Arlington Hematology Infusion, RN

Job Description

Job Description

Job Description: Hematology Infusion, RN

Department : Hematology Infusion

FLSA Status: Non-exempt

About us

Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina. 

Location & commitments

Full Time/Part Time/Temporary/Supplemental roles based at our Greenville location, Monday-Friday, 7:30a.m. – 5:30 p.m. Early and late hours required. Overtime may be required to ensure patients are taken care of, tasks are completed, and calls are returned in a timely manner. Weekend work is rare but can occasionally be necessary. 

Supervision Received: Reports to Clinical Supervisor; Operations or Clinical Manager; Director of Operations. 

Supervision Exercised: None.

Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and dexterity and eye-hand coordination. Involves standing and walking. Occasionally lifts and carries items weighing up to 100 pounds. Requires normal visual acuity and hearing. Requires exposure to bodily fluids. 

Position Summary

The Hematology Infusion Registered Nurse provides safe, compassionate, and comprehensive nursing care to patients receiving iron infusions, intravenous fluids, and other prescribed non-chemotherapy-related intravenous and injectable treatments in an outpatient hematology setting.

The RN is responsible for patient assessment, review of provider orders and laboratory results, safe medication administration, monitoring for adverse reactions, patient education, and accurate clinical documentation. The RN collaborates with providers, advanced practice providers, nursing staff, pharmacy personnel, and other members of the healthcare team to ensure safe, efficient, and high-quality patient care.

This position does not include the administration of chemotherapy or immunotherapy treatments.

Typical Working Conditions:

Frequent exposure to communicable diseases, toxic substances, medicinal preparations, and other conditions common to a clinic environment. 

About the role

Responsible for the delivery of patient care through the nursing process of assessment, diagnoses, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care based on established clinical practices. Performs under the direction of a physician or the RN and within the framework of the office policies and procedures for the Clinical Department.

Responsibilities : (This list may not include all the duties assigned.) 

Patient Assessment and Preparation

• Perform pre-treatment nursing assessments, including vital signs, symptom review, allergies, current medications, and relevant medical history.
• Review provider orders, laboratory results, and applicable treatment parameters before initiating treatment.
• Verify patient identification, medication orders, prescribed dosage, route, and infusion rate.
• Confirm that required consents, authorizations, and supporting documentation are available when applicable.
• Identify abnormal findings or changes in patient condition and notify the treating provider promptly.

  Infusion and Medication Administration

• Administer prescribed iron infusions, intravenous fluids, and other non-chemotherapy-related IV and injectable treatments within the RN’s scope of practice and demonstrated competency.
• Establish and maintain peripheral IV access and access or maintain central venous access devices when trained and authorized.
• Monitor patients throughout treatment for adverse reactions, hypersensitivity, changes in vital signs, and other complications.
• Follow established protocols for infusion reactions, emergency interventions, and provider notification.
• Ensure appropriate patient observation before, during, and after treatment based on the medication, clinical condition, and established protocols.
• Discontinue IV therapy and remove peripheral IV catheters in accordance with established procedures.
• Document treatments administered, patient tolerance, and any interventions performed.

Patient Safety and Clinical Documentation

• Maintain accurate and timely documentation in the electronic health record.
• Follow medication safety procedures, including appropriate verification, labeling, storage, expiration checks, and administration practices.
• Monitor applicable medication storage temperatures and report variances according to organizational policy.
• Follow infection prevention standards and maintain appropriate aseptic technique.
• Report medication errors, near misses, adverse reactions, and safety concerns through established reporting processes.
• Maintain a clean, organized, and appropriately stocked infusion area.

Patient Education

• Educate patients regarding the purpose of their prescribed treatment, the administration process, potential adverse reactions, and expected outcomes.
• Explain symptoms that require immediate attention during treatment and those that should be reported after leaving the clinic.
• Reinforce provider instructions regarding hydration, follow-up appointments, and ongoing care as applicable.
• Provide compassionate, respectful care while maintaining patient dignity, privacy, and confidentiality.

Clinical Coordination and Workflow

• Review scheduled infusion appointments and ensure that required orders, laboratory results, and documentation are available before treatment.
• Communicate with providers and clinical staff regarding abnormal laboratory findings, patient concerns, medication availability, and treatment delays.
• Coordinate with scheduling staff to support appropriate appointment flow and timely patient care.
• Monitor supplies and notify the appropriate personnel when replenishment is needed.
• Participate in quality improvement initiatives, staff meetings, policy reviews, and required clinical education.
• Assist with orientation and competency validation of staff as assigned.

Professional Responsibilities

• Maintain compliance with organizational policies, applicable regulations, professional nursing standards, and infection prevention requirements.
• Maintain current RN licensure, required certifications, and clinical competencies.
• Protect confidential patient information in accordance with HIPAA requirements.
• Demonstrate professionalism, accountability, dependability, effective communication, and teamwork.
• Participate in continuing education and performance improvement activities.

Minimum Qualifications

• Current, unrestricted Registered Nurse license in North Carolina or a multistate license valid for practice in North Carolina.
• Current Basic Life Support (BLS) certification.
• Previous nursing experience in an outpatient clinic, infusion center, hematology, or a related clinical setting preferred.
• Demonstrated knowledge of medication administration, IV therapy, patient assessment, and recognition of adverse reactions.
• Strong organizational, communication, critical-thinking, and documentation skills.

Preferred Qualifications

• Experience administering iron infusions, IV fluids, and other non-chemotherapy-related IV or injectable therapies.
• Experience with peripheral IV insertion and central venous access devices.
• Familiarity with electronic health records and outpatient clinical workflows.
• Ability to recognize and respond appropriately to infusion-related complications.

Physical and Work Environment Requirements

• Ability to perform essential nursing duties, including standing, walking, sitting, and assisting with patient mobility as needed.
• Ability to recognize and respond promptly to changes in patient condition.
• Ability to use clinical equipment and supplies safely.
• Ability to perform essential job