Registered Nurse RN Wknd- Medical Oncology

Summary 14K for 2 years sign on bonus for qualified candidates. The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position requires basic knowledge of the pathophysiology of cancer and the ability to assess, plan, implement, and evaluate care for patients on this unit. The position requires working every weekend as defined by the unit. Employees in a casual position must pick up shifts as outlined in the Midland Nursing – Casual Employee Policy. Responsibilities (30%) Regularly assess patient/client needs and provide skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.

• 30%) Provide direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc.
• 20%) Evaluate the effectiveness of the treatment plan and patients’ condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments to improve patient care.
• 10%) Process physician/provider orders and perform physician ordered care accurately, completely, and in a timely manner.
• 10%) Follow up regarding medication changes and order clarifications.

Other Duties and Responsibilities Demonstrate the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural/spiritual variables. Provide education to meet the individual needs and ability to learn. Participate in care conferences as assigned. Develop and maintain good working rapport with interdisciplinary personnel to meet the needs of each resident. Coordinate care provided by patient care technicians. Demonstrate the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrate a general ability to manage assignments and perform routine duties on the unit. Instruct other team members when appropriate, explaining goals and rationale for individualized care. Implement clinical and technical aspects of care in accordance with established policies and procedures. Demonstrate understanding of clinical pathways and utilize them appropriately. Remain calm and efficient when working in stressful situations. Document in an accurate, clear, and concise way and include pertinent clinical data. Share information and report significant changes and/or abnormal findings to appropriate team members. Participate in regulatory surveys. Participate in performance improvement activities. Assist with orientation and ongoing competencies. Provide a safe and secure environment for patient care. Attend and participate in professional association activities and programs to remain current on regulations, guidelines, and professional standards. Remain current on new developments by reading professional journals, and attending seminars. Demonstrate understanding of role in emergency preparedness procedures. Administer complicated IV therapy, e.g., antibiotic, blood, cardiac drips, and chemotherapy. Assess patient for signs or symptoms of complications of cancer or treatment protocols. Accurately use central lines for drawing blood, administering chemotherapy, etc. Interact positively with patients and families during severe stress situations. Demonstrate critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients. Participate in Transition of Care course for first 12 months after hire or transfer to position. Other duties as assigned. Certifications and Licensures Credential: BLS – Basic Life Support (Equivalent Experience: Within 1 month of hire or transfer; Qualification Source: AHA; Essential: true) Credential: DIMC – Dysrhythmia Interpretation Man (Equivalent Experience: Within 12 months of hire or transfer; Qualification Source: [missing]; Essential: true) Credential: RN – Registered Nurse (Equivalent Experience: [missing]; Qualification Source: MI; Essential: true) Credential: ACLS – Advanced Cardiac Life Support (Equivalent Experience: Within 12 months of hire or transfer; Qualification Source: [missing]; Essential: true) Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals. Chemotherapy Education Pathway:

• Full time & Part time RN
• Pass ONS Cancer Basics course within 6 months.
• Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months.
• Obtain ONS Oncology Certified Nurse (OCN) or Certified Medical Surgical nurse (CMSRN) within 3 years.
• Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations.
• Additional components of demonstrating competency for all nurses administering antineoplastic agents include:

• Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course.
• Demonstration of compliance with policy for management of chemotherapy spills and extravasation.
• Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports.
• Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs.

– MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Physical/Mental Requirements and Typical Working Conditions Exposure to stressful situations, including those involving public contact, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Must be able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time; may require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0‑33% of the workday) lift or carry 21‑50 lbs., frequently 34‑66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67‑100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true #J-18808-Ljbffr MyMichigan Health