ADVANCED PRACTICE PROFESSIONALS | Radiation Oncology | United Hospital Center

Additional Job Description:

POSITION DESCRIPTION: This APP will be a 50/50 split between inpatient and ambulatory services and will provide coverage of follow-up Rad-Onc patients/new intakes/inpatient consults, inpatient follow-up and planning with 50% shared and 50% autonomous work projected

JOB TITLE &CODE: ADVANCED PRACTICE PROFESSIONALS - Radiation Oncology Nurse Practitioner (85001) or Physician Assistant (85101)

DEPARTMENT: Department of Radiation Oncology/Hematology Oncology Section of Internal Medicine

REPORTS TO: Administrator, Faculty Supervisor, Department/Section Leadership, OAPP

FLSA STATUS: Exempt

POSITION SUMMARY: The Advance Practice Professional (APP) is an individual with clinical skills and medical skills, with an expertise in the care of Radiation Oncology patients. The APP completes comprehensive patient health evaluations (including biological, social, and psychological assessments), considering their co-morbid conditions and overall disposition; in collaboration with the appropriate clinical/faculty team. The APP assesses and coordinates the educational and psychosocial needs of the patient and caretakers. The APP develops and reviews the plan of care with the other members of the clinical team, participates in directing that care, and coordinates disposition planning/and or follow-up (as applicable). The APP participates in the education of residents and medical/nursing students and performs diagnostic procedures and therapeutic procedures.

Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such service may include but are not limited to.

MINIMUM QUALIFICATIONS FOR NURSE PRACTITIONER:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of a CCNE accredited nursing program with master's degree in nursing
2. National Certification by one of the recognized APRN Certification Centers.
3. Licensure or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
4. American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the
department.

EXPERIENCE:
1. Radiation Oncology/Hematology Oncology, acute care, internal medicine experience preferred.
2. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. OCN or AOCN certification preferred.

MINIMUM QUALIFICATIONS FOR PHYSICIAN ASSISTANT:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's degree or master's degree as Physician Assistant required.
2. Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
3. Certification by the National Commission for Certification of Physician Assistants required.
4. Must be licensed or eligible for licensure by the WV Board of Medicine or WV Board of Osteopathic Medicine.
5. American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the
department.

EXPERIENCE:
1. Radiation Oncology/Hematology Oncology, acute care, internal medicine experience preferred.
2. Eligible new graduates will be considered.

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Master's level degree as Physician Assistant preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Manages comprehensive and individualized care for patients and their families undergoing radiation therapy in the ambulatory setting and/or inpatient setting as applicable.

2. Completes daily rounds; consults and/or pre-treatment or pre-procedure/evaluations in radiation oncology. Participates in ambulatory clinic and/or inpatient rounding as applicable.

3. Completes integrated assessments.

4. With the collaboration of radiation oncology faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.

5. Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.

6. Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.

7. Performs succinct comprehensive clinical evaluations and documents findings in medical record.

8. Facilitates patient disposition planning and/or follow-up by ordering/coordinating appropriate services and tests necessary for outpatient follow-up appointments in the clinic (as applicable).

9. Performs necessary procedures following established clinical guidelines and Protocols and scope of practice (SOP).

10. Develops a comprehensive individualized plan of care for radiation oncology patients, which includes acute management, teaching, disposition planning and necessary referral to other members of the health care team, as necessary.

11. Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.

12 Participates in patient consultations, ongoing evaluations and/or physician rounds, (as applicable).

13. Identifies unstable or complex radiation oncology patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.

14. Recognizes emergency situations and initiates effective emergency care.

15. Evaluates radiation oncology patients and directs follow up procedures and tests in the ambulatory setting (as applicable).

16. Assists in the collection of outcome measures (as applicable).

17. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation, and management of the individual needs of patients/families.

18. Demonstrates the ability to utilize equipment in a safe manner.

19. Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.

20. Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families, and the community.

21. Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities, and readiness to learn.

22. Evaluates the effectiveness of patient/family teaching and collaborates with the nursing and clinical staff in the completion of education plan.

23. Updates own knowledge base throughout the year.

24. Completes all identified clinical competencies.

25. Serves as a resource person for staff caring for the radiation oncology patient.

26. Provides educational programs to professional and paraprofessional personnel in area of expertise.

27. Mentors nursing personnel in all levels of clinical practice.

28. Participates in community programs, distribution of literature, as appropriate in area of expertise.

29. Communicates effectively with patients/families, physician, and ancillary services at all levels to assure coordinated efficient patient care.

30. Documents the plan of care, interventions, and evaluations in a clear and concise manner for every patient visit in the patient's medical record following approved hospital/UHA policies and compliance standards for documentation.

31. Documents all interventions in the patient's medical record following approved hospital/UHA policies and compliance standards for documentation.

32. Collaborates with other leaders and staff to effectively achieve patient outcome-based improvements in care.

33. Provides leadership in the development and implantation of changes in the radiation oncology practice that positively impact patient outcomes.

34. Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.

35. Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.

36. Promotes and practices innovation of the expanded role in the delivery of care to radiation oncology patients and families in the infusion center, the inpatient hospitalization, and the ambulatory setting.

37. Participates and provides leadership for committees and task forces.

38. Documents hours and submits billing reports, as appropriate.

39. Participates in the WVUH/UHA Performance Improvement Plan.

40. Applies information from Performance Improvement activities, changing practice as necessary, to improve care provided to patients.

41. Reviews and interprets radiation oncology data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes, as necessary.

42. Participates in clinical trials and research studies with the Principal Investigator.

43. Assists Faculty, Administrators and Directors in the collection of outcome measures.

44. Adheres to the established Performance Expectations for UHA Employees in the areas of People, Service, Performance Improvement, and Shared Values & Culture.

45. Other duties/projects as assigned.

46. Oversees and provides comprehensive and individualized care for evaluating and managing patients in the radiation oncology suite within practice scope.

47. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making.

48. Provides direct supervision of patients in the radiation oncology suites until last patient receiving treatment leaves the suite.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighting 40+ pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Working closely with others.
2. Protracted or irregular hours.
3. Working around biohazards.
4. Working around infectious diseases.
5. Working with or near the deceased.
6. Working with hands in water.
7. Electrical hazards associated with patient care equipment.

SKILLS AND ABILITIES:
1. Proficiency with computers.
2. Effective communication skills.

Date Reviewed/Revised: June 21, 2022

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WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.