administrative staff to ensure efficient patient management based on accepted practice, including but not limited to, performing histories and physicals, pre-operative planning/coordinating with anesthesia/outside providers and PCPs as applicable, responding to change in patient status, providing needed prescriptions/evaluations/referral/treatments as permitted under their standardized procedure.Provide expert level consultation, referrals, procedures (e.g. bone marrow biopsies and intrathecal chemotherapy administration), and order radiographic or diagnostic requests, specialized treatment privileges (e.g. chemotherapy with the approved privilege).May also provide patient education, arrange follow-up appointments, and engage in any approved privileges the APP has completed the necessary proctoring or FPPE through prior to competency for independent practice and procedural activity.
• To evaluate, assess and create a documented plan of treatment per patient’s presenting HPI or established plan of care under the collaboration/supervision of an attending physician.
• To answer clinically relevant patient medical advice calls or during bedside communications or coordination with health care professionals, patients and their families as necessary.
• To independently or in a shared visit model, evaluate routine, acute, critical, new patients, or specialty consultations when needed or required and discuss with attending and staff as appropriate and document in the EHR.
• Interpret and act upon ordered tests, procedures, and radiographic studies.
• Assist in formulating and implementing protocols to improve efficiency in the clinical specialty.
• Effectively communicate with family or patients in person, telephone and/or other electronic modalities in a timely manner.
• Ensure in their absence, appropriate clinical coverage has been arranged for patient management and communication as appropriate.
• At all times adhere to all policies and procedures of Health in terms of HIPPA/Communication/Privacy/Code of Conduct, and any other or Med Center Policies, which includes meeting the encounter closure requirements of the Med Staff Bylaws.
• Some duties, essential or intrinsic to the job, but are performed routinely or periodically may be unique to the specific clinical services provided.

IF INPATIENT

• To assist in formulating and implementing protocols to improve efficiency in the clinical specialty/service/pathways.Engage in a timely and efficient discharge of patients on the inpatient service for which you are responsible.Assist in coordinating patient transfers within and outsideMedicine - Hematology/Oncology
• Be familiar with productivity guidelines and expectations for providers in clinical specialty.
• May act as first assist in the OR only with the required certification documents provided.

Second Essential Function

Percent of Time:

10%

EDUCATION AND CONSULTATION:

• Develops and implements education programs for patients, family members, and the community.
• Actively engages in teaching medical students, residents, fellows, nursing staff, and other allied health care providers under the guidance of physician faculty.
• Serves as an expert resource to Hematology/Oncology faculty and patients as well as to others in the University community.
• Provides education and information to external agencies, community, and other health professionals.
• Perform other duties as assigned.

Third Essential Function

Percent of Time:

10%

CLINICAL RESEARCH/QUALITY:

• Serves as an expert resource for implementation of approved and relevant clinical research protocols. Actively manages patients enrolled on clinical trial protocols as co-investigator.
• Provides scientific contributions for grant preparation.
• Collaborates with research staff in the development and conduct of research as well as the dissemination of research findings through written publications, professional meetings, and community programs.
• Leads and participates in department and divisional activities including such activities as peer reviews, quality improvement activities (e.g. ASCO’s Quality Oncology Practice Initiative), and other functions as requested by the Medical Director, Division Chief, or the Chair of Medicine.
• Completes all educational/compliance activities required by the Department.
• Perform other duties as assigned.

Description

Special Condition APP’s who provide direct patient care require a statement concerning Populations Served Competencies.Department to add any competencies required.

Competencies to admit, evaluate, diagnose, and provide treatment or consultative services to adult or Adolescent Young Adult (AYA) patients, except as specifically excluded from practice and except for those special procedures listed below, with illnesses and neoplastic disorders. Privileges include, but are not limited to, bone marrow aspirations and biopsy, administration of anti-neoplastic therapy, the management and care of indwelling venous access catheters. Specific Competencies include:

History and Physical Examination, including SOAP note format documentation

Cardiopulmonary resuscitation

Emergency EKG interpretation

Emergency cardioversion

Peripheral artery catheterization

Endotracheal aspiration

Bone marrow biopsy

Bone marrow aspiration

Cancer chemotherapy

Access of Ommaya reservoir

Installation of chemotherapy through Omaya reservoir
Intrathecal chemotherapy (post lumbar puncture)

Physical Requirements, Mental Requirements And Environmental Working Conditions

Bend: Occasionally

Squat: Occasionally

Crawl: Not Applicable

Climb: Not Applicable

Kneel: Occasionally

Handle Objects: Occasionally

Push/Pull: Frequently

Reach Above Shoulder Level: Frequently

Sit: Frequently

Stand: Frequently

Walk: Frequently

Use Fine Finger Movements: Constantly

Carry/Lift Loads up to 25 Pounds: Frequently

Carry/Lift Loads up to 25-50 lbs: Not Applicable

Carry/Lift Loads over 50 Pounds: Not Applicable

Read/Comprehend: Constantly

Write: Constantly

Perform Calculations: Constantly

Communicate Orally: Constantly

Reason and Analyze: Frequently

Chemical/Biological Agent: Frequently

Construction Activities: Not Applicable

Contact with Water/Liquids: Frequently

Drive Motorized Equipment: Not Applicable

Confined Spaces: Occasionally

Elevated Work Location: Constantly

Radioactive Materials: Not Applicable

Temperature Variations: Not Applicable

Gas Systems: Not Applicable

Other Working Conditions

May require weekend and/or holiday shifts, depending on patient care and operational needs.