RN Hospital - Oncology PRN

Under general supervision and in consultation with the responsible medical oncologist and/or advanced practitioner, is responsible for coordinating, managing and communicating the plan of treatment to patients and their families. Specifically, the nurse assists in communications with patients, triages patients and patient issues, performs symptom management and teaches patients regarding their disease process and treatment. In addition, the nurse collaborates with the multi-disciplinary team and utilizes clinical outcomes data to support innovative and cost effective changes to clinical practice.

Education
Associate Degree from an accredited School of Nursing required; BSN preferred.

Licensures / Certifications

Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse

Completion of "Healthcare Provider" CPR course

ONS Chemotherapy Biotherapy provider card preferred, but not mandatory

Experience

Infusion experience and outpatient experience preferred, but not mandatory

Skills

Interpersonal communication (oral and written) skills required to educate and comfort patients and their families, maintain effective contacts with a variety of hospital personnel, and maintain appropriate documentation records

Ability to assess, triage and document medical information pertinent to the oncology patient

Skill in oral and written communication to address patient/family and staff concerns

Demonstrated skill in problem solving using available resources in innovative ways

Interpersonal relationship skills to communicate effectively with the oncology care team

Computer and personal productivity skills to enable effective use of e-mail, the Internet, and word processing packages

Principles Duties and Responsibilities
A. Assessment

Assesses patients prior to administration of any therapy or treatment by doing the following:

Utilizing physical assessment skills and interview techniques

Reviewing pertinent laboratory results

Reviewing results and grading side effects related to treatment by using the NCI-CTC scale

Compiles database and documents in a thorough manner, included (but not limited to): assessment, NCI-CTC toxicity criteria, pain assessment, falls assessment, medication reconciliation, education, distress, etc.

Anticipates need for intervention by other disciplines

Determines priorities for patient care needs or problems

B. Planning

Initiates and updates plan of care for patient at each visit

Provides patient and family members with information and support, coordinating all aspects of care

Educates patient and family on treatment plan (to include new drugs and side effects), schedule for treatment, information about labs and follow-up visits, Rx medications, when to call the office and what number to call, etc.

Documents initial new patient education sessions in the education assessment flowsheet and chemo education flowsheets addressing all elements. Documents any reiteration of initial education, and ongoing in the progress note

C. Implementation

Performs clinical nursing skills independently

Administers medications, IV therapy and treatments appropriately and accurately

Initiates appropriate emergency procedures as necessary

Communicates the patient's status and plan of care through documentation in the EMR

Verbally communicates the patient's status to physicians, nurses and other health care professionals

Provides caring, individual attention, compassion, and empathy to patients and their families

Provides patient and family members with information and support, coordinating all aspects of care

D. Patient Care Coordination

Manages daily patient assignment by appropriately setting priorities

Coordinates patient activities with other disciplines

Communicates with other oncology team members and the front desk staff regarding wait times by using direct communication and through the use of the office chat room

Communicates in a therapeutic manner with the patient, family, and visitors

Works closely with clinical trials nurses to ensure appropriate things are done when a patient is on a study

E. Teaching and Quality Improvement

Identifies unit, staff, and patient care problems. Takes action or refers problems to appropriate resource when needed

Helps maintain unit supplies by re-stocking at the end of each day. Notifies unit personnel responsible for ordering when items get low

Participates in the LDM process for the Cancer Institute

Maintains the "environment of care" by cleaning chairs and pumps between each patient and at the end of the shift

Participates in performance improvement at the unit level, which includes identifying areas for improvement and contributing to the solutions needed to fix them

Reports near misses, errors, etc., in Quantros

Completes all documentation in a timely manner, by the end of the shift

Completes patient bullying in a thorough, accurate manner by the end of the shift

Practices good customer service skills and provides service recovery when needed

Pay Range
$39.80 - $66.26

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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