The Center for Hematologic Malignancies (CHM) outpatient clinic provides acute and long-term care to patients who have undergone an autologous or allogeneic hematopoietic cell transplant (HCT) or received other cellular therapies such as chimeric antigen receptor T-cell (CAR-T) therapy. Seeing up to 12 patients per day, this APP provides care in conjunction with a team comprised of physicians, advanced practice professionals (APPs), RN coordinators, and other allied health professionals. APPs may practice both independently or in a shared-care model with physicians as determined by the needs of the team. Additionally, this APP may be intermittently provide oversight of the infusion unit, responding to acute infusion reactions and urgent medical issues.
After appropriate proctoring, APPs will independently perform procedures including bone marrow aspirate/biopsy, lumbar puncture, ommaya tap, and skin biopsy.
This position reports through the Advanced Practice Provider (APP) Outpatient Manager.
Provide medical care independently in the outpatient setting to this select group of patients.
Communicate with attending physicians regarding a patient's condition, treatment plans, and urgent medical needs
Communicate with patients and family regarding their medical conditions, treatment plans, and their progress. Review labs and imaging as appropriate
Assure appropriate setting of care (ambulatory, inpatient, critical care, acute care)
Document subjective and objective findings, assessment and plan clearly and accurately in progress notes according to OHSU guidelines
Provide comprehensive symptom management of complex patients by working collaboratively with oncology nurses, palliative care providers, social workers and others based on patient need
Maintain communication with primary care providers and other individuals and agencies (e.g. skilled nursing facilities) as appropriate
Deliver care to patients receiving treatment on clinical trials per protocol guidelines with timely notification of principal investigator/research nurse or study coordinator and appropriate documentation of adverse events
Provide urgent medical care for stem cell therapy/transplant patients requiring same day evaluation
Adhere to best practice protocols and OHSU specific policies
Assist in meeting the educational needs of patients, family members, staff, residents, fellows, nursing and medical students, and others as appropriate
Collaborate with team members to establish or revise clinical pathways and patient education materials
Assist in training of newly hired APPs
Work with clinic and hospital staff to optimize order sets, patient instructions, and other infrastructure that supports patient care
Attend and participate in Grand Rounds, OHSU conferences, tumor boards, fellow lectures, national conferences, and other learning opportunities as available
Quality and Research:
Identify and engage in opportunities to improve the quality and efficiency of care provided to stem cell transplant/therapy patients
Promote use of appropriate research findings in practice to exceed the standards of care
Work with the physician leadership, nurse managers, nursing staff and social workers to prevent and/or respond to patient complaints
Effectively manage clinic resources
Current and active Nurse Practitioner license for the state of Oregon
State of Oregon Nurse Practitioner Prescriptive Privileges
ANCC (or equivalent) certification
Current and active Physician Assistant license for State of Oregon
2+ years of APP experience in hematology and/or hematopoietic cell therapy.
Please submit a resume/CV and cover letter with your application.
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