Nurse Practitioner

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For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

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• Providing clinical services to participants enrolled on early phase clinical research studies while adhering to clinical trial protocol requirements. This includes a complete health history and physical exam including the assessment, diagnosis and treatment of side effects and adverse events related to administration of investigational agents
  * 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, coordinates care of patients and evaluates plan of care and patient toward health goals and modifies 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.
• Collaborates 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. Identifies patient and/or involved others in satisfaction/dissatisfaction with plan of care. If patient and/or involved others express dissatisfaction implements conflict resolution skills, and escalates issues with plan of care.
• Communicates effectively with involved others and members of the research and health team.
  * Demonstrates respect for cultural diversity with patients and others in the medical team.
  * Establishes collaborative and collegial relationships with health care members.
  * Communicates plan of care to its assigned patients and involved others.
• Orders, performs and interprets diagnostic procedures and tests with the scope of privileges
  * Appropriate orders and communications are made.
• Develops and analyzes differential diagnoses based on clinical and laboratory data.
  * Appropriate analyses are made
• Participates in a team approach to health care
  * Participates in a team approach to health care by acting as liaison between subspecialist and other members of the research team.
  * Communicates effectively with members of the health care team.
  * Maintains communication with the interdisciplinary team through frequent interactions and staff conferences
• Prescribes medications and educates the patient and/or involved others about the drug regimen, interactions and side effects.
  * Zero error tolerance
• Demonstrates critical thinking skills to problem-solve and initiate clinical decision making
  * Assesses patient clinical status and attempts satisfactory resolution of patient clinical needs
• Demonstrates responsibility for maintaining competencies and GCP
  * Demonstrates responsibility for own practice and ongoing development, including participation in at least one continuing education program annually.
  * Supports goals and activities of the team within the patient care area and at the MMC.
  * Contributes to the growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education.
  * Participates in educational experiences within the practice setting.
  * Participates in activities contributing to the growth and development of self, colleagues. 
• *Demonstrates comprehension of clinical research principles, including adherence to federal regulations and Good Clinical Practice (GCP)
• Is responsible and accountable for own practice
  * Critical thinking /problem solving is incorporated into nursing practice.
  * Contributes to problem identification and problem solving in the work environment, participating in task forces and groups as necessary
  * Supports the mission and vision of Montefiore Medical Center and the standards for nursing practice
• Provides a safe environment for patients/involved others.
  * Orients patient/involved others to environment, assuring comprehension of information presented.
  * Administers medication error free.
  * Responds appropriately in an urgent/emergent situation.
• Demonstrates leadership skills in the coordination and delivery of patient care
  * Coordinates an interdisciplinary of care.
  * Assures 100% of patient panel have a documented plan of care.
  * Delegates care of the patient to team members consistent with the capabilities and responsibilities of caregiver

• 4-6 years of practice as a Nurse Practitioner Required
• 3 years of prior oncology/malignant hematology experience required and experience with grants and treatment clinical research trials preferred. 
• Demonstrated effectiveness in clinical oncology setting and ability to provide care for participants involved in research activities while maintaining compliance with federal regulations, research standards and clinical research protocols. 
• OHS Fit Test
• OHS Annual Assessment
• Nurse Practitioner - Adult or Family Required
• Participates in quality of care projects related to clinical care as directed by the Cancer Clinical Trials Office leadership and disease team physician leader
• * Coordinates quality of care and quality of improvement projects in various clinical areas
  * Participates in clinic meetings related to quality of care
• New York State Nurse Practitioner License and Registration Required
• Master Degree Required
• Infection Control Required