RN-Oncology RN-PRN Adult Ambulatory

Job Requisition ID: R00045779

About the role

To assess, develop, implement, and evaluate the nursing care and treatment for patients in assigned oncology clinical area. Coordinates the operations of assigned clinical area including protocol and non-protocol chemotherapy regimens, calculating dosages and administering intravenous chemotherapy, patient scheduling, patient records, and patient admission for adult cancer patients. Counsels patients and family members on treatment, medication management, and condition status. Serves as a liaison between case manager, home health nurses, dietary, utilization review, and other hospital staff as needed. Assists physician and/or investigator in collecting data for research and clinical trials. Assesses and educates based on patients' psychological and physiological needs.

Requirements

• Must be licensed as RN for one (1) year.
• Two (2) years of RN experience in specified area preferred.
• BSN preferred.
• Valid RN license required.
• Oncology Certified Nurse (OCN) preferred; must obtain OCN within two years of employment.

Responsibilities

• In collaboration with the oncologist, provides direct patient care, initial and ongoing assessment, patient education, management of chemotherapy effects, medicine reconciliation, and coordination of care for patients enrolled in protocols and clinical trials.
• Assesses and documents an evaluation of each patient's physical, social, and emotional status as part of the outpatient admissions process to the cancer center protocols. Makes appropriate referrals for social work and financial assistance counselors for patients and families undergoing oncology treatment.
• Monitors patient response before and after procedures and makes technical and medication changes as appropriate.
• Reviews physician orders, determines general physical and mental condition of patient through observations or review, and ensures all daily operations of oncology adhere to oncology protocol.
• Maintains up-to-date knowledge of each chemotherapy protocol used in the cancer institute and participates in weekly tumor conferences. Reviews IRB protocols approved prior to administering any chemotherapy.
• Monitors and maintains associated equipment. Assists in maintaining a safe, organized, and clean work environment.
• Formulates and monitors a treatment plan for each patient, including educational needs. Administers chemotherapy drugs in accordance with physician orders, protocol and non-protocol guidelines for lab values, and the status of the patient's physical and mental condition.
• Maintains effective communication channels and informs team members of any unusual occurrences. Facilitates open communication with health team members and other staff to ensure optimum team performance.
• Instructs patients through all phases of treatment per physician/oncologist order.
• Serves on at least one nursing council, hospital, or medical center committee, task force, or project team to improve patient care or work area, demonstrating core standards of exceptional customer service.
• Maintains quality assurance checklist completion and monitors all nursing checklists. Responsible for impact scheduling, nursing assessments, clinical notes, and billing responsibilities.
• Responsible for inventory management and TJC compliance duties.

Skills

• Knowledge of clinical nursing care procedures and protocols.
• Solid knowledge base in oncology procedures.
• Verbal and written communication skills.
• Interpersonal skills.
• Knowledge and understanding of computer systems, tools, and programs.
• Ability to work in a team environment.

Physical and Environmental Demands

• Occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold.
• Occasional handling or working with potentially dangerous equipment.
• Constant exposure to bio-hazardous conditions such as risk of radiation exposure, bloodborne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals, requiring attention to safety considerations.
• Occasional working hours significantly beyond regularly scheduled hours.
• Occasional travel to offsite locations.
• Frequent activities subject to significant volume changes of a seasonal/clinical nature.
• Frequent work produced subject to precise measures of quantity and quality.
• Frequent bending, constant lifting and carrying up to 25 pounds.
• Occasional climbing, occasional crawling, constant crouching/stooping.
• Occasional driving, constant kneeling, constant pushing/pulling, constant reaching.
• Occasional sitting, constant standing, occasional twisting, and constant walking.

(Occasional: up to 20%, Frequent: from 21% to 50%, Constant: 51% or more)

Schedule

Part time, PRN (as needed).