Accountable to the Clinical Director of Cancer Services, Medical Director of the Cancer Center and the Vice President, Operations.
Provides direction to RNs, Medical Assistants, Patient Care Coordinators, and other categories as appropriate.
Works collaboratively with physicians and all members of the Patient Care Team.
Prescriptive authority is delegated by Physician Medical Director, under the Michigan Board of Nursing regulations.
AGE OF PATIENTS SERVED
Age of patients served is dependent on the specific populations cared for on the Unit.
__Neonatal (birth-1 mo) _X_Young adult (18 yr-25 yrs)
__Infant (1 mo-1 yr) _X_Adult (26 yrs-54 yrs)
__ Early childhood (1 yr-5 yrs) _X_ Sr. Adult (55 yrs-64 yrs)
__Late childhood (6 yrs-12 yrs) _X_Geriatric (65 yrs & above)
__Adolescence (13 yrs-17 yrs) __All ages (birth & above)
__No direct clinical contact with patients
Supports the Mission, Vision and Values of Munson Healthcare
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Has basic understanding of Relationship-Based Care (RBC) principles, meets expectations outlined in Commitment To My Co-workers, and supports RBC unit action plans.
Uses effective customer service/interpersonal skills at all times.
Performs clinical functions as outlined in a collaborative agreement collectively created by the NP, clinical cancer services director and collaborating physician upon hire.
STANDARDS OF PRACTICE
Collects health data in a systematic and ongoing manner involving the patient, family,
and other health care providers as appropriate.
Determines the priority of data collection based on the patient's immediate condition or needs.
Documents relevant data in a retrievable form.
Orders and interprets diagnostic tests and procedures relevant to the patient's current condition.
Conducts physical examinations.
Derives diagnoses from the assessment data. Validates with the patient, family, and/or other healthcare providers, if appropriate, and documents data and diagnoses.
Utilizes complex data and information obtained during the interview, examination, and diagnostic procedures in identifying diagnosis.
Identification of Outcomes
Involves the patient, family, and other healthcare providers in formulating outcomes from the diagnosis that are individualized and includes a time estimate for attainment. Determines outcomes that are culturally appropriate, realistic, attainable and measurable. Documents expected outcomes as measurable goals.
Identifies expected outcomes that incorporate scientific evidence and are achievable through implementation of evidence-based practices.
Supports the use of clinical guidelines linked to positive patient outcomes.
Identifies expected outcomes that incorporate clinical and cost effectiveness, patient satisfaction, and continuity and consistency among providers.
Develops an individualized plan of care with the patient and family involving appropriate health care providers to attain expected outcomes and to promote patient self-care abilities.
Develops a plan of care that establishes priorities, provides for continuity, and is documented.
Selects or designs strategies to meet the multifaceted needs of complex patient populations.
Participates in the design and development of multidisciplinary and interdisciplinary processes to address patient care issues.
Contributes to the development and continuous improvement of organizational systems that support the planning process.
Includes the synthesis of patient's values and beliefs into nursing and medical therapies within the plan.
Develops and implements the plan of care in a safe, timely, and appropriate manner and documents interventions.
Coordinates and collaborates in care delivery
Employs health teaching and health promotion strategies
Facilitates utilization of systems and community resources to implement the plan.
Supports collaboration with colleagues and other disciplines to implement the plan.
Fosters organizational systems that support implementation of the plan.
Provides leadership in the coordination of multidisciplinary health care for integrated delivery of patient care services.
Coordinates system and community resources that enhance delivery of care across continuums.
Synthesizes empirical evidence on risk behaviors, learning theories, behavioral change theories, motivational theories, epidemiology, and other related theories and frameworks when designing health information and patient education.
Synthesizes clinical data, theoretical frameworks, and evidence when providing care. Provides direct care including prescribing medications and therapies, consultation with/or referral to other health care providers.
Meets department productivity requirements and independently monitors own appointment schedule.
Designs health information and patient education appropriate to the patient's developmental level, leaning needs, readiness to learn, and cultural values and beliefs. Prescribes evidence-based treatments, therapies, and procedures considering the patient's comprehensive healthcare needs.
Prescribes pharmacological agents based on a current knowledge of pharmacology and physiology.
Provides patients with information about untended effects and potential adverse effects of proposed prescriptive therapies.
Evaluates the patient's progress toward attainment of outcomes and includes the patient, family, and other health care providers as appropriate.
Documents the patient's responses to the interventions.
Uses the results of the evaluation analysis to make or recommend process or structural changes, including policy, procedure or protocol documentation, as appropriate. Changes or modifies the plan of care, as appropriate.
PROFESIONAL PERFORMANCE STANDARDS
1. Quality of Care
Systematically evaluates the quality and effectiveness of nursing practice.
Participates in quality of care activities at the unit level.
Supports and participates in Shared Governance activities.
Utilizes the results of quality of care activities to initiate changes in nursing practice. Obtains and maintains professional certification if available in the area of expertise. Maintains Board Certification as a Nurse Practitioner.
Designs quality improvement initiatives.
Evaluates the practice environment and quality of nursing care rendered in relation to existing evidence, identifying opportunities for the generation and use of research. Adheres to Evaluation and Management documentation requirements and accurately assigns the appropriate E&M charge. (Accuracy monitored by periodic random chart review.)
Participates in ongoing educational activities related to clinical knowledge and professional issues.
Complies with mandatory continuing education requirements to maintain licensure and meet job requirements.
Seeks experiences that reflect current clinical practice in order to maintain current clinical skills and competence.
Uses current healthcare research findings and other evidence to expand clinical knowledge, enhance role performance and increase knowledge of professional issues.
3. Professional Practice Evaluation
Evaluates own advanced nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.
Engages in performance appraisal on a regular basis, identifying areas of strength as well as areas for professional development. Takes action to achieve identified goals. Acquires and maintains current knowledge and competency in nursing practice.
Interacts with, and contributes to the professional development of peers and other health care providers as colleagues.
Contributes to an environment that is conducive to the clinical education of nursing students, other health care students, and other employees, as appropriate.
Contributes to a supportive and healthy work environment.
Models Evidence-based practice to interdisciplinary team members and healthcare consumers. Mentors other registered nurses and colleagues as appropriate.
Participates with interdisciplinary teams that contributes to role development and advanced practice providers and other colleagues..
Collaborates with the patient, family, and other healthcare providers for provision of seamless delivery of services.
Consults with other health care providers for patient care as needed.
Participates, as appropriate, in the organization's structures and processes.
Partners with other disciplines to enhance patient care through interdisciplinary activities, such as education, consultation, management, technological development, or research opportunities.
Serves as a resource for other health care providers.
Utilizes the American Nurses Association's Code of Ethics for Nurses and the hospital ethics committee to guide practice.
Maintains patient confidentiality within legal and regulatory parameters.
Acts as a patient advocate and assists patients in developing skills so they can advocate for themselves.
Delivers care in a manner that is culturally sensitive and preserves patient autonomy, dignity, and rights.
Maintains a therapeutic and professional patient/provider relationship with appropriate professional role boundaries.
Reports illegal, incompetent, or impaired practices.
Participates in interdisciplinary teams that address ethical risks, benefits, and outcomes. Informs the patient of risks, benefits, and outcomes of healthcare regimens.
Utilizes current research findings and current practice guidelines to strengthen patient care.
Participates in the identification and implementation of suitable research activities, which may include identification of a research question, participating in the conduct of research, and incorporating research as a basis for learning.
Uses research findings in the development of policies, procedures, and quality improvement efforts.
Contributes to cancer care knowledge by conducting or synthesizing research that discovers, examines, and evaluates knowledge, theories, criteria, and creative approaches to improve healthcare practice.
Formally disseminates research findings through activities, such as presentations, publications, consultation, and journal clubs.
8. Resource Utilization
Considers factors related to safety, effectiveness, and cost in planning and delivering patient care.
Assigns or delegates tasks consistent with organizational policies, procedures, legal, and regulatory requirements, according to the knowledge and skills of the designated caregiver.
Develops innovative solutions for patient care problems that address effective resource utilization and maintenance of quality.
Develops evaluation strategies to demonstrate cost effectiveness, cost benefit, and efficiency factors associated with the entire cancer care experience.
Provides leadership in the profession and the professional practice setting Promotes advancement of the profession through involvement with professional organizations.
Works to influence decision-making bodies to improve patient care.
Initiates and revises protocols or guidelines to reflect evidence-based practice to reflect accepted changes in care management, or to address emerging problems. Promotes communication of information and advancement of the profession through writing, publishing, and presentations for professional or lay audiences.
Serves as a mentor for other health care providers.