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The Venous Access Nurse's responsibilities include vein assessment, planning, implementation and evaluation of nursing care for a complex patient population. The Venous Access Nurse provides patient and family education and psychosocial and emotional support. He/she is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff at the Institute, BWH, and other collaborating institutions and agencies. The Venous Access Nurse identifies his/her own professional goals and learning needs. The role requires IV clinical expertise, ability to assess veins and make recommendations to providers for other access devices based on the vein assessment, critical thinking, collaborative practice as a Venous Access Nurse within a cancer center, line care maintenance and troubleshooting, knowledge of vein preservation principles and techniques, excellent communication skills and an understanding of the principles and practices of clinical research. The Mission, Vision and Core values of the Dana-Farber Cancer Institute are incorporated into all areas of practice.
Job Responsibility
Delivers expert, evidence-based nursing care to patients and families
Implements nursing process
Assess veins and access needs and makes recommendations to providers accordingly
Assesses patient and family needs
Evaluates home line care routine and supports patient to achieve optimal outcomes
Analyzes assessment data to develop and support clinically accurate diagnoses
Plans care by establishing goals with measurable outcomes
Implements the plan of care
Evaluates the patient's response to interventions
Documents care according to Institute and regulatory agencies' requirements
Administers medications relevant for care of the venous access patient and/or specific to Imaging protocols and performs procedures safely and efficiently in accordance with Institute policy
May provide specialized care of protocol drug patients in various settings
Evaluates educational and psychological needs of patient and family, and incorporates identified needs into the plan of care
Educates patient and family regarding various aspects and treatment modalities of disease, including vein choice, vein preservation techniques, and line care if applicable
Recognizes and responds to emergency situations appropriately
Maintains BLS certification and or ACLS certification
Identifies appropriate community resources to promote continuity of care, and makes appropriate referrals
Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role
Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds
Interacts with patients and families in a caring and compassionate manner respecting the need for privacy and confidentiality
Develops approaches to problem solving which meet the individual needs of the patients and families
Demonstrates the knowledge and skills necessary to provide age-specific care and support to the populations served
Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age
Manages the environment of patient care
Monitors the environment of care with attention to patient safety, and assures compliance with regulatory agency standards
Complies with Institute, Nursing and Patient Care Services, and unit policies, procedures, work rules and standards of conduct
Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) in all aspects of professional practice
Contributes to the formulation and achievement of goals on the unit, within the Division of Nursing and Patient Care Services, and the Institute
Assists in defining goals and developing systems and work processes for the unit, the Division of Nursing and the Institute
Participates in unit, program-based, and divisional committees, councils, and initiatives
Demonstrates flexibility in setting and changing priorities
Accepts additional responsibilities as needed
Participates in QA/QI projects for the unit and the Division of Nursing and Patient Care Services
Supports research activities within the unit, Division of Nursing and Patient Care Services, and the Institute
Works collaboratively and functions as an effective member of the health care team
Demonstrates the ability to work collaboratively with peers and co-workers
Effectively addresses and manages conflicts
Demonstrates effectiveness as a contributing member to the multidisciplinary health care team
Delegates as appropriate and supervises assistive personnel in their provision of patient care
Functions in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas
Seeks opportunities to foster professional growth
Identifies areas for professional growth
Formulates professional goals, objectives and methods for accomplishing these
Attends in-services, workshops and seminars
Shares information gained with colleagues
Facilitates professional growth of self and others by acting as a preceptor and mentor for new staff
Collaborates in preparing professional reports, articles and presentations for colleagues and the public
Requirements
Associate degree, Nursing
Baccalaureate degree in Nursing strongly preferred
If Associate degree in Nursing, must complete BSN degree within 4 years
1 year (or equivalent) of nursing experience in area where venous access is a primary responsibility
Licensed as a Registered Nurse in the Commonwealth of Massachusetts required
Certification in Venous Access Nursing preferred – VA-BC or CRNI
Demonstrated ability to work as an effective member of an interdisciplinary team
Demonstrated skills in critical thinking, problem solving, and ability to make independent decisions
Ability to function in a busy work setting with patients with complex needs
IV clinical expertise
Ability to assess veins and make recommendations to providers for other access devices based on the vein assessment
Critical thinking
Collaborative practice as a Venous Access Nurse within a cancer center
Line care maintenance and troubleshooting
Knowledge of vein preservation principles and techniques
Excellent communication skills
Understanding of the principles and practices of clinical research