Nurse-Float

OneOncology•Lake Worth, FL

About The Position

Hematology Oncology Associates of the Palm Beaches is seeking a Nurse-Float to provide nursing care across its offices, including travel to satellite locations as needed. The practice provides cancer treatments and care for coagulation disorders, leukemias, and other benign hematologic conditions. The role includes comprehensive patient assessment; verification and administration of prescribed treatments; vascular access care; monitoring and responding to treatment reactions and emergencies; patient and caregiver education; accurate electronic health record documentation; and coordination with providers, pharmacy, and the interdisciplinary team. The nurse also supports safe medication handling, infection prevention, quality improvement, emergency readiness, patient experience, regulatory compliance, and maintenance of the treatment area. Participation in meetings, education, competency validation, orientation, and cross-training is required.

Responsibilities

  • Perform comprehensive pre-treatment and ongoing nursing assessments, including vital signs, symptoms, pain, functional status, allergies, medication reconciliation, laboratory results, treatment parameters, and changes in condition.
  • Verify provider orders, treatment plans, informed consent, laboratory values, patient identity, drug, dose, route, rate, sequencing, timing, and required independent double checks before administration.
  • Administer antineoplastic agents, immunotherapies, biologic agents, blood products, hydration, electrolyte replacement, supportive medications, injections, and other prescribed therapies within scope of practice and demonstrated competency.
  • Establish, access, assess, maintain, and discontinue peripheral intravenous lines and central venous access devices, including implanted ports and peripherally inserted central catheters, following policy and infection-prevention standards.
  • Monitor patients during and after treatment and recognize and manage infusion reactions, hypersensitivity or anaphylaxis, extravasation, treatment-related toxicities, and other clinical emergencies according to protocols and provider direction.
  • Educate patients and caregivers about treatment, medications, possible adverse effects, symptom management, infection prevention, nutrition and hydration, when to contact the office, and when to seek emergency care; confirm understanding.
  • Document assessments, medication administration, vascular access care, patient education, treatment response, communications, and follow-up accurately and promptly in the electronic health record.
  • Communicate significant assessment findings, abnormal laboratory results, changes in condition, missed treatments, medication concerns, and barriers to care to the appropriate provider and interdisciplinary team.
  • Coordinate with pharmacy to support accurate and timely preparation, delivery, administration, and disposition of hazardous and nonhazardous medications.
  • Follow safe-handling requirements for hazardous drugs and use required engineering controls, personal protective equipment, spill procedures, and waste-disposal processes.
  • Maintain emergency readiness by checking the availability and integrity of emergency medications, equipment, supplies, and required logs, and respond appropriately to emergencies.
  • Support infection prevention, medication safety, quality improvement, incident reporting, patient experience, and regulatory readiness activities.
  • Maintain a clean, organized, adequately stocked treatment area; identify supply or equipment needs and promptly report malfunctions.
  • Participate in staff meetings, education, competency validation, orientation, cross-training, and other activities required by the practice.
  • Protect patient privacy and confidential information and comply with HIPAA, OSHA, applicable federal and state requirements, and practice policies.
  • Perform other duties within the scope of the position as assigned.
  • Travel to satellite locations and float to other offices as needed.
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