Arlington Hematology Infusion, RN

Physicians East•Greenville, NC

6d•Onsite

About The Position

The Hematology Infusion Registered Nurse provides safe, compassionate, comprehensive nursing care to outpatient hematology patients receiving iron infusions, intravenous fluids, and other prescribed non-chemotherapy-related IV and injectable treatments. The role includes patient assessment, review of provider orders and laboratory results, safe medication administration, monitoring for adverse reactions, patient education, and accurate clinical documentation. The RN collaborates with providers, advanced practice providers, nursing staff, pharmacy personnel, and other healthcare team members to support safe, efficient, high-quality care. This position does not include chemotherapy or immunotherapy administration. The RN delivers and coordinates care through the nursing process under physician direction and in accordance with clinical practices and office policies. The role is based at the Greenville location. The listed schedule is Monday through Friday, 7:30 a.m. to 5:30 p.m.; early and late hours may be required, overtime may be required, and weekend work is rare but may occasionally be necessary. The position reports to the Clinical Supervisor, Operations or Clinical Manager, or Director of Operations. It has no supervisory responsibilities. The work involves a clinic environment, exposure to communicable diseases, toxic substances, medicinal preparations, and bodily fluids, and physical activities including standing, walking, handling or assisting patients, and occasionally lifting or carrying items up to 100 pounds. The RN must be able to perform essential job functions with or without reasonable accommodation.

Requirements

Graduate of an accredited nursing program.
Current, unrestricted Registered Nurse license in North Carolina or a multistate license valid for practice in North Carolina; the candidate requirements also specify registration with NCBON and good standing.
Current Basic Life Support (BLS) certification and maintenance of CPR certification.
Experience using electronic medical records (EMR/EHR) software.
Demonstrated knowledge of medication administration, IV therapy, patient assessment, and recognition of adverse reactions.
Strong organizational, communication, critical-thinking, and documentation skills.
Professional demeanor and recognition of privacy considerations for patients and families.
Strong written and verbal communication skills and the ability to interact professionally with others.
Ability to actively listen, accurately observe and document events in grammatically correct English, and spell, proofread, and edit written text.
Ability to perform essential nursing duties, including standing, walking, sitting, assisting with patient mobility as needed, using clinical equipment safely, and responding promptly to changes in patient condition.
Ability to perform essential job functions with or without reasonable accommodation.

Nice To Haves

Previous nursing experience in an outpatient clinic, infusion center, hematology, or related clinical setting.
Experience administering iron infusions, IV fluids, and other non-chemotherapy-related IV or injectable therapies.
Experience with peripheral IV insertion and central venous access devices.
Familiarity with electronic health records and outpatient clinical workflows.
Ability to recognize and respond appropriately to infusion-related complications.

Responsibilities

Perform pre-treatment nursing assessments, including vital signs, symptoms, allergies, medications, and relevant medical history.
Review provider orders, laboratory results, and treatment parameters before treatment; verify patient identity, medication orders, dosage, route, and infusion rate.
Confirm required consents, authorizations, and supporting documentation when applicable, and promptly notify providers about abnormal findings or changes in patient condition.
Administer prescribed iron infusions, IV fluids, and other non-chemotherapy-related IV and injectable treatments within scope of practice and demonstrated competency.
Establish peripheral IV access and access or maintain central venous access devices when trained and authorized.
Monitor patients for adverse reactions, hypersensitivity, changes in vital signs, and other complications; follow protocols for infusion reactions, emergency interventions, and provider notification.
Provide appropriate patient observation before, during, and after treatment; discontinue IV therapy and remove peripheral IV catheters according to established procedures.
Document treatments, patient tolerance, interventions, and other clinical information accurately and promptly in the electronic health record.
Follow medication safety procedures, monitor medication storage temperatures, and report variances, medication errors, near misses, adverse reactions, and safety concerns through established processes.
Follow infection prevention standards and aseptic technique; maintain a clean, organized, and stocked infusion area and use appropriate equipment-cleaning practices.
Educate patients about treatment purpose and process, potential adverse reactions, expected outcomes, symptoms requiring attention, hydration, follow-up appointments, and ongoing care as applicable.
Protect patient dignity, privacy, confidentiality, and confidential information in accordance with HIPAA requirements.
Review scheduled infusion appointments and ensure orders, laboratory results, and documentation are available before treatment.
Communicate with providers and clinical staff regarding abnormal laboratory findings, patient concerns, medication availability, and treatment delays; coordinate with scheduling staff to support appointment flow.
Monitor supplies and notify appropriate personnel when replenishment is needed.
Participate in quality improvement, staff meetings, policy reviews, clinical education, compliance activities, fire safety classes, and performance improvement activities.
Assist with staff orientation and competency validation as assigned.
Maintain current RN licensure, required certifications, clinical competencies, and CPR/BLS certification; comply with organizational policies, applicable regulations, professional nursing standards, OSHA guidance, and infection prevention requirements.
Demonstrate professionalism, accountability, dependability, effective communication, active listening, and teamwork; keep management informed of high-risk situations.