NP Inpatient Tier II - Infusion Center - Honickman Center - Center City

INFUSION APC

The advanced practice clinician (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APC provides comprehensive care to patients within the infusion center.

Assessment Management

The infusion APC provides care to patients receiving infusion treatments initiated by multiple specialties including (but not limited to) Oncology, Rheumatology, and Neurology. Follows escalation algorithm and contacts appropriate prescribing teams who refer patients to the infusion center in response to infusion reactions or complications. Performs focused exams and assessments for patients receiving care at the infusion center and develops treatment plans accordingly. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. The APC may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis

Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions.

Formulates Plan of Care

Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs. Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Implements and modifies plan of care. Prescribes diagnostic strategies and therapeutic interventions. May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

Maintains ongoing communication and collaboration with interdisciplinary health care team. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Documentation

Documents/dictates key components of patient evaluation via progress note in EPIC. Documentation is timely, meets acute care compliance standards and captures patient acuity.

Professional Practice

Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students. Seeks opportunities for active engagement in research and the analysis of evidenced based practice. Actively participates in Advance Practice Grand Rounds and specialty specific meetings. Maintains CEUs, and membership in a professional organization.

Qualifications

Masters Degree, National Board Certification as an Acute Care Nurse Practitioner (NP) or Physician Assistant (PA), Pennsylvania state license (NP or PA), BLS ACLS certification.