Oncology Registered Nurse

Position responsibilities

Demonstrates ability to interpret chemotherapy orders accurately ( calculates BSA and ANC correctly).

Performs double check of chemotherapy orders utilizing patient identifiers.

Demonstrate proficiency in the safe administration of chemotherapy and disposal of chemotherapy wastes and equipment as per ONS guidelines.

Completes nursing documents accurately and in a timely manner following Joint Commission Standards.

Provides patient education and documents appropriately using the approved documemtation forms.

Demonstrates the ability to identify signs and symptoms of oncologic emergencies and provide management appropriately and quickly

Assesses and reassesses patient complaint of pain and document findings.

Identify acute local and systemic reactions as a result of extravasation or anaphylaxis in association with specific chemotherapy drugs and appropriate interventions.

Attends annual mandatory inservices. Maintain certification in Basic Life Support. Achieves and maintains certification in speciality area.

Delegates patient care responsibilities to assigned care givers based upon patient and staff competencies.

Demonstrates a calm, professional manner during a crisis or emergency situation at all times within the patient care environment.

Follows approved protocol in receiving critical results and performing timely and accurate communication and follow-up.

Actively participates in the survivorship program of the center.

Demonstrates knowledge and proficiency in charging services and reconciling charges.

Assessment

Performs and documents an accurate systems and nursing assessment at time of visit as it relates to outpatient setting.

Performs and documents an accurate fall risk assessment at time of visit.

Assesses patient education needs as it relates to outpatient setting.

Responds to diagnostic data and initiates appropriate action or intervention.

Assesses psychosocial needs specific to patient's growth, age, and development.

Implementation

Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.

Safely and correctly initiates and documents nursing interventions in emergency situations.

Performs 24-hour chart check at the beginning of each shift.

Administers, observes, and documents intravenous therapy according to hospital policy.

Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness. Recognizes and reports adverse reactions immediately.

Provides individualized instructions each shift to patient/significant other regarding the plan of care.

Demonstrates safe and correct use of unit specific equipment.

Adheres to standard precautions including hand hygiene guidelines at all times

Performs dressing changes using aseptic technique.

Collects and labels specimens per policy when ordered by physician.

Performs glucose monitoring accoding to policy.

Inserts intermittent or indwelling urinary catheter using aspetic technique.

Administers oxygen therapy per physician order

Performs new patient orientation / education and provides patient with understanding of department processes.

nursing interventions, treatments / procedures, interpersonal interactions, and patient / family education.

Evaluates and documents patient's progress towards established goals / objectives as it relates to outpatient setting.

Updates / revises individualized patient care standards based on patient / family responses , progress toward goals, and / or change in medical status.

Professional and Staff Development

Obtains 100% mandatory hospital and unit specific inservices annually, prior to evaluation date.

Plans, presents, and documents unit inservice and / or IPCC as required by level.

Documents competency in clinical skills annually.

Attends staff meetings as required.

Uses established lines of communication for resolution of problems and interpersonal conflict.

Leadership

Ensures productivity daily by delegating assignments to immediate subordinates and evaluates completeion of their duties.

Participates in PI program by identifying PI indicators of major aspects of care at the unit level.

Collects PI data as assigned.