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Advanced Prac Registered Nurse (APRN or Physician Assistant) - General Endocrine Neoplasia & HD

Endocrine Neoplasia and HD 406200
168858 Requisition #
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The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research, and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.


1.Provide medical skills within scope of practice, as assigned.  

•Has primary responsibility for working with department faculty physicians to assist in covering the outpatient and inpatient clinical practice for the Endocrinology and Endocrinology—Diabetes services. Clinical aspects includes by not limited to Manage enodopathies, Manage effects of chemotherapy agents, Assess glucose needs and lipid control, Manage multiple-dose insulin and insulin pumps.
•Must be able to independently initiate monthly assignments without supervision.  He/she must be able to understand and respond to telephone conversations with physicians and other members of the health care team, both within and outside of the institution.  He/she must be able to clearly write and/or clearly communicate verbally person-to-person or over the phone.
•Attend Endocrinology Multidisciplinary Conference weekly
•Attend Division of Internal Medicine Grand Rounds
•Share responsibility with other department advanced practice professionals for coverage of faculty clinics, attending-on-service (AOS) and inpatient services, triage of Endocrine Center new patients and consultations, and coordination of the scheduling of these patients


Provide quality patient care in relation to the patient's prescribed diagnosis, treatment, age group, development and other identified needs:
•Have access to all medical records that would normally be available to the physician.  Perform and record histories, physical assessments and progress notes within 24 hours. For patients co-managed, sign off and forward to the supervising physician for co-signature within ten days.
•Order routine tests appropriate to the services provided under such orders.  Access biopsy and laboratory reports.  He/she must also be able to perform simple mathematical computations with and without the assistance of calculators including addition, subtraction, multiplication, and division. 
•Order patient medications and treatments within authorized limited prescriptive authority consistent with institutional delegated prescriptive authority policies and procedures.
•Perform routine admission procedures.  Input patient information into the computer by typing on a keyboard all information as required.  Must be able to visually read information on a video screen and/or on hard copy and prepare printouts of patient information using a computer and printer.
•Interview patients for symptoms, side-effects, toxicities, and determine their status pertaining to the investigational aspects of protocols.  Calculate drug doses when appropriate.  Chart notes.  Measure films to monitor disease response.  Assess toxicity, grade and make handwritten entries onto flow sheet or database.  Assure protocol compliance and assist physicians as necessary.  Requires the ability to walk from his/her office to clinic and/or hospital nursing stations and then return to the office.
•Schedule and perform delegated medical procedures as required.


3. Provide patient and trainee education. Participate in clinical protocol clinical tasks as needed. Commit to collaborative relationships with co-workers, patients, faculty, physicians and all members of the health care team.

•Deliver education to patients and their families.  Conduct in-service training for clinic and in-house nursing personnel regarding protocol requirements.  Act as liaison with patients, families, physicians, and other personnel.
•Participate in trainee education, i.e. student Advanced Practice Nurses, house officers and medical students. Instruct coworkers in allied positions in recording patient information and/or data entry.  May supervise personnel in related activities. 
•Participate and collaborate on clinical research protocols, under direct supervision of faculty physicians.  Interview patients and review the eligibility criteria to identify potential patients for protocol studies.  Schedule and conduct follow-up appointments.
•Demonstrates a service attitude by:
a. Identifying new ways to provide better service to supervisors, peers, external employees, visitors, etc.
b. Maintain pleasant demeanor.
c. Following up to make sure that the problem is solved.

Exhibit professional behavior by:
a. Not showing disapproval or dislike of others or their opinions or ideas expressed.
b. Being perceived by others as one who works well with others and who does their job well.
c. Staying outwardly calm, even in unpleasant situations.
d. Maintaining usual demeanor in spite of personal problems or the behavior of others
• Demonstrate excellent oral and written communication skills as observed by supervisor.  Demonstrate excellent interpersonal skills as observed by supervisor.  Work effectively with all employees and departments. 
• After first year in position, serve as Team Leader for advanced practice professionals in rotation schedule, as assigned.

4. Demonstrate an awareness of and responsiveness to the larger system of healthcare to provide patient care that is cost effective and demonstrates resource allocation that does not compromise quality of care.

• Advocates for quality patient care and assist patients in dealing with system complexities.
• Accepts responsibility for promoting a safe environment for patient care and recognizes and participates in the correction of system-based factors that negatively impact patient care.
• Assist with various projects as assigned.

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

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