Website Cancer Centers of Southwest Oklahoma

DEFINITION:
The outpatient chemotherapy RN utilizes advanced assessment skills to care for acute and critically ill adult and geriatric patients. Nurse will be required to follow complex protocols, perform critical thinking, have knowledge of the principles of chemotherapy/biotherapy and management of side effects including life threatening complications of treatments while working within their scope of practice.

REGULATORY REQUIREMENTS (IF APPLICABLE):
Authorized to practice as a Registered Nurse in the state of Oklahoma.
Current Basic Life Support.

MINIMUM QUALIFICATIONS:
Maintain ONS chemotherapy/biotherapy provider card preferred.
Membership in the ONS (oncology nursing society)

PREFERRED QUALIFICATIONS:
• BSN is preferred. OCN certification is preferred upon hire and recommended within two years of hire.
• Preferred that the nurse has one year experience as an RN, but not required.
• Nurse will work in the Infusion Center administering chemotherapy and assist the Triage Nurse and other duties in the clinic as needed. To work in the Infusion Room, chemotherapy provider status must be obtained from ONS within 12 weeks of hire.
• Proficiency with an electronic medical record and computer skills are required.

PRINCIPLE RESPONSIBILITIES:

Participates and implements age specific care and interaction.
• The RN will utilize the “RN PROCESS FLOW” guideline developed to guide the Infusion Room RN on how to begin the step-by-step process of treating a patient.
• The RN may be assigned “Daily Tasks” under the direction of the Nurse Manager and will be expected and held responsible for specific duties. General tasks that everyone is expected to do include signing out medications from the LYNX, completing charting, completing/reviewing QCL’s, put up supplies, review and process refills on the eRx Worklist, and addressing Patient Portal Mail.

Collaborates with the healthcare team (RN, LPN, NA, Physician and ancillary disciplines) in the assessment of the patient/family.
• Performs Pre-treatment Assessment with documentation of common toxicity criteria prior to administering chemotherapy and/or biotherapy treatments.
• Adequately assesses pain and documents a pain management plan when doing Assessment prior to IV therapy.
• Interprets data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.

Collaborates with the healthcare team to develop a plan of care to meet the physiological, spiritual, emotional, mental, social and developmental needs of the patient.
• Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.
• Acts appropriately to address requests for additional resources or issue resolution.
• Identifies and addresses psychosocial needs of patients and family.
• Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning. Family is included in teaching, as appropriate.
• Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Coordinates and supervises patient care as necessary.

Collaborates with the healthcare team in the implementation of the patient’s plan of care.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
• Performs patient care responsibilities considering needs specific to the standard of care for patient’s age and clinical condition.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.
• Demonstrates ability to perform treatments and provide services within scope of practice.

Administers medications accurately and safely.
• Knows medications and their correct administration based on age of the patient and their clinical condition.
• Follows the five medication rights and reduces the potential for medication errors.
• Follows standard precautions using personal protective equipment as required.
• Utilizes the Oncology Profile in the Alaris IV Pump for Intermittent Chemotherapy and IV Fluid administration. Demonstrates knowledge of Guardrails and utilizes the safety features of the IV Smart pump.
• Utilizes the Basic Infusion option on the Alaris pump only in emergent situations or with Nurse Manager approval.
• Has knowledge of the Patient Portal and eRx Worklist, including the process and policy for refills.

Accurately and consistently evaluates patient/family responses to interventions to determine the patient’s progress and revise the plan of care.
• Revises plan of care as indicated by the patient’s response to interventions.
• Educates the patient and family regarding pain management.

Communicates (verbal and written) effectively, accurately and professionally with patient/family and all members of the healthcare team.
• Clearly communicates in an appropriate manner to patient, family, co-workers, physicians and nursing supervisors.
• Documents to current standards and policies, including items necessary to meet the needs for quality improvement, projects and programs that CCSWOK is participating in.
• Communicates with health care team members regarding both in hospital and post-discharge needs.
• Appropriately utilizes available technology (iPad Video Remote Interpreting) to ensure good communication and enhance patient safety.

Participates in the education/development of staff and students.
• Facilitates the orientation of new employees and professional development of members of the healthcare team by providing instruction and demonstration of skills, principles and practice of nursing.
• Fosters healthy relationships with students and faculty.

Complies with professional requirements, organizational and departmental policies and procedures.
• Attends at least 75% of staff meetings annually including at least one meeting or engagement activity with the Chapter of ONS (ONCO-Oncology Nurses of Central Oklahoma) to be considered for an “ACE” in overall achievement performance rating.
• Actively participates in performance improvement.
• Legally complies with all regulatory agencies including, but not limited to, the Oklahoma Nurse Practice Act.
• RN will obtain certification as an OCN or CBCN to be considered for an “ACE” in overall achievement performance rating.

To apply for this job please visit www.ccswok.com.