Job Summary / Purpose

The Oncology Advanced Practice Registered Nurse (APRN) provides high quality, comprehensive, accessible and cost effective oncology patient care through clinical expertise, role modeling, mentoring, consultation, interdisciplinary collaboration and utilization of research. The APRN will provide supervision consistent with their privileges for patients receiving infusion and/or chemotherapy in an outpatient setting. The APRN scope of practice is determined by state and federal regulations, the professional code of ethics, professional practice standards and hospital/department policies/ procedures.  The scope of advanced practice registered nursing is distinguished by autonomy and a high degree of independent judgment.  This level of clinical decision-making is a sophisticated, innovative synthesis of knowledge, clinical evidence, research, scientific theory and nursing process.  The APRN honors the patient’s mind, body and spirit in support of a caring environment focused on healing and wellness.

Essential Key Job Responsibilities

1. Assessment of patient’s needs
1. Performs a comprehensive assessment in accordance with established professional standards, hospital policy, national core measures and other quality indicators. 
2. Considers the patient’s culture, age and developmental level. 
3. Uses research and knowledge as the basis for assessment techniques
4. Initiates and interprets relevant diagnostic tests and procedures in conjunction with Attending MD. 
2. Determination of diagnoses 
1. Critically analyzes assessment data obtained during interview, physical examination, diagnostic tests and/or diagnostic procedures 
2. Derives and prioritizes diagnoses using clinical reasoning.  
3. Support MD plan of care 
3. Identification of expected outcomes  
1. Individualizes identified outcomes derived from assessment data and diagnoses
2. Considers associated risk, benefits and cost
3. Modifies goals for care based on changes in the patient’s health status 
4. Communicates care interventions to MD and Nursing Staff. 
5. Identifies appropriate quality indicators to support care of each patient. 
4. Development of comprehensive plan for care   
1. Designs plan describing assessment/ diagnostic strategies and interventions that address the promotion/restoration of health and the prevention of illness/ disease.
2. Applies current health care knowledge, research and practice. 
3. Demonstrates independent clinical decision-making.      
4. Documents plan in accordance with hospital policies/procedures
5. Collaborates with attending MD and if applicable Internists or Hospitalists as well as other disciplines in development of plan as appropriate.
5. Implementation of interventions and treatments in conjunction with a collaborating physician
1. Provides direct supervision of patient receiving treatments in Outpatient Infusion care setting.  
2. Performs interventions and treatments within the scope of advanced practice registered nursing defined by ANA standards, Kentucky Nurse Practice Act and Collaborative practice agreement.  
3. Performs simple to complex interventions and treatments reflecting knowledge of health care research findings, scientific theory and evidenced base practice.
4. Documents patient assessments and responses to therapy in the medical record.
5. Considering patient’s complex needs and desired outcomes, provides clinical coordination of care. 
6. Monitors accuracy and completeness of patient care provided by other team members. 
7. Provides theory-based consultation to influence the plan of care and enhance the abilities of others according to evidenced based practice. 
8. Involves the patient and family in decision-making.
9. Identifies educational needs of patient related to prioritized diagnoses.   
10. Employs appropriate teaching strategies based on assessment of risks, learning theory, epidemiological principles and the client’s health beliefs, health practices, developmental level, learning needs, readiness and ability to learn and culture. 
11. Uses prescriptive authority, procedures and treatments in accordance with the Kentucky Nurse Practice Act and hospital policies/procedures with collaborative practice agreement on file. 
12. Monitors effects of pharmacologic, non-pharmacologic and other interventions.
13. Initiates interventions in response to changes in patients conditions related to infusions and medication administrations. 
14. Communicates changes in condition and relevant patient information to attending MD.  
15. Makes referrals for additional care as needed.  
16. Implements recommendations from referring sources as indicated.   
6. Evaluation of patient’s progress 
1. Assesses diagnoses and effectiveness of interventions toward plan of care.
2. Revises diagnoses, expected outcomes and plan of care based on advanced knowledge, practice and research 
3. Assures compliance of recommended standards of care. 
7. Commitment to professional role 
1. As the clinical expert, assumes a leadership role in establishing standards of practice and plan of care to improve patient care.
2. Acquires and maintains knowledge and skills appropriate to oncology practice specialty.
3. Utilizes research to evaluate knowledge and develop creative approaches to care. 
4. Disseminates relevant research findings through practice, education and/or consultation.    
5. Maintains professional certification in area of expertise.
6. Evaluates to improve own performance according to standards of practice and patient outcomes.  
7. Seeks feedback regarding own role performance from peers, colleagues, patients and others. 
8. Serves as a role model for the professional development of peers, colleagues and others. 
9. Fosters a learning environment when mentoring staff and students.
10. Participates in professional activities both inside facility and in community.
11. Informs the patient and documents the risks, benefits and outcomes of health care regimens. 
12. Works collaboratively with other disciplines to enhance patient care.
13. Demonstrates support of unit/house-wide shared governance activities.
14. Promotes a positive group dynamic and healing environment through actions and attitude. 
15. Demonstrates recognition of integration of mind, body, and spirit of each patient.  
8. Support for quality care through positive customer relations and creation of a healing environment
1. Assures practice excellence in accordance with accepted standards, 
2. current research findings and nursing services’ caring philosophy. 
3. Minimizes costs and unnecessary duplication of testing or other diagnostic activities  
4. Uses performance improvement data and national care standards to initiate changes in plan of care as appropriate. 
5. Uses caring perspective in regard to patient care interventions.    
6. Displays respect, compassion, empathy and trust in relation to others.
7. Ensures positive customer relations through caring behaviors. 
8. Uses sensitivity in managing difficult or emotional situations.
9. Responds promptly and courteously to patient requests. 
10. Promotes trust by meeting commitments and excellent communication.   

Minimum Qualifications

Organizational Information

MISSION & VISION

The Mission of Catholic Health Initiatives is to nurture the healing ministry of the Church, supported by education and research.  Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthier communities.

Our Vision is to live up to our name as one CHI: 

Catholic – Living our Mission and Core Values;
Health – Improving the health of the people and communities we serve;
Initiatives – Pioneering models and systems of care to enhance care delivery. 

Living the Core Values of CHI

1. REVERENCE: Respecting diverse viewpoints and working together to bring out the best in everyone.
2. INTEGRITY: Being open and honest in all of our interactions.
3. COMPASSION: Caring for the whole person and the greater good of others.
4. EXCELLENCE: Doing our best work, providing quality care and service, and achieving our goals. 

CHI Standardized Competencies

STAFF COMPETENCIES

• Accountability

Takes full responsibility for the conduct and results of own work. Holds self/ others accountable for goal attainment. Demonstrates an understanding of the link between one’s own job responsibilities and overall organizational goals, priorities and needs.

• Adaptability / Flexibility

Understands and appreciates different and opposing perspectives on an issue. Adapts one’s approach as situations change and accepts changes within one’s own job or the organization at large.

• Initiative

Takes appropriate independent action, addresses issues proactively, engages in problem solving, generates new ideas and solutions, seeks out new responsibilities and acts on opportunities for self-development.

• Integrity & Spirituality

Is open and honest in all interactions. Acts with moral wholeness, soundness and truthfulness.

• Quality 

Is attentive to detail and accuracy, is committed to error prevention, monitors, owns and acts on quality work. Looks for and participates in opportunities for process improvements.

• Safety

Learns and practices safety as a personal priority in your work. Addresses potential safety concerns. Willing to address unsafe behaviors in others. Commits to team safety.

• Service Excellence 

Builds confidence, is committed to increasing satisfaction, sets achievable expectations, assumes responsibility for solving problems, ensures commitments are met, solicits opinions and ideas and responds to patients, coworkers, physicians, and all other stakeholders. Maintains pleasant and professional image.

• Teamwork

Collaborates with others to achieve common goals. Listens, works to resolve conflicts, supports and upholds team decisions. Builds constructive relationships by appreciating and respecting the diversity and contributions of others. Promotes an overall positive team atmosphere.

Protected Health and other confidential Information

This job accesses, uses and discloses patient protected health and other confidential information and will use and disclose patient protected health and other confidential information:

1. Only as it applies to job functions
2. In amounts minimally necessary for intended purpose, and 
3. In a confidential manner.

Job descriptions reflect the general details considered necessary to describe the essential functions of the jobs as identified, and shall not be considered a detailed description of all work requirements that may be inherent in the positions, nor shall they prescribe or restrict tasks assigned. Changes to jobs may occur at any time. Reasonable accommodations will be made.

Rebecca Craft Webster

Physician and Advanced Practice Provider Recruitment

Rebecca.Webster900@comonspirit.org

Catholic Health Initiatives (CHI) is a part of CommonSpirit Health™, a nonprofit, Catholic health system committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community.

CommonSpirit was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry in early 2019.

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 137 hospitals and more than 1,000 care centers serving 21 states; and through more than $4 billion annually in charity care, community benefits, and government program services.

With a large geographic footprint representing diverse populations across the U.S. and a mission to serve the most vulnerable, CommonSpirit is a leader in advancing the shift from sick care to well care, and advocating for social justice.

CommonSpirit Health also supports a range of community health programs, research programs, virtual care services, and home health programs addressing the root causes of poor health such as access to quality care and health equity, affordable housing, safe neighborhoods, and a healthy environment. Learn more at www.commonspirit.org.

Committed to welcoming everyone. 

At CommonSpirit Health, we believe in cultivating a workplace in which diversity is celebrated and all people are included, respected, valued and celebrated. We lean on the variety of our colleagues’ perspectives and backgrounds to challenge ourselves and to create a workplace that supports diversity, equity, inclusion and belonging.

CommonSpirit Health™ and its organizations are an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.