Summary 

Responsible for the performance of complex tasks on a routine basis which would otherwise be
performed by a physician. Provides quality direct/indirect patient care clinically,
administratively, and/or academically. 

Scope of Functions 

To provide direct medical services to pediatric oncology patients within the education,
training and experience of the Advance Nurse Practitioner that are delegated b the supervising
physician and in accordance with the policies established by the Executive committees of the
Medical Staff, the Associate Vice President for Operations and Nursing Practice and Head of the
Division of Nursing, and with the Texas State Board of Nurse Examiners and existing state laws.


Essential Functions 

As outlined in the Advance Practice Nurse job description plus the following activities: 

Note: These duties will involve waling to and from various Care Centers, inpatient units, and
various departments as well as lifting medical records and x-ray film jackets weighing up to 10
pounds. 


A. Outpatient Activities: 

Act as the primary Advanced Practice Nurse for the pediatric Oncology in Houston, Tx 
Conducts comprehensive patient history and physical examinations, develops treatment plans,
initiates appropriate care, and continuously evaluates care outcomes 
Dictates all care rendered into the medical record and the electronic radiotherapy chart. The
supervising physician must countersign notes. 
Assesses patients for protocol eligibility 
Coordinates patients appointments with physician availability 
Performs advanced patient care diagnostic and therapeutic procedures. 
Assists with coordination of patient activities during the simulation procedures 
Coordinates complex admissions as needed by patient 
Assists with the management of emergency patient treatments 
Coordinates the scheduling of special procedures with the appropriate departments, i.e.
diagnostic Imaging, Laboratory, Pediatrics, Pain and Symptom management etc. 
Collects diagnostic data and discusses it with the attending physician 

B. Inpatient Activities: 

Conducts inpatient consults to evaluate patients for as needed by the attending physician 
Manages daily patient problems as they arise and document actions implemented in their solution

Dictates all clinical notes necessary to document patient care rendered 

C. Other Activities 

Collaborates with the research team on the implementation of clinical protocols 
Serves as a resource to the clinic and research nurses 
May deliver local, state and national presentations 
Periodic duties as requested by the supervising physician and allowed by the state and federal
laws 
The Nurse Practitioner shall have Prescriptive Privileges as per Institutional Protocol. 

The supervising physician (s) shall not allow the Nurse Practitioner to: 
Sign prescriptions on behalf of the supervising physician, or have prescription blanks
available that have been pre-signed and/or stamped by the physician, Section II (Q) Article
4476-14 of Vernon's Annotated Statutes. Independently delegate a task that has been assigned to
him/her by the supervising physician. 
This position is for Adult Practice only 

Continuing Education 

Takes advantage of continuing education opportunities 
Secures advanced practice nurse re-licensure by achieving the required number of CEU hours as
stipulated by the Board of Nurse Examiners for the State of Texas 
Attends CEU courses related to Oncology and pediatric Oncology as time and funds allow. 
Attends departmental conferences as scheduled. 

Clinical Research 

Collaborates with the medical staff, research nurses, and other health professionals to
complete research initiatives. 
Occasionally performs chart and film reviews to provide information to the research nurse for
input into research documentation. 

Working Conditions 
Work hours can be longer and without a break for eating or resting depending upon patient
needs. Most work is performed standing. 
May involve lifting, moving, or shifting of objects or patients weighing in excess of 200
pounds. 
May be required to collect patient's charts from medical records by lifting and placing in a
cart to be returned to the clinic. 
May be required to dictate letters to referring physicians by keying medical records dictation
number and codes onto telephone/computer keyboard and speaking into a hand held telephone
receiver or voice activated computer system. 


EDUCATION: 
Required: Master's Degree in Nursing. May be waived for applicants who obtained recognition as
an-Advanced Practice Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate
education and related Board of Nurse Examiner (BNE) authorization must be consistent with
clinical practice area and/or patient population. 

EXPERIENCE: 
Required: Three (3) years clinical nursing. 


LICENSURE/CERTIFICATION: 
Required: All of the following: ' Written authorization from the State of Texas BNE to function
as an Advanced Practice Nurse. ' 

MAY BE REQUIRED: Authorization for limited prescriptive authority by the State of Texas BNE. 

Failure to obtain APN recognition in accordance with guidelines from the State of Texas BNE, OR
to obtain limited prescriptive authority (if required), will result in termination of
employment. 

WORK CONDITIONS: 
Patient Care Environment, with increased exposure to infectious diseases, carcinogens, and
radiation.