Nurse practitioner (NP) is an advance practice registered nurse with specialized education and clinical competency to provide health and medical care for diverse populations in a variety of primary, acute, and long-term care settings. The NP works in collaboration with and under the general supervision of a licensed physician. This position functions under the Regulatory Guidance provided by the State of Louisiana and within the Standards of Practice outlined by the American Academy of Nurse Practitioners. The Oncology NP has the responsibility and accountability for assessing patient/family health problems and resources, planning, implementing and evaluating the plan of care for the patients. Per the Departments Scope of Practice, this position requires providing services to oncology patients, in a manner that demonstrates an understanding of the functional/developmental age of the individuals served. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Frances Cabrini's strategic plan and the goals and direction of their Performance Improvement Plan (PIP)
The NP utilizes the scientific process and national standards of care as a framework for managing client care. This process includes:
Assessment of health status
Obtains a relevant health and medical history
Performs a physical examination based on age and history
Performs or orders preventive and diagnostic procedures based on the patient's age and history
Identifies health and medical risk factors
Diagnosis - A NP makes a diagnosis by:
Utilizing critical thinking in the diagnostic process
Synthesizing and analyzing the collected data
Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results
Establishing priorities to meet the health and medical needs of the individual and family
Development of a Treatment Plan
Orders additional diagnostic tests
Selects appropriate pharmacological and non-pharmacological interventions
Develops a patient education plan
Plans appropriate consultations or referrals
Implementation of the Plan
Accurately conducting and interpreting diagnostic tests
Prescribing pharmacological agents and non-pharmacological therapies
Provides relevant patient / family education
Makes appropriate referrals to other health professionals or agencies
Follow up and Evaluation of Patient Status
Maintains a systematic process for patient follow up
Determines the effectiveness of the treatment plan with documentation of patient care out comes
Reassesses and modifies the plan of care as necessary to achieve health and medical goals.
Interdisciplinary / Collaborative Responsibilities:
The NP participates as a team member in the provision of health and medical care, interacting with professional colleagues to provide comprehensive care.
NP attends and participates in multidisciplinary case conferences, Tumor Conference, Cancer Committee, and other activities as necessary.
Networks with referring physicians, agencies, and clinics regarding the care of patients and disease status. Maintains open lines of communication with referring physicians and agencies.
Coordinates with Cancer Program Medical Social Worker, Dietician, Radiation Therapists, medical oncology clinic nursing personnel, chemotherapy nurses and supporting occupation therapists on the care of patients.
Collaborates with supervising physician regarding admissions, appropriateness of care plan, pharmacy orders/prescriptions, and diagnostic tests as necessary.
Scope of Practice: NP and supervising physician(s) will, jointly, develop a clearly defined and documented scope of care that will fully utilize the NP 's abilities and skills. Physician and NP will jointly develop a list of authorized pharmaceuticals that may be prescribed by the NP.
Documentation: NP will document patient care fully and completely in the appropriate patient chart. Supervising physician will review NP's charting on a periodic basis as necessary.
Research: NP will act as liaison between the research nurse, patients, and physicians to facilitate research efforts.
Review all laboratory and radiographic reports as well as other patient related documents and makes appropriate interventions and or initiate action under the guidance of or in collaboration with the supervising physician(s).
Procedures: all outpatient procedures will be performed in accordance with established protocols and within established practice limits.
Demonstrates the ability to accurately Access and Document Patient Care Activities and Hospital processes.
Uses computer system(s) appropriately.
Documents in the medical record according to policy/procedure.
Complies with incident reporting and notification requirements.
Attends/reviews department staff meetings for information.
Identifies patient's problems by comparing health status to established nursing norms.
Assists with the care of the physical and psychological needs of the patient and reports any signs of complications to the Medical Oncologist. Advises Dietary and Social Services of patient's special needs.
Assists others as necessary, always using time constructively.
Obtains knowledge of, and demonstrates Compliance with Infection Control Policies and Procedures.
Practices Standard Precautions in patient care activities.
Practices appropriate disease specific isolation as required.
Appropriately handles and disposes of sharps.
Provides for the Education/Training of the Patient/Family
Identifies and documents patient/family educational needs upon initial assessment and thereafter.
Identifies barriers to learning.
Provides teaching based on identified needs.
Evaluates the effectiveness of instruction provided.
Assessment and teaching incorporates cultural and ethnic actors.
Assessment and teaching incorporates functional needs.
Develops and/or implements established departmental teaching/educational programs for patients concerning their treatment and care.
Develops, Implements and Evaluates a Nursing Plan of Care for the Patient/Family.
Develops and implements the plan of care based on assessment findings.
Establishes the plan of care within time frame specific to assigned Department/unit.
Re-evaluates and modifies the plan of care, based on the patient's response to the interventions.
Communicates the plan of care to members of the nursing team.
Prioritizes and delegates patient care activities based on patient assessment and staff capabilities.
Appropriately coordinates and/or delegates aspects of the plan of care.
Involves the patient/family in developing the plan of care.
Demonstrates sound clinical judgement in decision-making regarding patient care.
Incorporates the Plan of Care into the Multidisciplinary Care and Management of the Patient/Family.
Communicates effectively with physicians and allied health team.
Coordinates care with other disciplines involved.
Involves allied health team members, as necessary.
Actively participates in multidisciplinary care conferences
Assures the Rights of the Patient/Family are respected and maintained.
Allows for privacy and modesty in the provision of care.
Identifies self by name and title to patient/family
Reports suspected cases of abuse/neglect, if identified.
Understands role of, and how to access, the Ethics Committee.
Establishes presence of consent prior to treatment/procedure.
Demonstrates the ability to Safely and Competently prescribe Medications, Intravenous Therapy and Basic
Understands actions, side-effects, contra-indications of drugs.
Follows five "rights" of medication administration.
Adheres to medication policies, practices and standards.
Prescribes medication, intravenous therapy and fluid management only under physician guidance.
Demonstrates knowledge of Unit Specific Policies and Procedures and the ability to Safely and Competently use Unit Specific Patient Care Equipment in the delivery of Quality Patient Care.
Completed Unit Specific Annual Competency Checklist.
Obtains necessary training prior to initial equipment use.
Assures equipment is in operating order prior to use.
Differentiates between patient complications and equipment malfunction.
Uses medical equipment in accordance with manufacturer's operating guidelines.
Participates or performs required Quality Improvement studies accurately and in a timely manner.
Assists Medical Director in the development of new policies or procedures as requested