This position reports to ( supervisor): Advanced Practice Manager for Community Hematology Oncology (CHO).
The Advanced Practice Provider (APP)shall provide services as assigned by the supervisor in furtherance of the universitys missions and goals of teaching, research, patient care, outreach and public service. In addition:
Provides patient care in accordance with allied health privileges granted by OHSU. Under the supervision of the Section Head for CHO,provides patient care consistent with the credentials and the philosophy of the Department of Medicine, University Hospitals and Clinics.
Functions in a manner which maintains the confidentiality and privacy of each patient, promotes a positive relationship with all health team members and supports the policies and procedures of the University Hospitals and Clinics.
Working primarily at the Northwest CHO site,may provide additional coverage in our other CHO clinic sites.
Seeing up to 15 patients a day, addresses urgent needs and evaluates the patient situation and determines the tolerance of the treatment, reviews labs, and modifiesorders, as needed.
Sees new patients in conjunction with attending physician.
Writes chemotherapy orders when treatment plan has been initiated by attending physician in compliance with credentialed privileges.
Manages patient anticoagulation, as appropriate.
Works closely with phone triage staff to manage patient issues and problems and sees patients emergently as add-on/walk-ins, as appropriate or requested by attending physician.
Admits patients to community hospitals, as appropriate, in collaboration with attending physician.
Rounds on patients in community hospitals, as requested by attending physician, in compliance with community hospital credentialed privileges.
Responsibilities are comprised of Clinical Process and Education of others.
1. Clinical Process
Elicits patient history pertinent to current disease status and treatment
Performs physical examination
Analyzes patient information and laboratory data to form differential diagnoses
Formulates plan of care obtaining any additional lab tests or studies, arranging return visits, providing appropriate patient education or referrals/consults for newly identified problems
Arranges support services as needed through referrals to Community Oncology Social Worker
Participates in tumor conferences and treatment conferences.
Participates in care of patients enrolled in clinical trials.
Contacts attending physician or site specific physician to discuss emergent situations and plans as appropriate
Recognizes and manages unusual or untoward reactions to conditioning or chemotherapy regimens and contacts attending physician as appropriate.
Provides education for patients about their disease, treatment and potential complications
Discusses risks/benefits when prescribing medications or treatments
Provides patient care based on the Patient Bill of Rights"
Respects patient diversity in beliefs and health care concerns
Assists patient in problem solving health care concerns.
Documentation of Practice
Records all patient visits including lab results, medication changes, current plan of care, return visits and new problems in the inpatient or outpatient charts
Dictates all outpatient progress notes, HPIs, hospital admission H&Ps and discharge summaries into appropriate medical record .
Only as back-up for attending physician during weekdays. Outpatient calls on Saturday/Sunday during clinic hours only
Assists in identifying patients eligible for clinical trials
Participates in research projects as appropriate
Uses research and evidence based practice in the delivery of quality patient care
Identifies opportunities to improve customer service within the clinics and communicates them to colleagues, managers and administration as appropriate to effect change
Tailors patient care to meet individual needs
Uses customer service/service excellence philosophy in all interactions with patients and families as well as colleagues and other internal and external customers.
2. Education of Others
Is appointed as faculty by the school for which services are employed.A faculty position encompasses education, practice, research and community outreach.More specifically:
Participates in the development of patient education tools and programs
Provides individualized patient education on aspects of Oncology
Assumes responsibility for educating others on aspects of Oncology and hematologic malignancies.
Provides student lectures and learning materials as requested
Participates in the teaching of medical students, house staff and fellows
Physician Assistant : Valid/Current State of Oregon Physician Assistant License, State of Oregon Licensure under Community Oncology MD
Nurse Practitioner :Valid State of Oregon Registered Nurse license, current Nurse Practitioner license for the state of Oregon, State of Oregon Nurse Practitioner Prescriptive Privileges
At least one year of experience as a nurse practitioner or physician assistant
At least one year of oncology experience
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or email@example.com.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm