Advanced Practice Professional (PA) Adult BMT Oncology Treatment and Evaluation Center (OTEC)

About the role

• Oncology Treatment and Evaluation center (OTEC) is a cancer after hours unit designed to provide 24/7 oncologic after hours access for cancer patients and particularly cell and gene therapy patients.
• It functions to triage acute issues, minimize hospital admissions and emergency room visits.

Responsibilities

• Perform outpatient visits, pre-chemotherapy and infusion visits, initial stem cell transplant and CAR-T infusion monitoring, same day post-infusion follow-up, evaluation of complications and facilitate admissions related to toxicities in Inpatient/Outpatient (IPOP).
• Manage complex patients including performing history/physical examination, patient evaluation and orders per Clinical Practice Guideline (CPG) in supportive care treatment regimens, admission of patients, discharges, consults, patient and family education, collaboration and referrals with other health care providers, and provision of education to nursing staff, students, and the community.
• Recognize and appropriately treat: sepsis, chemotherapy toxicities; graft versus host disease (GVHD), cytokine release syndrome (CRS), immune effector cell-associated enterocolitis (IEC-EC), immune effector cell-associated neurotoxicity syndrome (ICANS), cardiac myopathies with arrhythmias, and profound cytopenias requiring daily transfusions.
• Perform procedures such as bone marrow aspiration/biopsy, bone marrow harvest as 2nd assist, lumbar puncture, and skin biopsies for diagnostic and therapeutic indications.
• Review laboratory and radiographic test results and interface with faculty and patients regarding results and plan of care.
• Participate in clinical trial research through clinically assessing patients and consenting of patients for clinical trial participation as well as participating in clinical trials.
• Facilitate transition of care and function as a liaison between the inpatient and outpatient settings and between staff to ensure continuity of care.
• Participate in workshops and CME activities pertinent to BMT.

Requirements

• NP: Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner. Current specialty certification to practice as an FNP, AGPCNP, or ANP with 4 years experience as an inpatient BMT APP in the similar clinical environment with the same acuity and patient population within the past 6 years. Graduate of an accredited nurse practitioner program. Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN). Current DEA registration required. 2 years expertise in the management of acutely ill patients including Telemetry, EKG interpretation and Acute Cardiac Life Support (ACLS) at the Advanced Practice level. BMT APP experience required, will consider those with Heme-Onc or Hospitalist experience only.
• PA: Current license to practice as a Physician Assistant in the State of Michigan. Satisfactory completion of a physician assistant program accredited by ARC-PA or one of its predecessor agencies. Certification by the National Commission on Certification for Physician Assistants (NCCPA). State of Michigan Controlled Substance License Required. Current DEA registration required. 2 years expertise in the management of acutely ill patients including Telemetry, EKG interpretation and Acute Cardiac Life Support (ACLS) at the Advanced Practice level. BMT APP experience required, will consider those with Heme-Onc or Hospitalist experience only.

Qualifications

• Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner or a FNP, AGPCNP, or ANP with 4 years experience as an inpatient BMT APP in the similar clinical environment with the same acuity and patient population within the past 6 years.
• Graduate of an accredited nurse practitioner program.
• Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
• Current DEA registration required.
• 2 years expertise in the management of acutely ill patients including Telemetry, EKG interpretation and Acute Cardiac Life Support (ACLS) at the Advanced Practice level.
• BMT APP experience required, will consider those with Heme-Onc or Hospitalist experience only.

Skills

• Ability to recognize and appropriately treat: sepsis, chemotherapy toxicities; graft versus host disease (GVHD), cytokine release syndrome (CRS), immune effector cell-associated enterocolitis (IEC-EC), immune effector cell-associated neurotoxicity syndrome (ICANS), cardiac myopathies with arrhythmias, and profound cytopenias requiring daily transfusions.
• Ability to perform procedures such as bone marrow aspiration/biopsy, bone marrow harvest as 2nd assist, lumbar puncture, and skin biopsies for diagnostic and therapeutic indications.
• Ability to review laboratory and radiographic test results and interface with faculty and patients regarding results and plan of care.
• Ability to participate in clinical trial research through clinically assessing patients and consenting of patients for clinical trial participation as well as participating in clinical trials.
• Ability to facilitate transition of care and function as a liaison between the inpatient and outpatient settings and between staff to ensure continuity of care.
• Ability to participate in workshops and CME activities pertinent to BMT.

Benefits

• Flexible Health, Dental, and Vision Plans
• Retirement Savings Plans with 2:1 Matching
• Group Term Life Insurance
• Long Term Disability Plan
• Generous Time Off Allowances
• $2500 Annual Professional Development Funds (0.5 FTE Appointment or above)
• Paid Release Time for Professional Education Activities
• Medical Malpractice Insurance
• Paid Maternity and Parental Leave
• Tuition Support Program
• Wellness Plans
• Work/Life Resources

Pay

• Full Time Salary range: $130,630 - $200,734 / year

Schedule

• Shift: Night Shift with weekend coverage
• Hrs: 20 hrs a week