Instructor/Advanced Practice Provider

Department Overview

The purpose of this position is to provide clinical patient care and clinical research-related patient care in accordance with allied health privileges granted by OHSU. Research-related activities are conducted in accordance with all federal, state and institutional requirements.

The research-related activities include screening of new patients who are candidates for protocols, medically managing them while on a protocol and providing their follow-up care. This medical management includes assessment of acute and non-acute clinical problems and toxicities, taking histories and physical examinations, ordering and interpreting data obtained from diagnostic tests and laboratory studies, ordering the appropriate medications and treatments, and providing patient and staff education. Research-related activities also include administrative duties including support of appropriate study selection, reporting requirements and study development.

The advanced practice provider functions in a manner which maintains the confidentiality and privacy of each patient, promotes a positive relationship with all health team members and supports the policies and procedures of the University Hospitals and Clinics.

Function/Duties of Position

This advanced practice provider position provides care to patients primarily in the outpatient setting but may include inpatient care and consultation as well. The clinic generally conducts patient care visits 2-3 days per week with additional inpatient care, procedural care, and research and clinical care coordination activities through the week. The Cardiology service provides age appropriate care to age groups indicated.

Scope of range within unit population: Adolescent through geriatric cardiology patients.

FUNCTIONS/DUTIES

Standard 1: Develops, interprets, implements and documents a plan of care for each patient and safely delivers this care.A.

Application of Area-Specific Process Modela. Functions primarily within the Outpatient Clinics Practice ModelB. Clinical Processa.

Clinical Skills and Knowledgei. Elicits patient history pertinent to current disease status and treatmentii.

Performs physical examinationiii.

Analyzes patient information and laboratory data to form differential diagnosesiv. Formulates plan of care obtaining any additional lab tests or studies, arranging return visits, providing appropriate patient education or referrals/consults for newly identified problemsv. Arranges support services as needed in conjunction with discharge services and social work departments.vi.

Participates in care conferences and discharge planning conferencesvii. Collects, prepares and submits data for review in accordance with collaborative study groups and international data registries.b. Emergent Situationsi.

Contacts Cardiology attending or fellow to discuss emergent situations and plans ii. Recognizes unusual or untoward reactions to interventions, treatments or related to their condition and contacts attending physicianc. Patient Educationi.

Provides education for patients about their disease, treatment and potential complications ii. Discusses risks/benefits when prescribing medications or treatments/ interventions.d. Patient Rightsi.

Provides patient care based on the "Patient Bill of Rights" ii. Respects patient diversity in beliefs and health care concerns iii. Assists patient in problem solving health care concernse.

Documentation of Practicei. Records all patient visits including lab results, medication changes, current plan of care, return visits and new problems in the inpatient or outpatient charts. ii. All documentation is completed timely and in accordance with OHSU policies and Meaningful Use objectives.C.

Coordination of Activitiesa. Time Managementi. Available for scheduled and unscheduled, urgent outpatient clinic visits or inpatient visits ii.

Provides patient follow-up in a timely manneriii.

Requests RN and clerical assistance to meet patient follow-up needsb. Communication/Collaborationi.

Demonstrates sensitivity in patient and family interactions ii. Respects cultural and ideological concerns of patients and families iii.

Interacts with other care providers on a collegial level iv.

Collaborates with other health care providers as needed to provide coordination of patient carev. Arranges channels of communication for patient problems needing urgent or emergent follow-upD. Continuous Quality Improvementa.

Risk Managementi. Reviews urgent and emergent problems with Cardiology fellow or attending ii. Adapts clinic follow-up guidelines to meet individual patient needs iii.

Uses universal precautions with all patient contactsb. Area-Specific Quality Improvementi. Identifies desired patient outcomesii.

Gathers data reflecting achievement of desired outcomesiii. Adapts patient care based on continuous quality improvement information

Standard 2: Participates in education programs and research that contribute to the improvement of advanced practice.A.

Development of Professional Knowledgea. Assumes responsibility for own professional developmenti. Participates in pertinent conferences and educational meetingsii.

Obtains educational hours as needed for state and national certificationiii. Completes all university required education program activities within established guidelinesb. Bases practice on current research and standard of practicei.

Maintains currency within the specialty of Cardiologyii. Maintains currency within the primary care of adult patientsB. Education of Othersa.

Participates in the development of patient education tools and programsb. Provides individualized patient education on aspects of cardiology treatmentc. Assumes responsibility for educating others on aspects of cardiology and cardiovascular treatment, caregiver support and guidancei.

Provides student lectures and learning materials, as requestedd. Participates in the teaching of medical students, residents, fellows, clinical research staff and the regional communityC. Personal Effectivenessa.

Assumes responsibility for effective interpersonal relationshipsi. Recognizes and accepts own role within a multi-disciplinary team ii. Respects roles of others iii.

Recognizes and seeks assistance in managing conflict situationD. Leadershipa. Demonstrates accountability and responsibilityi. Provides timely, research-based, compassionate care to individuals seen within the Cardiology service ii.

Is accessible to patients between scheduled visits iii. Follows up on patient concernsb. Maintains visibility within the University Hospitals and Clinicsc.

Participates in development of practice standards involving cardiology nursing and therapy for cardiovascular disease.d. Participates in developing clinic forms and patient education to meet the needs of the outpatient serviceE. Researcha. Functions as co-investigator on clinical research studiesi.

Consents research subjects for study participation ii.

Interviews and screens patients for entry onto protocols.iii. Monitors and documents response to therapy and communicates findings to principal investigators with recommendations for appropriate intervention.iv.

Participate in clinical research meetings with OHSU team, with study sponsors, and with others involved in the research conductv. Collaborate closely with study coordination team to ensure safe, efficient and compliant implementation of study protocols, and to ensure integrity of research data vi. Ensures accurate and timely reporting as required by regulations, OHSU policy or study sponsor

Standard 3: Fulfills professional responsibility in the organization through performance that promotes, achieves and maintains service excellence and patient #1 philosophyA.

Resource Utilizationa. Uses basic support systems (human, material, and technology) to reduce care costs and improve efficiencyb. Considers the need for cost containment when providing care and developing new programs and/or proceduresc.

Monitors patient load and identifies need for change in resource allocationB. Group Participationa. Accesses appropriate University outpatient committees/task forces for issues or concernsC.

Service Excellence Philosophy - Patient is #1a. Incorporates service excellence philosophy into practice models with patientsb. Provides input on ways to improve clinic functionsD.

Supports Organizational Policiesa. Functions within current and applicable policiesb. Carries out job responsibilities in an ethical, effective and professional manner; reports compliance problems using the reporting processes as outlined in the Code of Conduct; models ethical behavior, professional standards, compliance, and personal integrity; participates in training programs; understands and complies with the Code of Conduct, OHSU and department policies and procedures, applicable rules, regulations, etc.

Required Qualifications

Nurse Practitioner:

• Current Nurse Practitioner license for the state of Oregon

• State of Oregon Nurse Practitioner Prescriptive Privileges

• ACNP or AGACNP required for inpatient services

• ACLS and BLS certification

Physician Assistant:

• Current & Active Physician Assistant license for State of Oregon
• DEA certificate
• ACLS and BLS certification

Note: A completed practice agreement is required, post-offer/pre-hire.

Experience:

• 2 years prior experience as an APP

• Experience working with cardiology patients

• Experience working with patients/participants in clinical research/trials is preferred

• Experience in an academic medical center

• Membership in a professional organization

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.

Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.