Nurse- Ambulatory Hem/ Oncology | BWH

Mass General Brigham•Boston, MA
•Onsite

About The Position

The Staff Nurse works in the Hematology Oncology Ambulatory Triage Multidisciplinary Clinic at the Mass General Brigham Cancer Institute at Brigham and Women’s Hospital. The position practices with autonomy and accountability alongside a multidisciplinary care team, coordinating a continuum of care that spans prevention, early detection, diagnosis, treatment, follow-up, palliation, bereavement, and survivorship. The nurse assesses patient health status and develops, implements, and evaluates plans of care in the outpatient setting, providing assessments, treatments, patient and family education, and psychosocial and emotional support. Care should be safe, holistic, efficient, timely, and responsive to each patient’s cultural, spiritual, and ethnic needs. The clinic is on the BWH Main campus in a newly built practice location. It is typically open Monday through Friday, though weekend rotation may be added if necessary. The position supports an MGBCI cost center operationally and functions within BWH Department of Nursing professional governance, with nursing staff reporting through BWH nursing leadership.

Requirements

  • Graduate of an approved school of nursing and current Massachusetts registration.
  • Bachelor of Science in Nursing required for newly licensed nurses.
  • OCN chemotherapy certification required.
  • Two or more years of hematology/oncology nursing experience required.
  • Recent experience with port access and peripheral IV insertion required.
  • Demonstrated experience assisting with and/or managing care related to bone marrow biopsies and aspirations required.
  • Experience coordinating and monitoring patients undergoing lumbar punctures and intrathecal chemotherapy administration required.
  • Knowledge of leukemia, lymphoma, multiple myeloma, and other hematologic malignancies required.
  • Experience in hematology/oncology triage required.
  • Ability to demonstrate basic analytic thinking in caring for a group of patients, observational skills, and priority-setting.
  • Ability to function under stress with good interpersonal and communication skills.
  • Ability to apply hospital standards for service, teamwork, communication, respect, and time and priority management.
  • Able to work weekend rotation per the MNA contract.

Nice To Haves

  • Strong clinical assessment skills in ambulatory oncology and infusion settings.
  • Membership in professional organizations is recommended.
  • Nursing certification in Ambulatory Care or an Ambulatory Specialty area is preferred.

Responsibilities

  • Serve as a point of contact for patients at home and in the outpatient setting, coordinating optimal clinical management with physicians, advanced practice providers, nurses, support staff, and the multidisciplinary care team.
  • Communicate with patients through daily telephone triage and Gateway messages.
  • Assist with triaging symptoms and medical urgencies or emergencies, involving physicians or advanced practice providers and guiding patients to an appropriate level of care and timeframe.
  • Monitor patients at home for anticipated treatment-related toxicities and screen for unanticipated toxicities or events.
  • Coordinate home services, including visiting nursing, palliative care and hospice, home infusion, laboratory services, and monitoring.
  • Coordinate and perform blood draws and routine central-line flushing and maintenance, including dressing changes.
  • Coordinate, perform, and document injections and vaccinations according to protocol.
  • Coordinate, perform, and document intravenous therapies in the practice and in collaboration with Short Stay Infusion Units.
  • Assist physicians and advanced practice providers with outpatient diagnostic and therapeutic procedures, including bone marrow biopsies, intrathecal chemotherapy, and lumbar punctures.
  • Educate patients and families about disease, treatment plans, medications, and home care needs.
  • Assist with disability and FMLA forms, advance directives, and pre-authorizations as needed.
  • Assess psychosocial needs of patients and families and coordinate follow-up with social services or psychology.
  • Problem-solve, serve as a resource to the multidisciplinary care team, and resolve complex issues for providers and patients.
  • Advocate for patients and families in a patient-centered practice environment.
  • Manage multiple tasks, adapt to changing situations, and work across different specialty clinics.
  • Use computer applications necessary for ambulatory/outpatient care.
  • Maintain and update clinical knowledge and skills using current research and evidence-based practices.
  • Apply the I CARE standards in interactions with patients, families, visitors, colleagues, and the community.
  • Demonstrate observation, prioritization, stress management, interpersonal and communication skills, and effective teamwork and time management.

Benefits

  • Competitive base pay.
  • Comprehensive benefits.
  • Career advancement opportunities.
  • Differentials, premiums, and bonuses as applicable.
  • Recognition programs designed to celebrate contributions and support professional growth.
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