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Job Details

Nurse Practitioner: Acute, Outpatient Oncology

Requisition #: 212868
Location: Johns Hopkins Hospital Nursing, Baltimore, MD 21201
Category: Nursing Management/Leadership
Work Shift: Day Shift
Work Week: Limited (20 - 29)
Weekend Work Required: No
Date Posted: Jan. 16, 2020

The Johns Hopkins Hospital

The Acute Care Nurse Practitioner (ACNP) in the Viragh Ambulatory Oncology Infusion Center at the SKCC is responsible for the general and urgent care needs of all the infusion and non-infusion patients. There are two components to the standard work associated with this position. As the Lead Rapid Response Provider, this ACNP is responsible for providing support to stable and deteriorating patients, working with longitudinal providers to meet patients’ immediate care needs and transfers patients to the appropriate level of care, as needed. This ACNP will also provide interval coverage to the Urgent Care Clinic and will, by appointment, assess, diagnose and in conjunction with the patient’s longitudinal doctor, treat stable and deteriorating patients with the goal to discharge home. When indicated, the Urgent Care provider, working with longitudinal provider, will transfer patients to the appropriate level of care including the emergency department, the Oncology or other specialty ICU (ie. Cardiac, Neuro) or to an Oncology inpatient bed.


Part Time – 24-36 hours per week

Rapid Response Hours - 7am-7:30pm, Monday-Friday, Viragh Building

Urgent Care Hours – 8am-6:30pm, Monday- Saturday, Weinberg Building


  • MSN/DNP from an accredited nursing program required
  • Active Maryland or Multi-state RN license required
  • Current certification as an Acute Care Nurse Practitioner in the State of Maryland OR letter from MBON approving practice as a Nurse Practitioner Graduate
  • BLS CPR certification required: AHA, Red Cross, or Military Training Network accepted
  • NP work experience preferred but not required
  • At least 3 years of acute care RN work experience (oncology specialty strongly preferred)

Job Responsibilites:

Lead Rapid Response Provider for the Solid Tumor Patients in the Viragh building, including the Infusion Clinic -

  • Facilitating the rapid diagnosis and treatment of emergency medical conditions through an active and immediate process, preventing further deterioration of a patient’s condition (graduatenursingedu.org)
  • Assisting in the recognition and rapid diagnosis of oncologic emergencies associated with complications of treatment and disease progression.
  • Managing brief, but severe, episodes of illness such as hypersensitivity reactions, sepsis or respiratory distress
  • Initiating therapeutic and pharmaco-therapeutic interventions, in collaboration with specialist, to treat acute and chronic conditions
  • Managing safe and appropriate transitions in care
  • Assisting longitudinal providers with inputting orders, obtaining consents, and prescription renewals
  • Assisting research RNs with the immediate needs of stable and deteriorating research patients, working with the research staff to distinguish research drug toxicities from other clinical events.

Urgent Care Provider for all oncology patients, including radiation oncology, solid tumor and hematologic malignancy patients.

  • Provides comprehensive, age appropriate, urgent care to adult oncology patients. This care is by appointment and in collaboration with the patient’s longitudinal physician.
  • In collaboration with the longitudinal physician, assumes responsibility and accountability for assessing, diagnosing and treating patients and, if needed, transfers them to the appropriate level of care including the emergency department, the Oncology or other specialty ICU (ie. Cardiac, Neuro) or to an Oncology inpatient bed.
  • Acts as an educational and clinical resource to patients and families.
  • Provides patient centered evidence based care that supports the goals of the patient and their family.
  • Ensures “closing of the loop”, with the patient’s longitudinal physician, by creating written and, as needed, verbal handoff to the physician.
  • Provides comprehensive real time documentation in the patients EHR that supports appropriate billing practices commensurate with the care

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.


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