Arlington Hematology Infusion, RN

Physicians East•Greenville, NC

5d•Onsite

About The Position

The Hematology Infusion Registered Nurse provides safe, compassionate, comprehensive nursing care to patients receiving iron infusions, intravenous fluids, and other prescribed non-chemotherapy-related intravenous and injectable treatments in an outpatient hematology setting. 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 administering chemotherapy or immunotherapy. The RN delivers and coordinates care through the nursing process, following established clinical practices, office policies, and the direction of a physician or RN. The position is based at the Greenville location and is listed as full-time, part-time, temporary, or supplemental. The stated 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 a Clinical Supervisor, Operations or Clinical Manager, or Director of Operations and has no supervisory responsibilities. The work involves a clinic environment with frequent exposure to communicable diseases, toxic substances, medicinal preparations, and bodily fluids. Essential duties require standing, walking, sitting, handling and lifting patients, manual dexterity, eye-hand coordination, normal visual acuity and hearing, and responding to changes in patient condition. Items weighing up to 100 pounds may occasionally need to be lifted or carried. Duties must be performed with or without reasonable accommodation.

Requirements

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 in good standing.
Current Basic Life Support (BLS) certification and maintenance of CPR certification.
Graduate of an accredited nursing program.
Experience using electronic medical records software is required.
Demonstrated knowledge of medication administration, IV therapy, patient assessment, and recognition of adverse reactions.
Strong organizational, communication, critical-thinking, documentation, written, and verbal communication skills.
Professional demeanor and ability to respect patient and family privacy; ability to interact professionally with others and actively listen.
Ability to accurately observe and write clear, cogent narrative accounts in grammatically correct English, and to spell, proofread, and edit written text.
Ability to perform essential nursing duties, including standing, walking, sitting, assisting with patient mobility, using clinical equipment and supplies safely, and responding promptly to changes in patient condition, with or without reasonable accommodation.

Nice To Haves

Previous nursing experience in an outpatient clinic, infusion center, hematology, or a 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, symptom review, allergies, current 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; promptly notify the treating provider of abnormal findings or changes in a patient's condition.
Administer prescribed iron infusions, intravenous fluids, and other non-chemotherapy-related IV and injectable treatments within the RN's scope and demonstrated competency.
Establish and maintain 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 established reaction and emergency protocols and notify providers as needed.
Provide appropriate patient observation before, during, and after treatment; discontinue IV therapy and remove peripheral IV catheters according to procedures.
Document administered treatments, patient tolerance, interventions, and other clinical information accurately and promptly in the electronic health record.
Follow medication safety procedures for verification, labeling, storage, expiration checks, administration, and temperature monitoring; report variances, errors, near misses, adverse reactions, and safety concerns through established processes.
Follow infection prevention and aseptic technique standards; maintain a clean, organized, and appropriately stocked infusion area.
Educate patients about prescribed treatments, administration, potential adverse reactions, expected outcomes, symptoms requiring attention, hydration, follow-up appointments, and ongoing care as applicable.
Provide respectful, compassionate care while protecting patient dignity, privacy, and confidentiality.
Review infusion appointments and ensure required orders, laboratory results, and documentation are available before treatment.
Communicate with providers and clinical staff about 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 initiatives, staff meetings, policy reviews, clinical education, continuing education, and performance improvement activities.
Assist with staff orientation and competency validation as assigned.
Maintain compliance with organizational policies, applicable regulations, professional nursing standards, infection prevention requirements, HIPAA, and OSHA guidelines.
Maintain current RN licensure, required certifications, and clinical competencies, including CPR/BLS certification.
Keep management informed of high-risk situations, clean equipment appropriately, attend fire safety classes and other required education, and adhere to department and office policies.
Demonstrate professionalism, accountability, dependability, effective communication, active listening, and teamwork; accurately observe and document events and proofread written materials.