Oncology & Infusion Nurse Practitioner

California Specialty Pharmacy,LLC•Fresno, CA

1d•Onsite

About The Position

The Oncology & Infusion Nurse Practitioner provides advanced clinical care and clinical oversight for patients receiving chemotherapy, immunotherapy, targeted therapies, biologic therapies, supportive medications, and other specialty infusion therapies at the Fresno clinic. The role includes assessing patients, evaluating readiness for treatment, reviewing clinical and laboratory parameters, managing treatment-related adverse events and infusion reactions, and collaborating with physicians, pharmacists, and nursing staff to promote safe, evidence-based care. The Nurse Practitioner also provides patient and caregiver education, maintains accurate documentation, supports quality improvement and staff education, and helps ensure compliance with organizational policies and applicable regulatory standards. The role provides clinical guidance to infusion nursing and pharmacy staff, with no direct personnel supervision unless assigned by leadership. The position reports to the Director of Nursing or designee.

Requirements

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program.
Current, active, and unrestricted California Registered Nurse and Nurse Practitioner licenses in good standing.
Current national board certification as a Nurse Practitioner in an applicable population focus.
Current furnishing number and DEA registration when required for assigned responsibilities.
Current BLS certification.
Minimum two years of oncology infusion experience.
Submit to required background screening and other employment requirements.
Able to stand, walk, kneel, and assist patients with transfers and mobility as needed.
Able to respond promptly during infusion reactions and other clinical emergencies.
Vision and hearing sufficient to perform patient assessments and safely use clinical equipment.
Hand dexterity and strength sufficient to operate a keyboard, handle medication supplies, access vials, manage vascular access devices, and program infusion pumps.
Able to perform the essential duties of the position with or without reasonable accommodation.
Current, active, and in-good-standing registered nurse license in the state of employment.

Nice To Haves

ACLS certification.
Current ONS Chemotherapy/Immunotherapy Provider Card or completion within the timeframe established by the organization.
Outpatient infusion center experience.
Demonstrated experience recognizing and managing chemotherapy toxicities, infusion reactions, and oncology-related adverse events.
Knowledge of hazardous drug handling, infection prevention, medication safety, and emergency response procedures.

Responsibilities

Perform comprehensive initial and ongoing patient assessments, including history, physical examination, medication review, symptom evaluation, and review of relevant clinical information.
Evaluate patient readiness for treatment and confirm ordered treatment parameters have been met before therapy begins.
Review laboratory values, diagnostic results, treatment protocols, body surface area calculations, dosing, and provider authorization, as applicable, before chemotherapy administration.
Provide clinical oversight for safe administration of chemotherapy, immunotherapy, targeted therapies, biologic therapies, supportive medications, hydration, and other specialty infusion therapies.
Administer ordered therapies within scope of practice, approved privileges, provider orders, manufacturer recommendations, evidence-based guidelines, and organizational policies.
Collaborate with the treating physician and pharmacist regarding treatment plans, dose modifications, supportive care, contraindications, precautions, and changes in patient condition.
Assess, identify, and manage treatment-related adverse events, toxicities, hypersensitivity reactions, anaphylaxis, extravasation, and other infusion-related complications.
Initiate appropriate interventions during adverse events, including stopping or pausing treatment, providing emergency or supportive care within scope, notifying the physician and pharmacist, and escalating to emergency services or a higher level of care when indicated.
Reassess patients after clinical interventions and document events, interventions, notifications, patient response, and disposition.
Provide on-site clinical consultation and support to infusion nurses regarding patient assessment, symptom management, treatment parameters, adverse-event response, and escalation of care.
Ensure independent double-check processes are completed for chemotherapy and other high-alert medications in accordance with organizational requirements.
Promote compliance with hazardous drug handling requirements, personal protective equipment, spill response procedures, and applicable USP <800>, OSHA, NIOSH, and organizational standards.
Assess and manage venous access devices, including implanted ports, PICCs, central venous catheters, and peripheral IVs, within scope and according to policy and applicable infusion standards.
Observe and evaluate patients before, during, and after therapy for therapeutic response, side effects, adverse reactions, and changes in condition.
Educate patients and caregivers about the treatment plan, expected side effects, self-monitoring, symptom management, safety precautions, and when to contact the care team or seek emergency care.
Develop, evaluate, and update patient plans of care in collaboration with the interdisciplinary team.
Obtain, communicate, and document provider orders and clinical recommendations as permitted within scope of practice.
Maintain timely, complete, and accurate electronic medical record documentation of assessments, treatment decisions, interventions, communications, education, and follow-up care.
Participate in review of adverse events, medication variances, patient safety concerns, and performance improvement activities.
Support development, review, and implementation of oncology and infusion policies, procedures, clinical workflows, and emergency response processes.
Participate in staff education, competency validation, case review, clinic meetings, and ongoing training to maintain clinical expertise.
Maintain aseptic technique, infection prevention practices, and a care environment that supports patient safety and quality.
Adhere to organizational payroll, billing, documentation, privacy, compliance, and professional conduct requirements.
Perform other duties within scope of practice as assigned.