Physician Extender

To provide holistic patient centered nursing care to oncology patients under the direct or indirect supervision of a registered nurse or Doctor in order to build capacity for the oncologist.
- To assess, develop, implement and evaluate and record patient care under guidance of the registered nurse and doctor.
- To perform history taking and a physical assessments of oncology patients that are accurate, complete, concise, relevant and appropriate for the clinical problem the patient presents with.
- To work with members of inter professional team to ensure quality of care for patients are maintained and that the patients’ needs are met.
- To conform to the Health and Safety regulations
- To provide evidence based clinical advice, education and support to patients and relatives in person or telephonically.
- To comply with relevant policies, procedures, guidelines, protocols and codes of conduct of Cancercare and the bodies that accredit our company and profession.

**Interpersonal factor**
- As a professional all services delivered needs to be in line with the Cancercare Values, of CARE. Each task needs to be consistently executed whilst at all times displaying a positive influence on all stakeholders and within the general working environment. It is expected from the employee to deliver all the tasks reflecting a willingness to operate outside the scope of the job description as per operational requirements. The factors below cannot therefore be reviewed and assesed in isolation.
- To display the company values: C - Compassion, A - Accountability, R - Respect, E - Ethics (CARE)

**Nursing Care**
- Utilize the nursing process in assessing, planning, implementing evaluating and recording the plan of care for oncology patients with acute, chronic and/or potential health problems within the scope of practice of an enrolled nurse.
- Perform history taking and a physical assessments of oncology patients that are accurate, complete, concise, relevant and appropriate for the clinical problem the patient presents with using the templates in EMR as guideline.
- Identify and report abnormal blood results and other investigations to the registered nurse/doctor and inform patient inconsultion with a register nurse or doctor
- Request appropriate investigations in consultation with the doctor
- Monitor, interpret and record patient’s vital data, including height and weight, reporting abnormalities to the registered nurse or doctor.
- Monitor the side effects of patients receiving treatment for their cancer and report any symptoms presented by patients, including pain to the doctor
- Provide telephone support for the management of symptoms related to cancer and cancer treatment in consultation with the relevant registered nurse and doctor.
- Arranges for the patient to be seen by the doctor according to dr's instructions
- Coordinate with dr's regarding scripts needed to be faxed
- Demonstrate knowledge and competence in CVAD access and maintenance.
- Perform nursing procedures as prescribed by the dr, e.g. wound care, administration of injections, including assisting drs with procedures..
- To assist admin staff in obtaining relevant historical clinical info of new patients from the referring practice
- Attend ward rounds (if applicable)
- Educate patients and families on treatment plans.
- Record information and activities undertaken with patients and family in an accurate and timely fashion.
- Co-ordinate follow up of treatment plans by scheduling patients correctly.
- Following up of patients on completion of treatment.( e.g. Prostate)
- Co-ordinate new patient bookings as well as follow up of treatment plans by scheduling patients correctly including the correct booking of chemotherapy patients from the recall list
- Provide applicable discharge instructions and health education to patients and significant others.
- Collaborate with members of the inter professional team and service providers to ensure optimal patient care.
- Provide emotional support for patient and family during treatment and refer to Oncology Social Worker as necessary.
- Maintains accurate, complete, concise and timely documentation in the electronic medical record.
- To ensure scientific nursing practice within the legal framework of nursing.
- To promptly react and report any abnormal blood results
- To identify and assess patient's condition.
- Effective patient manangement.
- Clinically prepared patient for consult
- Effective patient management.
- To ensure patency of the port
- To ensure continued care and correct scheduling of all patients
- To ensure updated communication of patient’s information to all healthcare providers involved in the patients care
- To ensure that the emotional needs and health education needs of the patient is met
- Ensure up to date records

**Quality Assurance**
- Actively support and participate in ongoing Continuous Quality Improvement activities.
- Adhere to patient satisfaction program as per institutio