The Department of Medicine, Division of Hematology is seeking a Nurse Practitioner (NP). The NP will assess each patient that presents to the center in crisis and will write orders for these patients. The Nurse Practitioner assessment will include taking a history and physical. Will also write prescriptions for patients who have called in advance and then present to the center for refills. Will keep a running log of narcotics prescribed. The NP will be responsible for coordinating social work and psychiatry evaluations for patients in the center.
Specific Duties & Responsibilities:
Work schedule is variable with 6 to 10 hour shifts.
Assist with providing comprehensive and episodic care to patients with sickle cell disease. This includes taking a history, completing a physical assessment and interpreting diagnostic tests.
Provide routine health maintenance for patients with sickle cell disease. This includes review of the patient chart and diagnostic information to assess that labs and radiologic testing are being completed as per protocol.
Sees and assists the primary medical team on sickle cell patients admitted to the hospital.
Propose and implement medical therapy and treatment plans for patients seen in the clinic and followed by collaborating physicians.
Provide chronic pain management, including having patients sign pain contracts, refilling medications, and tracking of prescribed narcotics.
Monitoring of patients while on therapy to evaluate for side effects and to evaluate for expected outcomes.
Adjusting and starting new medications as indicated by patient condition.
Counsels and teaches patients and family members in regard to disease process and expected outcomes.
Assist with the management of chronic transfusion patients.
Make referrals to other specialists as indicated by the patients' condition.
Dictate clinic notes and other pertinent data into EPR that is necessary in the care of the patient. Provide information to referring physicians.
Monitoring patients that are on hydroxyurea
Provide presentations on sickle cell disease for other health care professionals.
Coordinate and act as a sub-investigator in phase II, III and IV clinical trials. This includes preparing and submitting forms to the IRB. Enrolling patients into studies by completing health assessment and physical examinations. Reviewing lab work and diagnostic tests and making changes as indicated by lab results while following the protocol. This also includes potentially discontinuing a patient on a study for reasons of non-compliance or other issues.
Minimum Qualifications: Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Minimum of three years of related clinical NP experience required.Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date. JHU Equivalency: Additional experience may substitute for master's degree Licensure and Certifications:
Successful completion of the national certification examinations. Current CPR certification required.
Approval of the Board of Physician Quality Assurance for the written signed delegation agreement.
Familiarity with regulations and standards governing NPs in the State of Maryland.
Special Knowledge, Skills, and Abilities: Operates personal computer to access email, computerized scheduling and documentation databases, and other basic office support software. Strong oral and written communication skills required. Demonstrated ability for self-direction and initiation required. Demonstrated ability to work independently and as part of a team required. Demonstrated customer service skills required. Must be able to prioritize responsibilities and work in a fast-paced environment. Technical Qualifications or Specialized Certifications: Completes all required HIPAA and other specified online training courses. Successfully completes all necessary EPIC training courses and EPR and other applicable clinical software systems. Physical Requirements:Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Casual / On Call Schedule: Varies Exempt Status: Exempt Location: School of Medicine, East Baltimore Campus Department Name: Medicine, Hematology Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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