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The Oncology Registered Nurse is focused on patient assessment, patient education, the coordination of care, administration of therapy, symptom management and supportive care for the Oncology and Hematology patients at Dana-Farber Cancer Institute. The Registered Nurse cares for individuals receiving therapy for oncologic and hematologic problems. The nurse’s responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The nurse’s role includes administration of chemotherapy and other medications and infusions, telephone nursing care, direct patient care and charge capture/billing for all services rendered. The 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 as well as collaborating institutions and agencies. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills and an understanding of the principles and practices of clinical research.
Job Responsibility:
Delivers expert, evidence-based nursing care to patients and families
Promotes health care outcomes in concert with currently accepted clinical practice guidelines
Analyzes assessment data to develop and support clinically accurate diagnoses
Collaborates proactively with all interdisciplinary team members with a patient centered focus to facilitate and maximize patient healthcare outcomes
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 and other treatments, which may include chemotherapy, and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions
Evaluates educational and psychological needs of patient and family and incorporates identified needs into the plan of care
Educates patient and family regarding treatment modalities of disease, which may include chemotherapy and radiation therapy and symptom management
Reviews patient’s clinical status and laboratory values pre-treatment and consults with provider when appropriate
Evaluates and determines need for patient referrals to other members of the interdisciplinary needs as appropriate
Identifies appropriate community resources to promote continuity of care and makes appropriate referrals
Manages patient care across the continuum, making appropriate referrals to home care and hospice, as necessary
Prepare and administers chemotherapy/biotherapy and supportive therapy in accordance with ASCO/ONS Guidelines
Recognizes and responds to emergency situations appropriately. Maintains BLS certification
Provides telephone triage according to policies and documents telephone interactions
Performs the following technical skills: Intravenous therapy including peripheral and central venous vascular access devices, including obtaining IV access
Safe handling practices for hazardous, cytotoxic and biological agents
Chemotherapy administration skills, including vesicant and non-vesicant medications
Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. Supports the DFCI Nursing Department Professional Practice Model and Quality Plan
Accurately records charges for all services rendered on the day service
Collaborates with Clinic Assistant to assure accurate inventory of all supplies
Serves as a resource to medical personnel in other health facilities, providing telephone consultation to engender optimal Oncology practices and knowledge among health care professionals caring for cancer patients
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
Promotes a culture of inclusion. 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 applicable policies, procedures, work rules and standards of conduct
Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015) in all aspects of professional practice
Bases care on the Standards of Oncology Nursing Practice and Oncology Nursing Society Chemotherapy Guidelines
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 excellent communication skills
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
May function in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas
Participates in committees, councils, and initiatives
Demonstrates flexibility in setting and changing priorities. Accepts additional responsibilities as needed
Participates in QA/QI projects for the unit as requested
Seeks opportunities to foster professional growth
Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these
Attends inservices, 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
Meets all annual evaluation requirements and competencies within the established time period
Pursues active membership in local and national professional organizations
Requirements:
Licensed as a registered Nurse in the Commonwealth of Massachusetts, or New Hampshire as appropriate
Baccalaureate degree in nursing strongly preferred. If associate degree in nursing, must complete BSN degree within 4 years
Minimum of 1-year recent experience as an RN
Ambulatory and/or oncology experience preferred
Professional nursing certification preferred (OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC)
AHA BLS required (AHA ACLS accepted as minimum requirement)
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 skills strongly preferred
The ability to speak, read and write in English, and the ability to perform mathematical pharmaceutical calculations is required for this position
Nice to have:
Ambulatory and/or oncology experience
Professional nursing certification (OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC)