Description

Job Description

We are looking to expand our APP (advanced practice provider) team with an experienced Nurse Practitioner or Physician Assistant to join our Inpatient Hospitalist team to care for complex pediatric blood and marrow transplant (BMT), gene therapy and CAR –T patients. The APP will work independently with collaborative support of the BMT Physician Staff. Most shifts are overnight; however, there will be opportunity to do daytime shifts if desired. 

Roles and Responsibilities Include:

Provides primary care for BMT inpatients:

   -Daily inpatient rounding and presentation of plan of care for each patient.
   -Overnight management of BMT patients and patients receiving chemotherapy on the Oncology Service. 
   -Assess patient’s status repeatedly as clinically indicated, including transfer to ICU if necessary
   -Orders and reviews labs and other diagnostic studies and procedures.
   -Perform bone marrow aspirates, biopsies, lumbar punctures, skin biopsies and assist in bone marrow harvests.
   -Review all labs and imaging results, manage fluid and electrolytes, and treat appropriately. This may include the start of antibiotics or other critical therapies, on floor or in the ICU, in consultation with the ICU medical staff
Seek consultation of ICU or surgical services, as well as consultation of other subspecialists as indicated.
   -Communicates results to patients in a timely manner.
   -Provides appropriate and timely documentation in EMR, including discharge summaries and admission h&p and orders.
   -Management of CRS and CRES in patients who receive CAR-T therapy or other cellular therapy products.
   -Serves as a clinical expert and resource for the education of peers and other health professionals.
   -Works collaboratively with the attending physician, consulting physician(s), and other disciplines to identify, develop, and implement an appropriate plan of care that maximizes individual patient/family preference and enhances quality, access, and cost-effective outcomes.
   -Formulates the plan of care, along with the attending physician, patient and family, based on expected goals of care and length of stay.
  -Serve as a team player and allow for some flexibility within the role.

Requirements

        Certified Pediatric Acute Care Nurse Practitioner or Certified PA. Currently registered District of Columbia license.

        BLS and PALS certification desired

        4-6 years of pediatric nursing in Heme/Onc/BMT or similar acute care background

        Experience with high acuity pediatric patients

        Skilled collaborating with a team and communicating with nursing staff and patients

        Evidence of excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking and leadership; previously demonstrated ability to facilitate group processes and work cohesively and collaboratively as member of the interdisciplinary team.