Nurse Practitioner, Cancer Center Breast Medicine

UCSF Medical Center is recognized throughout the world for innovative patient care, advanced technology and pioneering research. We are one of the nation's top 10 hospitals, according to an annual survey by U.S. News & World Report. For more than a century, we have offered the highest quality medical treatment.

This position will be hired to work either 24 (part time) or 40 (full time) hours per week, depending on the candidate's preference. Classification of NURSE PRACTITIONER 1 or NURSE PRACTITIONER 2 will be determined based upon the qualifications of the selected candidate. Under direction, guided by the Committee on Interdisciplinary Practice (“CIDP”) Standardized Process and Outcome Protocols and Procedures of the Ambulatory Services, and in collaboration with the physician staff, the Nurse Practitioner provides direct care to patients with multiple, often complicated chronic medical problems. Assignments at this level may include the direction of continuity of care for patients with multiple medical problems; providing direct care to this group of patients, responsibility for occasional community teaching programs, participation in program planning, and development of patient education information. S/he consistently projects a professional and courteous demeanor. The Nurse Practitioner shall comply with the Medical Center House and Telephone Standards.

**Clinical Care** **Assessment** * Elicits and documents a complete health history. * Performs and documents a complete physical examination. * Orders appropriate diagnostic tests. * Assesses patient’s perception of their health status, personal strengths, and support systems as well as patient problems that include psycho- social, physical, environmental, economic, and cultural factors. * Identifies patients and families at risk for specific health care problems. **Diagnosis** * Formulates diagnoses based on health history, physical examination, and diagnostic tests. **Planning** * Formulates and documents health care plans with patients and their families which include treatment, health maintenance education, and counseling. * Establishes, reviews, and documents short and long-term goals in collaboration with each patient. * Plans comprehensive patient care with other health care providers. **Implementation** * Demonstrates ability to provide appropriate care based on the needs of a specific individual, including that individual’s age. Check applicable age-specific group: * Neonatal (Birth – 1 years) * Pediatric (1 – 12 years) * Adolescent (13 – 18 years) * Adult (19 – 64 years) * Geriatric (65+ years) * Institutes treatment plans based on assessments and interpretations of diagnostic tests and physical findings. * Counsels patients according to their individual motivation and compliance. * Provides telephone advice and triage of acute and unscheduled patients. * Documents all pertinent data and interventions in the patient’s records. * Provides refills for routine medications. * Institutes appropriate action when reviewing abnormal lab data and diagnostic tests. * Consults with other providers, as indicated **Evaluation** * Evaluates the patient’s understanding of and compliance with health care plan by regular follow-up and reassessment. * Re-evaluates short and long-term goals with patients and participating health professionals. **Education** * Patient and Family * Identifies the learning needs of the patients and family members. * Assesses the patient’s readiness to learn. * Provides individualized health education. * Develops teaching goals and objectives that meet the patient’s and family health care needs. * Staff and Students * Functions as a clinical resource person. * Participates in formal and informal teaching programs. * Serves as a preceptor for nurse practitioner students and participates in the evaluation of their clinical experience. **Continuity/Coordination** * Functions as the health care provider for a specified group of patients. * Coordinates patient care activities and health care planning among multiple providers, patients, and their families. * Communicates and consults with family, staff and unit personnel prior to and during the patient’s hospitalization. May also participate in discharge planning when appropriate. * Promotes ongoing communication with community agencies to facilitate continuity of patient care. **Advocacy** * Promotes the participation of patients and families in planning their care. * Assists patients in obtaining information necessary to make an informed decision and supports patients in the decision making process. * Informs patients of the Patient Bill of Rights. * Provides referrals to community resources when appropriate. **General Performance** * Evaluates the quality of patient care through involvement in and planning of quality assurance programs. * Assists Practice Manager in evaluating the performance of clinical staff. * Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the Telephone Standards as established by the management expectations of the Medical Center. * Complies with all Ambulatory Services and Medical Center policies and procedure for infection control, safety, administrative and clinical practice. * Complies with standards/requirements mandated by JCAHO/Title 22/NCQA. * Participates in yearly performance evaluation and review of job description, and seeks resources to improve professional performance. **Other Functions and Responsibilities** * Functions as a contributing member of a team in individual practice sites. * Meets productivity expectations as set forth by the individual practice. * Performs any other duties related to patient care activities as required. * The flexibility to orient and work at all UCSF Medical Center locations is required. **Service Excellence** * Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center’s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency. * Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards. * Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices * Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information. * Demonstrates an understanding of and adheres to safety and infection control policies and procedures. * Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets. **Work Environment** * Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture. * Picks up and disposes of any litter found throughout entire facility. * Posts flyers and posters in designated areas only; does not post on walls, doors or windows. * Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments. * Protects the physical environment and equipment from damage and theft.

**Required Qualifications** * Adult Nurse Practitioner (ANCC: American Nurses Credentialing Center, or AANP: American Academy of Nurse Practitioners) * Current BRN License with proof of Nurse Practitioner Status * Current NP Furnishing License and verification of experience to furnish (if applicable) * Current American Heart Association CPR certification * Registered Nurse as defined by the California Board of Registered Nursing * Completion from a college or university based Nurse Practitioner Program * Three or more years Oncology experience * Possesses the skills, knowledge, and abilities essential to successfully perform the duties of the assigned position * Years of Experience: * NP I: 0-6 months related experience as a Nurse Practitioner * NP II: 6 months or more related experience as a Nurse Practitioner * The flexibility to orient and work at all UCSF Medical Center locations **Preferred Qualifications** * Breast Oncology experience * Experience working in an Academic Medical Center * 1-3 yrs. related experience as Nurse Practitioner **Licensure/Certification** * Adult Nurse Practitioner (ANCC: American Nurses Credentialing Center, or AANP: American Academy of Nurse Practitioners) * Current BRN License with proof of Nurse Practitioner Status * Current NP Furnishing License and verification of experience to furnish (if applicable) * Current American Heart Association CPR certification * Registered Nurse as defined by the California Board of Registered Nursing * Completion from a college or university based Nurse Practitioner Program