Oncology Registered Nurse

Position Responsibilities

• Demonstrates ability to interpret chemotherapy orders accurately (calculates BSA and ANC correctly).
• Performs double check of chemotherapy orders utilizing patient identifiers.
• Demonstrate proficiency in the safe administration of chemotherapy and disposal of chemotherapy wastes and equipment as per ONS guidelines.
• Completes nursing documents accurately and in a timely manner following Joint Commission Standards.
• Provides patient education and documents appropriately using the approved documentation forms.
• Demonstrates the ability to identify signs and symptoms of oncologic emergencies and provide management appropriately and quickly.
• Affirms the ability to assess and reassess patient complaints of pain and document findings.
• Identifies acute local and systemic reactions as a result of extravasation or anaphylaxis in association with specific chemotherapy drugs and appropriate interventions.
• Attends annual mandatory inservices.
• Maintain certification in Basic Life Support.
• Achieves and maintains certification in specialty area.
• Delegates patient care responsibilities to assigned caregivers based upon patient and staff competencies.
• Demonstrates a calm, professional manner during a crisis or emergency situation at all times within the patient care environment.
• Follows approved protocol in receiving critical results and performing timely and accurate communication and follow-up.
• Actively participates in the survivorship program of the center.
• Demonstrates knowledge and proficiency in charging services and reconciling charges.

Assessment

• Performs and documents an accurate systems and nursing assessment at time of visit as it relates to outpatient setting.
• Performs and documents an accurate fall risk assessment at time of visit.
• Affirms the ability to assess patient education needs as it relates to outpatient setting.
• Responds to diagnostic data and initiates appropriate action or intervention.
• Affirms the ability to assess psychosocial needs specific to patient's growth, age, and development.

Planning

• Initiates an interdisciplinary plan of care.
• Presents patient cases at Interdisciplinary Patient Care Conferences (IPCC).
• Establishes priorities for patient care based on patient needs at time of visit.

Implementation

• Vocalizes understanding of patient diagnosis and interdisciplinary plan of care.
• Safely and correctly initiates and documents nursing interventions in emergency situations.
• Performs 24-hour chart check at the beginning of each shift.
• Administers, observes, and documents intravenous therapy according to hospital policy.
• Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness.
• Recognizes and reports adverse reactions immediately.
• Provides individualized instructions each shift to patient/significant other regarding the plan of care.
• Demonstrates safe and correct use of unit specific equipment.
• Adheres to standard precautions including hand hygiene guidelines at all times.
• Performs dressing changes using aseptic technique.
• Collections and labels specimens per policy when ordered by physician.
• Inserts intermittent or indwelling urinary catheter using aspetic technique.
• Administers oxygen therapy per physician order.
• Performs new patient orientation / education and provides patient with understanding of department processes.

Evaluation

• Documents / reports patient responses or outcomes resulting from: nursing interventions, treatments / procedures, interpersonal interactions, and patient / family education.
• Evaluates and documents patient's progress towards established goals / objectives as it relates to outpatient setting.
• Updates / revises individualized patient care standards based on patient / family responses, progress toward goals, and / or change in medical status.

Professional and Staff Development

• Obtains 100% mandatory hospital and unit specific inservices annually, prior to evaluation date.
• Plans, presents, and documents unit inservice and / or IPCC as required by level.
• Documents competency in clinical skills annually.
• Attends staff meetings as required.
• Uses established lines of communication for resolution of problems and interpersonal conflict.

Leadership

• Ensures productivity daily by delegating assignments to immediate subordinates and evaluates completion of their duties.
• Participates in PI program by identifying PI indicators of major aspects of care at the unit level.
• Collects PI data as assigned.