Advanced Practice Registered Nurses / Physician Assistants
4 Year Degree
Provides timely initial patient and family assessment for supportive care consults; facilitates the supportive care consultation meeting with the Attending Physician and supportive care team, in collaboration with the treating medical team; participates in the assessment, planning, implementation, and evaluation of supportive care interventions including acute and chronic pain and symptom management; collaborates with the Supportive Care Physician, Primary Care Physician, and other providers to ensure coordination and continuity of care across settings and over time; attends clinical meetings to serve as a resource for staff and to identify potential supportive care patients; provides patient and/or family with health education, counseling, and referrals to other health professionals and community resources, as appropriate; participates as a key member of the interdisciplinary team through the development of collaborative and innovative practice and evaluation of patient care outcomes; evaluates quality outcomes for MCI through participation in the development of supportive care quality indicators; maintains excellent interpersonal skills using narrative medicine to execute the MCI Supportive Care Best Practice Model; establishes a therapeutic relationship by imparting a commitment to care for the patient and family through the life-limiting illness and beyond; connects with the patient and family by eliciting the patient/family perspective and validating the value of that perspective using strong empathic listening skills; communicates a sense of caring and openness; mindfully elicits the patient's story, listening for cues and interspersing probing and clarifying question into the narrative; assists the patient and family in clarifying their values and goals for living the best life possible and helping them understand what medical care can support these goals; stresses what medical treatments are consistent with supporting these shared goals/decisions and which treatments are inconsistent with these shared decisions/goals; provides clinical consultation in all the domains of palliative care; provides patient/family/provider communication about disease and treatment and how it relates to patient values and priorities; communicates goals of care across the spectrum from aggressive/curative, disease control/life extension, to comfort care/hospice; provides patient education regarding pain and symptom management, end-of-life care planning form simple resuscitation clarification or preferred location of care (home/hospital/SNF) to complex patient/family or patient/provider mediation or withdrawal of life support; participates in call as needed for the Supportive Care MCI Service; collaborates with the primary team; makes individualized palliative care recommendations; contributes to the plan of care; prescribes medications to the extent delegated by the primary team; orders diagnostics/treatments as needed after collaboration with the primary team; promotes a collaborative approach to decision making; educates fellows, residents, students, and MCI staff, on all aspects of palliative care; assists in the training of medical students, residents, and fellows on the supportive care team, as well as on the primary medical teams; precepts students individually; participates in Nursing Education; assists in supportive care program development; develops innovative policies, protocols and procedures using an evidence based approach to improve quality, safety, and value of palliative care; participates with MCI colleagues on pain and symptom management protocol development; participates with interagency colleagues on supportive care program development across inpatient, outpatient, and community agencies; participates on committees as assigned; participates in Performance Improvement activities as assigned; regular and prompt attendance; ability to work schedule as defined and additional hours as required; related duties as required.
Bachelors degree in nursing and completion of an approved nurse practitioner training program. Certification as a Nurse Practitioner in a related field. Licensure with the state of Alabama as a nurse practitioner and registered nurse, and certification as an oncology nurse.
Working Days and Hours: Monday - Friday 8:00 a.m. - 5:00 p.m.