Advanced Practice Provider (NP/PA) - UNC SOM Hematology *NIGHTS*

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

The UNC Division of Hematology is seeking an Advanced Practice Provider (APP) to join our inpatient team to cover the Malignant Hematology service (MedQ) and Bone Marrow Transplant service (BMTU) inpatient units during the overnight shift from 7PM to 7AM. There will be three APPs rotating, with one covering each night. Additional duties include:

· Obtain initial history and physical examination for patients admitted to the malignant hematology or BMT inpatient service overnight. This includes writing orders, interpreting findings, formulating treatment plan in collaboration with the malignant hematology fellow/attending and implementing the plan of care

· Nightly management of admitted patient needs to include diagnosis, ordering and interpretation of tests, writing medication orders and initiation of standing orders

· Following a period of training, Modification of chemotherapy orders per UNC Policy 0188 for APPs.

· Document all care in the Electronic Medical Record included H&P and significant event notes

· As skills evolve, participate in Quality Improvement Projects

· Participate in Practice Based Learning and Improvement sessions monthly for six months and then every six months with the physician supervisor

There is access to and supervision by the on-call specialty-trained board-certified Hematology attending physician.

Additionally, all APPs will receive formal on-boarding and continued practice assessments to learn, maintain, and continuously improve skills that are necessary for the job. Additionally, we have an inpatient APP Lead that serves as a preceptor, mentor, initial point of contact for the complement of the inpatient APP team.

Summary:
An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

Responsibilities:
1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
4. Professionalism- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Other Information

Other information:
Education Requirements:
● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements:
● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) in the state of North Carolina. Board certification if required by the Department.
Professional Experience Requirements:
● No prior experience required.
Knowledge/Skills/and Abilities Requirements:
● Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.

Job Details

Legal Employer: STATE

Entity: UNC Faculty Physicians

Organization Unit: SOM Med Hematology 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Night Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes