​​The primary purpose of the Advanced Practice Provider (Advanced Practice Registered Nurse or Physician Assistant) position is to provide direct patient care in the outpatient and/or inpatient setting in the department of Pulmonary Medicine. The APRN impacts quality of patient care and patient outcomes throughout the care continuum. The position will provide direct patient care under Physician supervision.​

JOB SPECIFIC COMPETENCIES

​​Patient Assessment​

​​• Provides quality patient care in relation to patient's prescribed diagnosis, treatment, age group, development, and other identified needs.

• Assesses health status by performing the medical history, episodic physical examination, and psychosocial assessment.

• Reports findings and test results to physicians.

• Monitors laboratory, clinical radiographic and procedural data.

• Reviews the findings of the history and physical, pertinent laboratory data, radiographic data, plan for further diagnosis and therapeutic management with the 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 patient's response to treatment and health care provided and modifies care as needed (under supervision of physician if medical acts are required).

• Coordinates activities, including writing orders and requesting consultations from other health team members, to meet patient's multiple needs and requests.

• Provides emergency triage and renders emergency medical service pending the arrival of a physician.

• Identifies and manages patient's crises until physician assistance is available.

• If eligible, write prescriptions as needed.

• Writes or dictates patient letters, patient notes (history and physical notes, progress notes, telephone notes, consultation notes, and discharge summaries).

• Orders diagnostic studies such as laboratory work, x-rays, PET scans, CT scans, PFTs, 6 minute walk test, EKG, echocardiograms, pulmonary stress tests, and MRI scans as directed by physician. Interpretation of studies.

• Preforms ultrasounds for assessment of pleural effusions

• Provides care for patients with sleep disturbances, interpretating sleep studies, ordering of devices, and managing compliance in coordination with the sleep lab.

• Provides psychological support to patients and families.

• Provides health care throughout the disease process: diagnosis, treatment, rehabilitation, palliative, terminal care, and prevention of cancer and/or complications.

• Facilitates use of institutional resource.

• Facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care.

• Schedules consultations, diagnostic test or procedures, future appointments for patients, coordinating care.

• Participates in Pulmonary Medicine Conferences.

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​​Performance of Diagnostic/Therapeutic Procedures​

​​• Undergoes training of specific medical procedures at M.D. Anderson Cancer Center by a physician.

• Demonstrates competency of specific procedure under the direct supervision of a physician leading to privileging to perform the procedure.

• Performs medical procedures to include removal of sutures, Pleural catheter management, removal of pleural catheters.

• Instillation of tPA into pleural catheters and or saline.

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​​Outpatient APP​ ​

• Works in clinic and schedule is based on clinical need

• Participates in Service Line and Care Team Transformation initiatives, including APP Independent Practice​

​​Education​ ​

• Provides health education to the patient and his/her family (management of side effects, etc.) as well as participates in formal and informal instruction of nursing students, professional nurses and other health professionals.

• Promote positive health behaviors and self-care skills through education and counseling.

• Refers patient to appropriate resource per the assessment and evaluation.

• Builds and maintains a therapeutic team to provide optimum therapy/care.

• Demonstrates advanced knowledge in pulmonary medicine and care of patients.

• Assists in development of educational material for use by staff.

• Keeps current by attending continuing education programs related to the clinical area, participating in professional nursing organizations, communicating advances in nursing practice or health care in general in writing through publications and presentation of scientific papers.

• Serves as a resource person in the orientation process and ongoing fellowship and residency program.

​​Research​ ​

• Contributes to research efforts of Department/Section and applies pertinent research to clinical practice.

• Identifies clinical problems amenable to research methods.

• Initiates or collaborates in research projects.

• Serves as a research person by assisting with the implementation of registered departmental research protocols.

• Collaborates with the department in the development of new research protocols.

• Applies pertinent research to care of patients and to develop alternate plans of care.

• Attends departmental meetings pertinent to the APP.

​​Consultation ​ ​

• Provides consultation to colleagues and allied personnel outside and within MDACC.

• Collaborates with medical, nursing, and other disciplines regarding plan of care, follow-up, and evaluation.

• Recommends therapeutic measure for relief of symptoms.

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EDUCATION: Master's Degree in Nursing or Doctor of Nursing Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.

LICENSURE: All of the following: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or AGACNP or AGNP or ACPNP or ANP or AGNP or AGPCNP or FNP or GNP or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice area and patient population. Basic Life Support (BLS). Pediatric Advanced Life Support (PALS) If working in the following departments: Pediatric - Patient Care (113100). MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 167858

• Employment Status: Full-Time

• Employee Status: Regular

• Work Week: Days

• Minimum Salary: US Dollar (USD) 115,000

• Midpoint Salary: US Dollar (USD) 144,000

• Maximum Salary : US Dollar (USD) 173,000

• FLSA: exempt and not eligible for overtime pay

• Fund Type: Hard

• Work Location: Onsite

• Pivotal Position: No

• Referral Bonus Available?: No

• Relocation Assistance Available?: No

• Science Jobs: No

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