MD Anderson Cancer Center Advance Practice Provider - APP (APRN or PA) - Interventional Radiology - Day Shift in Houston, Texas
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.
The primary purpose of the Physician Assistant (PA) is to provide direct diagnostic and therapeutic patient care. The PA impacts quality of patient care and patient outcomes throughout the care continuum.
Courtesy: Is respectful and courteous to each other at all times.
Friendliness/Teamwork: Promotes and rewards teamwork and inclusiveness; is sensitive to the concerns of our patients and our co-workers.
Reliability: Communicates frequently, honestly and openly.
Accountability: Holds self and others accountable for practicing our values.
Safety: Models safe behavior (wears badge and personal protective equipment, washes hands, and keeps work area clean and orderly); Notices a safety concern or emergency, understands role and uses proper procedures to report it; Mitigates risk to the institution through sound business practices; Demonstrates ethical and personal responsibility in work and behavior
Responsiveness: By his/her actions, creates an environment of trust; Encourages learning, creativity and new ideas.
Personal Leadership/Self-Initiative: Helps others to identify and solve problems; Seeks personal growth and enables others to do so.
JOB SPECIFIC COMPETENCIES
IR Patient Clinical Assessment, Documentation and Management Completes H&P and pre-procedure assessments specific to the IR procedure. Performs sedation assessment, relevant to institutional/departmental policies, including ASA scoring, airway classification, ECOG scoring, medication management and meidcal referrals. Orders and interprets pertinent laboratory and diagnostic studies/imaging.
Prescribes medications, determines pre, intra, and post procedure medical management and writes orders with in their licensed scope of practice.
Formulates/executes plans for management of common IR periprocedural issues, including but not limited to: lab, transfusion, constrast, anticoagulation/antiplatelet, and post procedure pain management issues.
Assesses pre-procedure medical management issues such as, Periprocedural Hypertension/Hypotension, Fluids/Electrolytes imbalances(Critical Values), and Unmanaged Diabetes (Insulin Pump, Metformin Management, Hyper/Hypoglycemia).
The IR PA is expected to formulate a management plan with the IR physician and primary team regarding all aspect are periprocedural management. Demonstrates ability to triage cases appropriately.
Practices within E & M Billing and Compliance regulations and requirements and demonstrates ability to complete appropriate documentation. Provides clear written and verbal communication.
Patient Education, Post-procedure Follow-up, and Longitudinal Care Provides detailed procedure education, including specific procedure risks, benefits, alternatives and expected outcomes. Participates in the informed consent process per institutional policy.
Manages post-procedure care for both outpatients and inpatients to identify any medical management issues, assess for immediate complications and/or identify sedation related events.
Assesses outpatient candidates for discharge, and evaluates extended recovery patients as required (as well as ensure discharge). Patient education is provided to both patients and thier families regarding proceudre preparation, expectations, recovery and post-procedure care and follow-up.
Inpatient rounding will be performed based on assignment;
Assessment of inpatients includes catheter evaluation and post procedure managment of complications and patient education.
Outpatient post procedure longitudinal efforts include coordinating with primary service for subsequent procedures, arranging repeat imaging/labs and establishing follow-up schedule/expectations. Phone and/or in person evaluations are performed to assess for complications, rate/record any adverse events, and ensure appropriate follow-up course is completed.
Patient satisfaction will be derived from above average interpersonal and communication skills. The PA will also participate in the development of patient education materials.
IR Procedure Knowledge & Participation Posesses basic knowledge of IR procedure flow in both inpatient and outpatient areas.
Understands the indications for IR procedues, how the procedure is performed, and the specific pre-procedure work-up, risks, and follow-up expectations.
Participates in interventional procedures either as an assistant to faculty, performing minor procedures with physician supervision. This will require above average manual dexterity for the use of catheters, guide-wires, syringes and needles to assist in biopsies, fluid/organ drainage, angiograms, and vascular interventional procedures.
The knowledge of sterile techniques will be essential for proper patient preparation.
The use of a radiology lead apron will be necessary in the procedure rooms. No physical limitations as such are permitted. Exposure to radiation will occur and will be controlled in appropriate limits set by the Nuclear Regulatory Commission (NRC). No access to such will be permitted while pregnant.
Participates in the following, (as appropriate) catheter suturing, chest tube removal, and catheter flushing/triaging.
Other duties as assigned
Analytical Thinking - Gather relevant information systematically; break down problems into simple components; make sound decisions.
Develop Oneself - Pursue learning and self-development; actively seek feedback; transfer learning into next steps; set high standards of performance; drive for results and achievement.
Innovative Thinking - Approach problems with curiosity and open-mindedness; offer new ideas, solutions and/or options.
Medical Knowledge - Employee demonstrates medical knowledge as defined by position description.
Patient Care - Employee demonstrates population-based competencies (age-specific, diversity) that cross the continuum of care; Employee functions within their professional scope.
Practice-Based Learning and Improvement - Employee participates in on-going learning and demonstrates application of it in his/her role.
Professionalism - Employee demonstrates commitment to collaborative professional relationships with physicians and all members of the heath care team.
Systems-Based Practice - Employee demonstrates his/her impact on the system of care.
Team with Others - Initiate, develop, and manage relationships and networks; encourage collaboration and input from all team members; value the contributions of all team members; balance individual and team goals.
Technical/Functional Expertise - Demonstrate technical proficiency required to do the job; possess up-to-date knowledge in the profession; provide technical expertise to others.
Provide service to our customers, including patients, patient caregivers, referring physicians and each other, in a reliable, responsive, safe, friendly and courteous manner.
• Promotes inclusiveness and collegiality by demonstrating respect and professionalism to others at all times
• Models safe, ethical behavior, mitigating risk to the institution through sound business practices, and adherence to MD Anderson's Standards of Conduct, institutional policies and procedures
• Meets time and attendance expectations and responds to requests in a timely manner, communicating expectations for procedures, service arrival, or project deliverables to patients and coworkers
• Admits when wrong, apologize and take steps to resolve a situation to help to patients and coworkers before being asked
PA - Required: Graduate of a Physician Assistant training program approved by the Council of Medical Education of the American Medical Association.
APRN - Required: 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
Preferred: Advanced Practice Provider (APRN or PA) with 1 year of experience. In addition, one years of Infusion or leukemia, lymphoma or medical oncology experience.
PA - Required: All of the following:
PA certification by the National Commission of Certification of Physician Assistants. Licensed by the Texas State Board of Physician Assistant Examiners.
Must meet the American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) if working in one of following department: Pediatrics - Patient Care (113100).
APRN - Required: All of the following: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse. Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification. Pediatric Advanced Life Support (PALS) If working in the following departments: Pediatric - Patient Care (113100).
MAY BE REQUIRED:
Eligible to be granted limited prescriptive authority by the State of Texas. 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
Requisition ID: 150963
Employment Status: Full-Time
Employee Status: Regular
FLSA: exempt and not eligible for overtime pay
Work Week: Days
Fund Type: Hard
Work Location: Onsite
Pivotal Position: No
Minimum Salary: US Dollar (USD) 100,000
Midpoint Salary: US Dollar (USD) 125,000
Maximum Salary : US Dollar (USD) 150,000
Science Jobs: No