Oncology/Infusion RN, Martha's Vineyard Hospital

Mass General Brigham•Oak Bluffs, MA

2d•$39 - $94•Onsite

About The Position

The primary purpose of your job is to provide nursing services in Oncology/Infusion in accordance with the current applicable Federal, State and local standards, guidelines and regulations and established policies and procedures as may be directed by the CEO, Director of Physician Services, CNE and practice providers. The Chemotherapy/IV therapy Nurse functions as an experienced clinical Registered Nurse in coordinating patient care and collaborating with other care providers and health team members to provide high-quality care of patients needing outpatient infusion therapy. This nurse acts as a patient guide and advocate by assisting patients and families to seek information, ensuring informed consent regarding treatment decisions and promoting the maximal level of patient-desired independence. This nurse is accountable for delivering care to the patient within the framework of the nursing process. This is a clinical position assuming department wide responsibility. Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned. Must be willing to work additional/irregular shifts as on occasion to meet patient needs. May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports. Must be available to work overtime as needed to complete all job duties. Must be available to work in the case of a Hospital declared emergency.

Requirements

Associate's Degree Nursing required
Registered Nurse [RN - State of MA License] -required.
Current nursing standards of practice required.
Previous demonstration of leadership skills and experience required.
Ability to tactfully communicate with both internal and external customers.
Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.
Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.
Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.
BLS/CPR certification required within one week of hire. AHA & ARC accepted.
Current chemotherapy/biotherapy card required within 3 months of employment.

Nice To Haves

Bachelor's Degree Nursing preferred.
Med/Surg, Infusion, LDRP: 1 year of prior, related medical/surgical experience preferred.
Infusion: Strong IV skills or certification preferred.

Responsibilities

Systematically and continually collects data regarding the health status of the patient, communicating this data in a timely manner with other members of the health care team as needed.
Collects pertinent objective and subjective data in a timely, ongoing, systematic, and culturally competent manner.
Collects data from multiple sources, including the patient, the family, the interdisciplinary cancer care team members, and the community using appropriate assessment techniques.
Uses theoretical and evidence-based concepts in nursing to assess individual patient populations.
Collects data in problem areas that may include but are not limited to health promotion, patient/family education, coping, comfort, nutrition, complementary and alternative medicine, protective mechanisms, mobility, gastrointestinal and urinary function, sexuality, cardiopulmonary function, oncology emergencies, end-stage renal disease, psychosocial issues and palliative and end-of-life care.
Determines nursing diagnoses and potential problem statements from assessment data.
Formulates nursing diagnoses that conform to an accepted classification system.
Develops individualized nursing diagnoses that are physically, psychosocially, spiritually, and culturally appropriate to the patient.
Ensures nursing diagnoses reflect the patient’s actual or potential health problems.
Validates nursing diagnoses with the patient, family, and interdisciplinary care team when possible.
Initiates patient plan of care using assessment data upon admission based on age specific needs.
Incorporates into the patient plan of care: nursing diagnosis specific to the patient’s actual problems/needs, nursing diagnosis which reflects complex etiology, individual teaching plans using identified teaching needs, nursing interventions consistent with nursing diagnosis and etiology, and attainable goals with target dates.
Documents nursing intervention and patient’s response by the end of the treatments according to established procedures.
Implements discharge plans by making appropriate referrals to other health care services and implementing individualized teaching plan based on actual discharge needs.
Formulates the patient plan of care based on acceptable standards of practice.
Communicates the patient plan of care (written/verbal) through established procedures.
Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.
Implements patient’s plan of care in collaboration with patient, family members and significant others.
Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.
Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.
Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.
Reports unusual occurrences to Clinical Nurse Leader/Director of Nursing, and/or MD as appropriate.
Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.
Ensures that the plan of care is implemented to achieve the identified expected outcomes for the patient.
Administers safely and documents medication regimen according to established protocols with no more than one documented error per year.
Uses standard precautions as outlined in the Departmental Infection Control Manual.
Utilizes learning principles as demonstrated by the documentation of teaching outcomes.
Systematically and regularly evaluates the patient’s response to interventions to determine progress toward achievement of expected outcomes.
Ensures that the patient/family and the members of the interdisciplinary care team participate collaboratively in the evaluation process when possible.
Maintains a systematic and ongoing evaluation process.
Collects evaluation data from all pertinent sources.
Compares actual findings to expected findings.
Reviews and revises the nursing diagnoses, expected outcomes and plan of care based on the findings of the evaluation process.
Uses evidence-based research in the evaluation of expected outcomes.
Communicates the patient’s response with the interdisciplinary cancer care team and other agencies involved in the healthcare continuum.
Documents the findings of the evaluation in the patient’s record.
Demonstrates competency in equipment, age specific assessment and intervention, procedures such as IV therapy, and medication administration, as listed on annual competency assessment form.
Attends all mandatory hospital/unit-based in-services.
Actively participates in 75% of unit staff meetings, patient care conferences, and/or one project relevant to the unit per year.
Maintains an environment that is committed to high standards of patient care and supportive of nursing personnel providing that care.
Assumes responsibility and accountability in providing open communication, consensus decision-making, group goal setting and shared responsibility.
Functions in a collaborative and collegial relationship with other health professionals and providers.
Demonstrates consideration toward patients, family and other hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which shows concern, dignity and respect.
Adheres to hospital/department policy and dresses in a manner that represents the nursing profession as a professional; maintaining personal cleanliness of dress and hygiene, wearing ID badge.
Participates in performance improvement and in activities designed for professional growth.
Reviews and signs all in-service updates.
Identifies own deficits in knowledge and pursues venues to enhance learning.
Uses credible, evidence-based educational resources.
Identifies and meets individual goals annually which are congruent with the Nursing Departments long and short-term goals.
Involved in decision making process by participating in committees one unit/department-based project.
Maintains order of the department by maintaining adequate stock of supplies and ensuring adequate forms for the clinical record, patient education etc.
Maintains equipment, participates in the recommendation and purchase of new equipment.
Assists in the performance improvement plan by gathering data and recommending implementation of a plan of action.