Deliverables:

• Work products and documents related to obtaining and documenting in the medical record history and physicals for individuals enrolled in NICHD protocols; facilitate medical and research aspects of clinical protocols. - Ad-Hoc
• Work products and documents related to planning patient care including, admissions, protocol tests and procedures. - Ad-Hoc
• Work products and documents related to completing and maintaining accurate case report forms; collaborating with NICHD investigators and staff on the preparation of manuscripts and other scientific documents related to NICHD clinical investigations. - Ad-Hoc
• Participates in daily rounds in-patient care and collaborates with members of the multidisciplinary team regarding patient management. - Ad-Hoc
• Functions independently as a certified nurse practitioner for a patient population in collaboration with the Medical Senior Staff of NICHD. - Ad-Hoc

Work Details:

• Prescribes and recommends drugs or other forms of treatment under the direction of a physician.
• Monitor patients for toxicities of treatment and other possible adverse reactions to drugs or procedures that may require emergency treatment or revision of the prescribed regimen.
• Provide documentation and monitoring and grading of side effects related to a variety of study interventions including drugs and psychological behaviors.
• Monitor drug compliance by subjects throughout the life of the protocol and document missed doses of medication.
• Monitor, manage and report irregularities of medical care of participants while admitted to the clinic or medical facility.
• Initiate and coordinate visits, drug orders, laboratory procedures, consultations, and treatments for patients based on clinical needs or protocol requirements. NPs have admitting privileges and do not need to be under the direction of a physician. 2
• Correction to title of this section: Prescribes and recommends drugs or other forms of treatment in collaboration with physicians and other members of the multidisciplinary healthcare team.
• Order and adjust trial medication as per protocol and within the guidelines of the Clinical Center policies.
• Obtains medical histories.
• Take histories and perform physical examinations or perform daily progress evaluations for inpatients or follow-up visits for outpatients and document appropriately. 3
• Review patient's charts to collect relevant clinical data and analyze trends in patient responses collected through structured and semi-structured interviews with patients and patients' families.
• Perform intake and preliminary evaluation of potential subjects through e-Interviewing, review of medical records, completion of safety screening, consultation with treating professionals, and with medical staff.
• Communicate with patients' home physicians and family care institutions for the release of medical records, imaging studies and pathology slides.
• Assists with Protocol related submissions to the IRB regarding reporting such as Adverse Events Reporting, protocol deviations, unanticipated problems, etc.
• Screen subjects and patients and interview subjects to obtain social and medical history and medication history.
• Performs physical exams.
• Perform comprehensive medical histories research, and document findings per institutional and protocol standards.
• Perform clinical data recording and medical chart entries manually and electronically within standard applications and software programs using the appropriate format and following institutional and protocol standards.
• Assess the patient's general health status through observation and appropriate screening procedures and document results and findings.
• Perform physical examinations of patients with complex and difficult multi-system diseases, enter results into patient charts and address any concerns that arise from research participants following completion of examination.
• Assesses and tracks illnesses of patients and supports overall diagnosis and clinical research.
• Participate in clinical conferences, and support in-depth documentation through written progress notes, summaries and clinical research forms.
• Provide medical evaluation and longitudinal follow-up of participants enrolled in clinical trials and plan, evaluate and modify treatment plans based on patient needs and protocol.
• Collaborate with staff on the evaluation, treatment and monitoring of research subjects in inpatient and outpatient settings and ensure patient and families' ongoing understanding of the clinical and research processes. 1
• Assess patient care needs such as acute and non-acute clinical problems and toxicities.
• Participate in patient rounds and protocol meetings and provide comprehensive patient management support.
• Participate in research group meetings and in the decision making process regarding patient inclusion in the studies, diagnoses and patient and family management throughout.
• Orders laboratory tests and interprets results for research or medical staff and patients.
• Maintain individual patient schedules throughout the visit as liaison with nursing and other evaluating staff.
• Provide education to patients and their caregivers on diagnostic procedures and treatment plans.
• Interpret data and determine normal and abnormal findings that merit immediate clinical action.
• Provide comprehensive documentation of procedures conducted, tests administered, results and findings and present to researchers and medical staff.
• Correction to title of this section: Orders laboratory tests and interprets results for research or clinical care of the patient.
• Order and interpret data obtained from diagnostic tests and laboratory studies in collaboration with medical team
• Ensures proper illness and injury care, disease prevention, diagnosis, treatment and recovery.
• Provide clinical coverage of clinical and research procedures and promote the safety of patients over time. 4
• Communicate and collaborate with the multidisciplinary research team to ensure that patient management strategies are successful in meeting patient care and research needs.
• Provide verbal and written responses to patient and family inquiries and patient and family counseling and health education.
• Develop written protocols for management of illnesses and injuries in conjunction with the consulting or referring physician and provide comprehensive care planning for patients.
• Diagnose and manage common acute or stable chronic health problems, injuries, and illnesses making assessments of acute and non-acute clinical problems and toxicities.
• Provide health care maintenance, diagnostic and therapeutic services, education and counseling. 5

1, 2, 3, 4, 5 represents priority rankings, where 1 is highest priority and 5 is lowest priority of those ranked

Minimum Education

• Nursing Graduate

• Master's degree in Nursing
• Requires eligibility for Maryland NP license and certified by a NP Accrediting organization (eg. ANCC, NCBPN/N)

• Nursing
• Health and Medical Administrative Services

• Electronic Medical Records

• Excellent clinical skills and ability to interact with both guardians and patients
• Scope of practice that includes pediatric patients
• Experience with Clinical Research is desirable
• Eligible to be credentialed as a Nurse Practitioner at the NIH Clinical Center
• Excellent communication and organizational skills