The Hematologic Malignancies Department is seeking a Nurse Practitioner  who will practice provider to provide high level clinical expertise to patients treated with CAR-T and other cellular therapies. The person will care for CAR-T patients across the care continuum: they will evaluate patients in the outpatient department to determine suitability of potential candidates and provide counseling about the process and risks associated with CAR-T. This role will round daily on cellular therapy patients admitted to the inpatient and high intensity outpatient units. 

They will work independently under the direction of a physician to monitor CAR-T and cellular therapy patients for toxicity and adverse effects. Works collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. Educates patients and families and intervenes in acute or chronic illness.

Specific Duties & Responsibilities:

Patient Care:

• Provides comprehensive, age appropriate, and episodic care to CAR-T patients as a member of the multi-disciplinary health care team.
• Obtains patient history.
• Performs patient care and physical examinations.
• Prepares patient summaries; Develops care/treatment plan.
• Attends out-patient clinics and assists with patient management.           
• Assesses CAR-T patients daily in various clinical settings including IPOP, Outpatient, and Inpatient. 
• Develops care/treatment plan.
• Provides information to staff regarding patient's care plan and condition.
• Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
• Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
• Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age.
• Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
• Follows daily progress of CAR-T/cellular therapy patients in the active and intermediate treatment phases, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties.
• Follows long term progress of CAR-T/cellular therapy patients including history and physical examination, orders and interprets tests, and assesses status.
• Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.

Procedures:

Performs, but is not limited to the following advance procedures:

• Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
• Performs advanced procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, and other procedures as necessary, including paracentesis and thoracentesis. 

Provides Emergency Care:

• Maintains CPR certification.

• Maintains airway, breathing, circulation.
• Starts and provides basic CPR.
• Orders and administers anti-anaphylactic and supportive medications.

Prescribes Drugs:

• Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
• Prescribes Schedule 2, 2N, 3, 3N, 4,5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.

Research Coordination:

• Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
• Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
• Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.

Educational Responsibilities:

• Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation.
• Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
• Performs oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, and other procedures as called upon within the scope of practice.

Fiscal Responsibility:

• Assumes fiscal responsibility with working knowledge of evidence based medical model.
• Effectively uses resources of the patient and the institution.
• Is aware of and adheres to specific capitations and limitations of the patient's insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
• Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
• Has knowledge of and utilizes all available resources in the event that the patient's resources are limited or unavailable in order to provide medical care and social well-being.

Refers:

• Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.

Minimum Qualifications:

Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner.  Must be licensed as NP in State of Maryland or other state where practicing.  Additional experience may substitute for master's degree, as permitted by the JHU equivalency formula.  Current American Heart Association or American Red Cross CPR certification required.  Must maintain current licensure and certification during duration of employment.  Completion of the JHH credentialing process is required prior to start date.    

JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. 

*Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.  

Preferred Qualifications: Three years of related clinical nursing.

Licensure, Certification, Registration:

• CRNP required to complete JHH credentialing process during introductory period.
• Acute care certification strongly preferred for NP candidates.
• Successful completion of the national certification examination and certification as a Physician Assistant/Nurse Practitioner.
• Current NP licensure in the State of Maryland.
• Current CPR certification required.

Additional Knowledge, Skills, or Abilities:

• Advanced clinical skills in specialty area or equivalent.
• Research knowledge, including interpretation, utilization, and conduct.
• General computer knowledge and capability to use computer.
• Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
• Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
• Advanced interpersonal skills necessary to communicate effectively with al members of the interdisciplinary health care team to enhance collaboration and problem solving.
• Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel.
• Ability to function effectively in a fluid, dynamic, and rapidly changing environment.

Classified Title: Nurse Practitioner
Role/Level/Range: ACRP/04/MG 
Starting Salary Range: Commensurate with experience
Employee Group: Full Time 
Schedule: Monday - Friday, 8:00am - 4:30pm 
Exempt Status: Exempt 
Location: ​​​​​​​School of Medicine Campus 
Department Name: ​​​​​​​Oncology Hematologic Malignancies 
Personnel Area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at [email protected]. For TTY users, call via Maryland Relay or dial 711.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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