Nurse Practitioner PD - Pediatric BMT, Hematology & Oncology (BCH-Cross Bay)

UCSF Benioff Children's Hospitals rank among the nation's best in all 11 specialties assessed in U.S. News & World Report's annual rankings. We have two main campuses serving children and their families, one in Oakland and one in San Francisco, as well as satellite locations throughout Northern California. UCSF Benioff Children's Hospital San Francisco and Children's Hospital Oakland have together created Northern California's largest network of pediatric providers and are the only hospitals in San Francisco and the East Bay dedicated solely to children.

The Nurse Practitioner will serve as a frontline provider for Hematology, Oncology & BMT patients at Benioff Children’s Hospitals in San Francisco and Oakland providing care in 10-12-hour AM & PM shifts. Exceptions will be made to flex to outpatient when the operational need of the department dictates. The Nurse Practitioner will act as an independent member of the team, taking responsibility for the safe delivery of care for inpatient pediatric Hematology, Oncology & BMT patients. This team member will meet productivity expectations as set forth by the Division Chief, performing any duties related to patient care activities that are appropriate and clearly delineated.

UCSF nurse practitioners (NPs) are advanced practice providers (APPs) who possess the education, national board certification, California licensure, knowledge, clinical skills, and experience necessary to provide evidence-based patient care in their area of clinical practice. They provide routine, acute, critical, and specialty care as defined by their granted privileges/standardized procedures. These may include performing non-invasive or invasive procedures and operative first assist.

UCSF NPs are guided by and follow California regulations and the UCSF Medical Staff Bylaws, Rules and Regulations, and Policies*. They are authorized to exercise those privileges specifically granted to them by the Committee on Interdisciplinary Practice (CIDP), Executive Medical Board (EMB), and Governance Advisory Council (GAC),* and are expected to provide clinically indicated care that meets the applicable standard of care.

*UCSF-hired APPs whose UCSF clinical responsibilities require patient care at facilities/locations outside of UCSF Medical Center and Clinics must abide by California regulations and are expected to provide clinically indicated care that meets the applicable standards of care. Additionally, they must be credentialed and privileged and follow the Bylaws, Rules and Regulations, and Policies of those facilities/locations. Examples include but are not limited to Langley Porter Psychiatric Hospital (LPPH), Marin Health, UCSF Benioff Children’s Hospital Oakland, UCSF Health Saint Francis & St. Mary’s Hospitals and Clinics, Washington Hospital, and Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG).

• Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.

• Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.

• Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations.

• Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.

• APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.

1.2. Performs procedures granted to them via privileges/standardized procedures.

1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.

1.4. Initiates consultations as indicated.

1.5. Documents independent assessment findings and recommends appropriate treatments.

1.6. Participates in service rounds and patient evaluation and treatment planning.

1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.

1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.

1.9. Interprets and acts upon completed tests, procedures, and radiographic studies.

1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations.

1.11. Effectively communicates findings, treatment options, and care plans with patients and their families

1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.

1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.

1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.

1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
1.2. Coordinates episodic care and determines timing of routine clinic follow up.
1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans.

1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.

Required Qualifications:

• Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree in a Pediatric Acute Care Nurse Practitioner specialization
• Completion of an accredited Pediatric Nurse Practitioner Program
• Minimum of three (3) years of recent NP experience, working with Pediatric BMT, Hematology & Oncology patients

Licensure/Certifications:

• California Registered Nurse (RN) License without restriction
• California Certified Nurse Practitioner (NP) without restriction
• California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges

NP national board certification from an accepted certifying agency aligned with the patient population and clinical role - Pediatric Inpatient (CPNP-AC). See Addendum A below for more detail.

• California Driver License (if required for position)
• Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
• American Heart Association (AHA) Basic Life Support (BLS) certification
• Additional required AHA certifications: None additional to BLS
• Additional required certifications (such as ENLS): None