Nurse Practitioner/Physician Assistant, Adult Palliative Care (South ShoreHospital/ St. Elizabeth's)
Company: Dana-Farber Cancer Institute
Location: Weymouth
Posted on: November 17, 2022
Job Description:
Nurse Practitioner/Physician Assistant, Adult Palliative Care
(South Shore Hospital/ St. Elizabeth's)
Job DetailsJob ID:
27727
Location:
101 Columbian Street, Weymouth, MA 02188
Category:
NP/PA
Employment Type:
Full time
Work Location:
Onsite:Up to 1 day remote/wk
OverviewThe Nurse Practitioner (NP) is an advanced practice nurse
who demonstrates clinical expertise and leadership skills. The NP
uses advanced skills in the evaluation, diagnosis and treatment of
patients with diseases and adverse health conditions. The NP
manages therapeutic regimens for acute and chronic problems
associated with such diseases and conditions. The NP provides
anticipatory guidance, patient and family education, and
psychosocial and emotional support. The NP has prescriptive
authority which includes Schedule II through V controlled
substances in the Commonwealth of Massachusetts.The NP meets all
requirements of the registered nurse's responsibilities which
include assessment, planning, implementation and evaluation of
nursing care for a complex patient population. Adult patients have
a wide range of acuity and hematological and/or oncological
diagnoses.The NP is a member of a multidisciplinary care team that
requires effective communication and collaboration with co-workers
and staff at the Institute and other collaborating institutions and
agencies. The role requires critical thinking, an understanding of
research principles and practices, and an expanded scope of
clinical practice and leadership that improves the quality of care
and advances the practice of nursing throughout the work setting
and community. The Mission, Vision and Core Values of the
Dana-Farber Cancer Institute are incorporated into all areas of
practice.Located in Boston and the surrounding communities,
Dana-Farber Cancer Institute is a leader in life changing
breakthroughs in cancer research and patient care. We are united in
our mission of conquering cancer, HIV/AIDS and related diseases. We
strive to create an inclusive, diverse, and equitable environment
where we provide compassionate and comprehensive care to patients
of all backgrounds, and design programs to promote public health
particularly among high-risk and underserved populations. We
conduct groundbreaking research that advances treatment, we educate
tomorrow's physician/researchers, and we work with amazing
partners, including other Harvard Medical School-affiliated
hospitals.ResponsibilitiesPRIMARY DUTIES AND
RESPONSIBILITIES:
- Delivers expert, scientifically based care to patients using
advanced skills in the evaluation, diagnosis and treatment of
patients with hematological-oncological diseases and adverse health
conditions.
- Assesses patient and family needs from a holistic
viewpoint.
- Performs comprehensive physical assessment. Differentiates
between normal and abnormal physical findings, and interprets to
determine the severity of illness. Recognizes and differentiates
oncological emergencies associated with specific diseases and
conditions.
- Assesses pain and symptom management that includes side effects
of chemotherapy and radiation therapy.
- Formulates a multidisciplinary plan of care based on identified
diagnoses. Continually reassesses plan based on patient's current
condition.
- Incorporates age-specific interventions related to safety,
nutrition, physical limitations, polypharmacy, skin integrity,
psychosocial needs and other areas as appropriate in the care
provided.
- Documents care reflective of advanced practice, and complies
with all Institute, collaborating
- institution and regulatory agency requirements.
- Provides patient and family education, instruction and
reinforcement to meet identified learning needs.
- Identifies appropriate community resources to provide
continuity of care and makes appropriate referrals to homecare and
hospice agencies.
- Delegates responsibilities for the performance of selected
patient care activities to assistive personnel within established
regulations and policies. Provides appropriate and intermittent
supervision.
- Adheres to the Code of Ethics for Nurses with Interpretive
Statements (ANA, 2015) in all aspects of professional
practice.
- Recognizes and responds to emergency situations appropriately.
Maintains BLS certification.
- Pursues active membership of local and national professional
organizations.
Manages therapeutic regimes and appropriate follow-up care for
acute and chronic problems associated with
hematological-oncological diseases and conditions.
- Prescribes medications, which may include chemotherapy, IV
fluid, and blood componen therapy in accordance with research
protocols, Medical Staff Bylaws, Institute, state and federal
regulations, and collaborating institution policies.
- Evaluates the patient's response to therapy and appropriately
modifies interventions as needed.
- Orders consultations, diagnostic and laboratory tests and scans
in accordance with research protocols and current practice
standards. Completes all requisitions in accordance with DFCI
policies and procedures.
- Performs diagnostic and therapeutic procedures in accordance
with practice guidelines, research protocols, Medical staff Bylaws,
Institute and collaborating institution policies.
- Coordinates elective and emergency admissions to collaborating
institutions in accordance with the patient's medical condition,
Medical Staff Bylaws, Institute and collaborating institutions'
policies and procedures.
- Obtains required consents for treatment and procedures.
Practices according to written guidelines in compliance with the
Massachusetts Board of Registration in Nursing. Maintains
prescriptive privileges as defined by the Massachusetts Department
of Public Health. Utilizes prescriptive authority responsibly for
Schedule II through V controlled substances in the Commonwealth of
Massachusetts.
- Develops and maintains current practice guidelines that
specifically describe the nature and scope of the nurse's practice;
the circumstances in which physician consultation or referral is
required; the use of established procedures for the treatment of
common medical conditions which the nurse may encounter; and
provisions for managing emergencies. Guidelines must also include a
mechanism to monitor prescribing practices including documentation
of review with a supervising physician at least every three months;
protocols for the initiation of intravenous therapies and Schedule
II drugs; specify the frequency of review of initial prescription
of controlled substances. The initial prescription of Schedule II
drugs must be reviewed within 96 hours.
- Monitors prescriptive practice in collaboration with the
supervising physician and submits quarterly reports to direct
supervisor.
- Maintains current Collaborative Practice Agreement signed by NP
and supervising physician.
Establishes rapport with patients and families from a variety of
cultural, ethnic and religious backgrounds.
- Interacts with patients and families in a caring and
compassionate manner.
- Provides patient and family education related to the disease
process, treatment plan, alternatives, symptom management, care and
follow up.
- Provides care based on the age-specific needs of the
patient.
- Fosters an environment that is sensitive to the needs of
diverse populations, including but not limited to culture,
ethnicity, gender, and age.
Manages the environment for patient care providing leadership in
the identification and integration of resources to achieve desired
outcomes.
- Monitors the environment of care with attention to patient
safety, and assures compliance with regulatory agency
standards.
- Complies with Institute, nursing, and collaborating
institutions' unit policies, procedures, work rules and standards
of conduct.
- Develops collaborative relationships with colleagues which
facilitate mutual involvement in planning care. Acknowledges and
uses expertise of others through formal and informal consultation
in planning and evaluating patient care.
- Provides leadership in the development and implementation of an
integrated plan of care.
Provides leadership in the formulation and achievement of unit
goals within Nursing and Patient Care Services, the Satellite, the
Institute and the community.
- Assists in defining goals and developing systems and work
processes for the unit, Nursing and Patient Care Services, the
Institute and collaborating institutions.
- Participates in and provides leadership to committees,
councils, and initiatives.
- Works collaboratively and functions as an effective member of
the health care team.
- Demonstrates flexibility and the ability to set and change
priorities.
- Participates in QA/QI projects in the clinic and the Division
of Nursing and Patient Care Services.
- Fosters and promotes an environment that facilitates
professional communication and collaboration with colleagues.
- Supports research activities within the Division of Nursing and
Patient Care Services, the Institute, and collaborating
institutions.
Qualifications
- Authorization to practice in an expanded role as a Nurse
Practitioner in the Commonwealth of Massachusetts
- Current certification from a nationally recognized accrediting
body approved by the Massachusetts Board of Registration in Nursing
for Nurse Practitioners
- Minimum of 24 contact hours beyond generic education in
pharmacotherapeutics
- Masters degree in Nursing
- Minimum of 1 year oncology nursing experience or 1 year Nurse
Practitioner experience
- Oncology Nurse Practitioner experience preferred
- In possession of Massachusetts Department of Public Health and
Federal DEA numbers
- Certification in Oncology Nursing is preferred (OCN, AOCN,
AOCNP)
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
- Demonstrated ability to work as an effective member of an
interdisciplinary team.
- Demonstrated critical thinking, problem solving skills and
ability to make independent decisions.
- Demonstrated understanding of special needs and behaviors of
age groups of the adult population served.
SUPERVISORY RESPONSIBILITIES:May supervise assistive personnel in
their provision of patient care.At Dana-Farber Cancer Institute, we
work every day to create an innovative, caring, and inclusive
environment where every patient, family, and staff member feels
they belong. As relentless as we are in our mission to reduce the
burden of cancer for all, we are equally committed to diversifying
our faculty and staff. Cancer knows no boundaries and when it comes
to hiring the most dedicated and diverse professionals, neither do
we. If working in this kind of organization inspires you, we
encourage you to apply.Dana-Farber Cancer Institute is an equal
opportunity employer and affirms the right of every qualified
applicant to receive consideration for employment without regard to
race, color, religion, sex, gender identity or expression, national
origin, sexual orientation, genetic information, disability, age,
ancestry, military service, protected veteran status, or other
groups as protected by law.
Keywords: Dana-Farber Cancer Institute, Weymouth , Nurse Practitioner/Physician Assistant, Adult Palliative Care (South ShoreHospital/ St. Elizabeth's), Other , Weymouth, Massachusetts
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