APRN, Breast Surgery (Healthcare)

JOB SUMMARY: The primary purpose of the Advanced Practice Nurse position is to provide direct patient care to patients through comprehensive patient assessment, planning, treatment, evaluation, and patient, family, and staff education. Care of patients takes place under physician supervision.

The Advanced Practice Nurse is authorized to:

Prescribe and dispense medication when granted authority in accordance with Arkansas licensure.Collect, order, and interpret lab work and diagnostic studies under agreed upon protocols.Order therapies such as occupational, speech, and physical therapy, and psychological counseling.May obtain comprehensive health histories and perform complete physical examinations, develop differential diagnoses, develop and implement plans of care, evaluate and document clients response to plan of care.May provide client and/or family education.May organize referrals and/or consultations when appropriate.

JOB SPECIFIC DUTIES AND RESPONSIBILITES:
Practitioner Patient Assessment
Provides quality patient care in relation to the patient's prescribed diagnosis, treatment, age group, development and other identified needs.Assesses health status by performing the medical history, physical examination and psychosocial assessment.Sees patients in the clinics assigned and reports findings and test results to attending physician.Monitors laboratory, clinical radiographic and procedural data for daily rounds.Reviews the finding of the history and physical, pertinent laboratory data, radiographic data, plan for further diagnosis and therapeutic management as outlined in collaboration with the attending physician.
Intervention/Evaluation
Prevents, minimizes and manages symptoms/toxicities/health abnormalities related to disease or treatment in collaboration with physician and other allied personnel.Evaluates health care provided and modifies care as needed (under the supervision of a physician if medical acts are required).Provides psychological support to patients and families.Provides health care throughout the disease process: diagnosis, treatment, rehabilitation, palliative and terminal care.
Facilitates use of CARTI resources
Facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care.Schedules consultations, diagnostic tests or procedures, future appointments for patients in coordination with the attending physician.
Educator
Provides health education to the patient and his/her family (i.e., management of side effects, anticipatory teaching).Participates in formal and informal instruction of nursing students, professional nurses and other health professionals.
Consultation
Provides consultation to colleagues and allied personnel.Collaborates with medical, nursing and other disciplines regarding plan of care, follow up and evaluation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Participate in continuing education/training activities including monthly online training.Maintain a clean, neat, and safe environment for patients and staff.
Ensure that supplies and equipment are stored in an organized and efficient manner.Demonstrate correct and safe techniques in the use of equipment according to specific product information.Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.Participate in economical utilization of supplies and ensure equipment is maintained in a clean and safe manner.
Assist patients, family members or other clients with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner.Answer and refer telephone calls or other inquiries to ensure accurate and timely communications are facilitated.
Identify yourself in a pleasant and positive manner.Take responsibility for helping the caller.
Assist in the orientation/training for new colleagues.Assist other colleagues in the performance of their assignments.
Seek out opportunities to help rather than waiting to be asked.Consider the impact of your actions on colleagues throughout CARTI.
Take directions and initiate actions (cross/additional training) that will allow the assumption of cross-functional duties to ensure seamless workflow.Demonstrate flexibility to perform duties wherever deemed necessary.Demonstrate ability to handle emergency situations in a prompt, precise and professional manner.Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns.
Investigate and follow through on unusual orders or requests for service or information.Follow proper reporting procedures for actual or potential accidents and/or incidents so follow up and/or prevention can occur.Record/report the need for service maintenance or repair of equipment and remove any faulty equipment from service.
Consistently evaluate work and determine if further steps are needed to meet client expectations.
Take initiative to do to redo inadequate or incomplete work, even if it is not yours.
Ensure compliance with regulatory standards.Consistently demonstrate ability to respond to changing situations in a flexible manner to meet current needs, such as reprioritizing work as necessary.Minimize non-productive time and fill slow periods with activities that will enable you to prepare to meet the future needs of the company (education, organizing, housekeeping, assisting others).Organize job functions and work area to be able to effectively complete varied assignments within established time frames.Consistently demonstrate ability to take the initiative to make decisions/choices without direct supervision.Adhere to Administrative and departmental policies.Ensure that the company is operated in an efficient and cost-effective manner by adhering to CARTI policies as documented in the CARTI Handbook.Demonstrate regular attendance and timeliness.Remain conscientious regarding personal hygiene.Demonstrate adherence to the company Dress Code PolicyComply with policies and procedures concerning safety.Comply with the companys infection control policies and procedures including Body Substance Isolation (BSI) and the Exposure Control Plan which reflects OSHA Blood borne Pathogens Standard to ensure a safe working environment for self and others.Demonstrate knowledge and understanding of all policies and procedures and ability to reference them from appropriate sources.Demonstrate adherence and support of company-wide service standards as evidenced by observation and feedback from patients, family members, and other clients.

OTHER JOB REQUIREMENTS: May be required to travel for consultation and attendance of meetings or events.

SUPERVISORY RESPONSIBILITY: No direct supervision.

EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION:
The Advanced Practice Registered Nurse is masters or doctorate prepared as a Nurse Practitioner (NP).The Advanced Practice Nurse must have possession of a valid Arkansas license as a Registered Nurse and an Advanced Practice Registered Nurse.A current, or be eligible for, a DEA license.Certificate of Prescriptive AuthorityBLS Certified (ACLS Optional).Must possess valid Arkansas drivers license.

EXPERIENCE, SKILLS & KNOWLEDGE:
At least two year of Oncology experience preferred.Knowledge in medical claim billing preferred.
REASONING ABILITY:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.Ability to interpret a variety of instructions furnished in written, oral, or schedule form.

INTERPERSONAL SKILLS:
Must interact and communicate both verbally and in written form to interact with patients, family members, vendors and outside consultants and service organizations and technical persons at outside facilities on an intermittent basis.Must interact and exchange information regarding patients with physicians and other departmental personnel, students, and outside agencies on a frequent basis while respecting the confidentiality of patient information.Ability to use tact and diplomacy in making recommendations, reporting errors or problems, securing information or discussing patient treatments when dealing with physicians and staff on a frequent basis.

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear.The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.While performing the duties of this job, the employee is regularly required to speak or hear.Specific vision abilities required by this job include close vision and the ability to adjust focus.

WORK ENVIRONMENT:
The work environment described here are representative of those an employee encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Colleagues are offered appropriate vaccinations and safety training.

COMMENTS:
This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

This position is a Safety Sensitive Position. The essential functions, physical demands, and mental competencies of this job require the employee maintain the ability to work in a constant state of alertness in a safe manner.