Nurse Practitioner; JR

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

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The Nurse Practitioner has primary responsibility for providing clinical services to clinical research patients enrolled on cancer clinical research studies. This includes the assessment, diagnosis and treatment and management of disease and treatment side effects. This is a grant funded position. The Nurse Practitioner also works closely with the physician leader, sub investigators/treating physicians and research team of the assigned disease research team.

The Montefiore NP maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement. The NP actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center.

The NP participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The NP demonstrates core and unit specific competencies based on the patient population served. The Nurse Practitioner will assess and provide care to a selected group of patients in collaboration with physicians. The NP will be responsible for carrying out the plan of care for his/her patient panel.

The NP contributes to the actualization of the philosophy and objectives of the specific Division/ Department. He/she practices within the scope of practice in care delivery. He/she participates in performance improvement and research activities, and maintains professional practice standards and clinical expertise.

• Providing clinical services to patients. This includes the assessment, diagnosis and treatment of developmental and behavioral disorders including a complete health history and physical exam
  • Provide clinical services and research support to research patients during the clinical hours -- including the assessment and treatment of adverse events experienced while participating on a cancer clinical trial and providing supportive care.
• In collaboration with physicians and other health care providers, coordinate care of patients and evaluate plan of care and patient toward health goals and modify plan of care.
  • Appropriate care is provided as per standard of care and per collaborative practice agreement.
  • Plan of care is communicated to all members of the health care team.
• Collaborate with patient and/or involved others and/or agencies to formulate a plan of care.
  • Appropriate plan is agreed upon between NP and involved others. A therapeutic relationship is established with patient and/or involved others. Identify patient and/or involved others in satisfaction/dissatisfaction with plan of care. If patient and/or involved others express dissatisfaction implement conflict resolution skills, and escalates issues with plan of care.
• Communicate effectively with involved others and members of the health team.
  • Demonstrate respect for cultural diversity with patients and others in the medical team.
  • Establish collaborative and collegial relationships with health care members.
  • Communicate plan of care to its assigned patients and involved others.
• Order, perform and interpret diagnostic procedures and tests within the scope of privileges.
  • Appropriate orders and communications are made.
• Develop and analyze differential diagnoses based on clinical and laboratory data.
  • Appropriate analyses are made.

• Participate in a team approach to health care.
  • Participate in a team approach to health care by acting as liaison between subspecialist and other members of the primary care team.
  • Communicate effectively with members of the health care team.
  • Maintain communication with the interdisciplinary team through frequent interactions and staff conferences.
• Prescribe medications and educate the patient and/or involved others about the drug regimen, interactions and side effects.
  • Zero error tolerance.
• Demonstrate critical thinking skills to problem-solve and initiate clinical decision making.
  • Assess patient clinical status and attempt satisfactory resolution of patient clinical needs.
• Demonstrate responsibility for maintaining competencies.
  • Demonstrate responsibility for own practice and ongoing development, including participation in at least one continuing education program annually.
  • Support goals and activities of the team within the patient care area and at the MMC.
  • Contribute to the growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education.
  • Participate in educational experiences within the practice setting.
  • Participate in activities contributing to the growth and development of self, colleagues.
• Be responsible and accountable for own practice.
  • Critical thinking / problem solving is…