Job Description
Park Nicollet Health Services |
Job Title: Spec, Clinical Practice-Breast |
Job Code: 2TN |
Leader Title Level: Manager |
Location: Park Nicollet Clinic |
Department: Brattain Breast Center |
Final Approval (Dir. or VP Level): Director |
Date Approved: 01/01/2018 |
Date Revised: 01/11/2024 |
POSITION SUMMARY STATEMENT: The Breast Cancer Clinical Practice Specialist (CPS) is a nursing practice role that serves patients with breast cancer and their families throughout PNHS integrated health system. The Breast Cancer CPS identifies the needs of patients with breast cancer from diagnosis throughout the care continuum, providing consultation and collaboration with the interdisciplinary team of providers (oncology, surgery, radiation therapy, and radiology) to assist these patients and their families in achieving their health care goals. Breast Cancer CPS care includes: assessment, intervention, and ongoing evaluation of the physical and psychosocial symptoms, care needs, and outcomes of patients with breast cancer; provision of patient education and counseling; design and delivery (written and presentation) of educational materials and curricula for both patients and staff; identifying and assisting patients in obtaining health system and community resources; and utilizing as well as conducting clinical research both independently and in collaboration with internal and external researchers. MINIMUM QUALIFICATIONS: Education, Experience or Equivalent Combination: BSN Minimum of 3 years' experience in the care of oncology patients. Expertise in physical and psychosocial assessment. Experience in leadership roles, research utilization, staff development and interdisciplinary collaboration. Licensure/ Registration/ Certification: Oncology Certified Nurse (OCN) certification or ability to obtain this certification within 2 years required. Minnesota Nurse's License. Minnesota Driver's License. BLS provider status in accordance with American Heart Association (AHA) guidelines. Knowledge, Skills, and Abilities: Able to prioritize, delegate and be self-directed. Strong clinical, human relations, leadership, and verbal and written communication skills. Ability to effectively problem solve and make sound decisions. Demonstrates knowledge of age-related growth and development principles necessary to provide appropriate service and assure safety of patients. Proficient in the operation of the following: personal computer utilizing word processing, graphics package, slide projector, overhead projector, photocopier, telephone, and fax machine. Proficient in pager, voicemail, and email use. This position requires familiarity and compliance with matters of law, regulations and internal policies affecting the employment relationship, (including but not limited FMLA, ADA, discrimination, and harassment laws). PREFERRED QUALIFICATIONS: Education, Experience or Equivalent Combination: Master's degree preferred. Licensure/ Registration/ Certification: NA Knowledge, Skills, and Abilities: NA ESSENTIAL DUTIES: (30%) - Utilize the nursing process to provide care to patients with breast cancer and their families: Obtain and assess appropriate clinical data (laboratory, pathology, radiology, symptoms, etc.) related to patients' diagnoses and/or treatment procedures. Communicate new cancer diagnoses to patients following biopsy as well as test results and post-surgical pathology results. Develop a plan of care (coordination of appropriate tests and consultations, pre-operative, and pre-adjuvant cancer treatment education) based on assessment of patients' clinical data and health care goals. Assess patient and family's knowledge related to breast cancer diagnosis and treatment; delivering information, education, and support at an appropriate level and timing that is in keeping with their learning ability and needs. Provide patient and family support, access to resources and education both in-person and via the telephone, as well as after-hour pager access to the Breast Cancer CPS. (20%) - Provide leadership in assessing, developing, updating, and maintaining breast cancer patient care processes and materials necessary to enhance the quality and continuity of care within own practice and the health system (e.g., weekly interdisciplinary breast conference, patient care guides, patient educational material packets, patient post-surgical care packages, cancer nutritional brochure). (20%) - Provide consultation and collaboration with interdisciplinary team, making care recommendations to assure efficient, timely, and safe patient care. (10%) - Participate in and/or initiate the conduct of clinical research including designing or consulting in the design of studies, grant writing, recruiting qualified patients, informing patients and staff of research availability, obtaining patient informed consent, and performing study interventions. (10%) - Participate on and/or lead committees, at events, and as requested by media relations to provide necessary expertise (e.g., Oncology Education Committee, Breast Center Boutique Committee, Susan G. Komen Race for the Cure, interviews with various magazines and news outlets). (10%) - Assess educational needs of clinic and hospital staff and community, design tools, materials, and deliver presentations of information to meet these needs (e.g., Basic Oncology Course, various department in-services). *Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs. ORGANIZATIONAL EXPECTATIONS: Values All colleagues are expected to live our values: Excellence: We strive for the best results and always look for ways to improve. Compassion: We care and show empathy and respect for each person. Partnership: We are strongest when we work together and with those we serve. Integrity: We are open and honest, and we keep our commitments. Additional Expectations: Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment. Maintains regular and timely attendance. Protects confidentiality. Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures. Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.) POPULATION SPECIFIC COMPETENCIES:
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Does this employee have direct patient contact? |
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Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section. Examples of items that can be included are: Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served. Communicates effectively with patients, families, and team members. Integrates practices that supports patient safety, acknowledges variations in populations served. Anticipates the needs of the population served as well as the unique characteristics of the communities served. Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families. LEADERSHIP RESPONSIBILITY: Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department, or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow. Performs all aspects of role independently. May lead teams and/or collaborate with members of multidisciplinary teams in assessing the needs of the system about the care of breast cancer patients, as well as planning, and initiating change. Critical Job Demands Section 1: Place an "X' next to ONE of the terms that best describes the frequency for each of the Critical Demands.
Critical Demands |
N/A 0% |
Rare 1-5% (Up to a 1/2 hour) |
Occa 6-33% (1/2 hour to 3 hours) |
Freq 34-66% (3 to 5 hours) |
Cont 67-100% (5 to 8 hours) |
Standing - Remaining on one's feet in an upright position at a work station without moving about. |
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Walking - Moving about on foot. |
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Sitting - Remaining in a seated position. |
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Squatting - Assuming or maintaining a crouching position with the knees bent. |
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Reaching - Stretching out or extending to touch or grasp. |
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Lifting - Raising or lowering an object from one level to another (includes upward pulling). |
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Carrying - Transporting an object, usually holding it in the hands or arms, or on the shoulder. |
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Pushing/Pulling - Exerting force upon an object so that the object moves away/towards from the force. |
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Handling/Fingering - (includes typing, computer work, gripping, grasping, and pinching) |
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Section 2: Place an "X" next to ONE of the terms that best describes the Strength Rating for this job classification which is expressed by one of five terms: Sedentary, Light, Medium, Heavy, and Very Heavy.
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Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. |
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Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. |
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Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. |
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Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work. |
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Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work. |
Note: During any patient handling task, if any caregiver is required to lift more than 35 lbs. of a patient's weight, assistive transfer devices should be used for the transfer.
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) |
Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form. |
RELATED TO: Hazardous Substances and Harmful Physical Agents |
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Task Description |
Potential Hazard |
Hazard control |
PPE Required |
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Working with box cutters, knives or other sharp cutting devices. |
Penetration |
Cut away from body. Use proper tool for the job. |
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Safety knife or safety box cutter Cut resistant gloves Other ___________________ |
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Working with liquid chemicals, acids, or caustics (Examples: reprocessing, cleaners, disinfectants, laboratory chemicals). See MSDS online database for chemical list |
Chemicals Flammables Toxic Gases Corrosives |
Use only employer approved products. Use appropriate soaking containers with labels. Understand hazards of chemicals you use (read MSDS). |
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Goggles Chemical face shield Chemical resistant gloves Chemical resistant aprons Lab Coat Closed toe shoes Powered Air Purifying Respirator Other ___________________ |
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Exposed to extreme heat (Examples: Autoclaves, Blanket warmers, Ovens, Propane torches) or cold (Liquid Nitrogen, Winter temperatures). |
Heat Cold Stress, Burns, Frostbite |
Approach hot surfaces carefully. Use only approved liquid nitrogen dewars. Dispense only if trained. |
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Heat resistant gloves Cryogenic (cold resistant) gloves Goggles Face shield Other ___________________ |
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Driving or riding in motorized vehicle equipment as part of the job. |
Vehicle crash, Impact |
Absolutely no text messaging while driving. Refrain from cell phone use while driving. |
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Seat belt Other ___________________ |
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Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping. |
Slip, Trip, or Fall |
For wet areas, mop excess water regularly. Place warning signs. Select footwear carefully |
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Slip resistant shoes Rubber boots Other ___________________ |
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Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents). |
Chemical Genetic damage Tumors |
Receive training PPE Use of biological cabinet Spill procedures Waste disposal SOP |
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Gloves appropriate for chemical Disposable barrier gown Goggles N95/PAPR (spill cleanup) Ventilation Hood Other ___________________ |
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Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers). |
Light radiation, burns to self or patient, smoke inhalation |
Receive laser training. Awareness and knowledge to minimize surgical or procedural fires. Code Red training PPE Restricted access |
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Specialized laser safety glasses Other ___________________ |
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Working with or near ionizing Radiation Hazards (Examples: Radioactive sources, X-Rays). |
Over exposure, Genetic damage |
Warning signage PPE Waste and spill procedures Personal monitoring Shielding, distance |
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Lead Aprons Other ___________________ |
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Working near MRI. |
Trauma resulting from missile effect |
Restrict access Screening Signage |
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Moving equipment/supplies. |
Strain, Sprain |
Proper body mechanics Get additional help Get Ergonomic help from EOHS. |
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Dealing with agitated persons or disturbances. |
Workplace violence, bodily injury, body fluid exposure |
Training in verbal de-escalation techniques. Code Green procedure |
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Gloves (Clean) Barrier Gown or fluid resistant Lab Coat |
HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) |
RELATED TO: Infectious Agents |
Yes |
No |
Description |
Potential Hazard |
Hazard control |
PPE Required |
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PERFORMING OR ASSISTING WITH THESE TASKS: |
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Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning, wound irrigation, eye & ear irrigation, close contact (within 3 ft.) of patient with frequent, productive cough, sigmoidoscopy, cystoscopy, colonoscopy. |
Exposure to Infectious Agents |
Hand hygiene before and after task PPE |
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Facial protection (mask plus goggles OR face shield) Gloves (Clean) Barrier Gown if anticipate splash |
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Activity that requires touching patient's non-intact skin or mucous membranes. |
Exposure to Infectious Agents |
Hand hygiene before and after task PPE |
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Gloves (Clean) |
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Activity that includes touching patient's blood/body fluid or contaminated items or environment, examples, but not all inclusive: disposal of urine, blood canisters. |
Exposure to Infectious Agents |
Hand hygiene before and after task PPE Use of Spill kits (as needed) |
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Gloves (Clean) Barrier Gown if anticipate splash Facial protection (mask plus goggles OR face shield) if anticipate splash |
x |
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Performing duties with sharp devices that could result in exposure to blood or body fluids. |
Exposure to Infectious Agent/sharp injury |
Use of sharps safety devices Avoid re-capping needles Proper disposal of sharps at point of care For reusable sharp, use safe transporting practices Use neutral zone for passing sharps PPE |
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Gloves (Clean vs. Sterile depends on the procedure) Facial protection (mask plus goggles OR face shield) if anticipate splash |
x |
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Entering rooms where patients with airborne diseases are treated. |
Exposure to Infectious Agent/inhalation |
Mask patient Place patient in airborne infection isolation room if available Limit entry into room Keep door closed PPE |
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Follow Communicable Disease Guidelines and Tuberculosis Control Plan to determine if N95 respirator, PAPR, or surgical mask is needed |
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Work with specimens from patients with airborne diseases. |
Exposure to Infectious Agent/inhalation |
PPE Biological Safety hoods/cabinet instrumentation with automated/closed sampling mechanisms |
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N95 respirator or PAPR |
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x |
1. Procedures that enter deep tissue or body fluid, including but not limited to: Central IV insertion, placing a catheter or injecting material into the spinal canal or subdural space (myelogram, lumbar puncture, spinal/epidural anesthesia), breast biopsy, temporal artery biopsy, bone marrow biopsy, OB vaginal delivery, incision & drainage. |
Exposure to infectious agents |
Hand hygiene before and after procedures PPE |
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Gloves (Sterile) Barrier Gown Facial protection (mask plus eye protection or face shield plus mask required during these procedures) |
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x |
2. a. Procedures that enter subcutaneous tissue or are located in the skin structure, including but not limited to: Excision of mole, lump, or bump Excision of lipoma or sebaceous cyst, vasectomy |
Exposure to infectious agents |
Hand hygiene before and after procedure PPE |
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Facial protection (mask and eye protection required during these procedures if anticipate splash) Gloves (Sterile) Barrier Gown if anticipate splash |
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x |
2. b. Additional Procedures Shave biopsy, punch biopsy Joint injection, nerve injection, joint aspiration Peripheral IV insertion, ENT procedures Anal-rectal Biopsy |
Exposure to infectious agents |
Hand hygiene before and after procedure PPE |
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Gloves (Clean) Barrier Gown if anticipate splash Facial protection (mask and eye protection required during these procedures if anticipate splash) |
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x |
3. Handling Lab specimens in a laboratory |
Exposure to infectious agents |
Hand hygiene after removing gloves PPE Biological Safety hoods/cabinet Splash guard Instrumentation with automated/closed sampling mechanisms |
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Lab Coat ( fluid resistant) Gloves (Clean) Facial protection (mask plus eye protection or face shield plus mask required during these procedures) |
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Other tasks with identified safety, health or infectious hazards requiring PPE? |
Yes |
No |
Task Description |
Hazard |
Hazard control |
List PPE required |
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JD Template - General Roles
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