Registered Nurse Oncology Infusion

Mount Sinai Medical Center•Aventura, FL

20h

About The Position

The Registered Nurse Oncology Infusion provides comprehensive nursing care for oncology patients, including assessment, review of laboratory and diagnostic results, treatment preparation, monitoring, triage, symptom management, education, and coordination with providers and interdisciplinary teams. The nurse identifies treatment toxicities, disease progression, complications, and oncologic emergencies, responding promptly and escalating concerns through established channels. The role includes safe administration of chemotherapy, biotherapy, and immunotherapy according to hospital policy and ONS guidelines. Responsibilities include reviewing pre-administration checklists, completing required two-nurse medication checks, monitoring patients during treatment, managing extravasation or anaphylactic reactions, following blood transfusion protocols, and handling chemotherapy waste and spills using appropriate equipment and PPE. The nurse documents care and communication accurately in EPIC and follows applicable Joint Commission standards. The position also involves reinforcing informed consent and treatment understanding, providing individualized education about diagnoses and therapies, supporting survivorship and supportive care initiatives, and referring patients to appropriate multidisciplinary resources. A current Florida nursing license and an associate degree in nursing are required. BLS is required, while a BSN is preferred. Level II applicants need at least two years of specialty experience in an inpatient or outpatient setting and/or medical-surgical experience, along with the ability to perform the role independently.

Requirements

Current licensure in the state of Florida.
Associate degree in nursing.
BLS certification is required.
Level II: minimum of 2 years of experience in the specialty in an inpatient or outpatient setting, and/or medical-surgical experience.
Ability to independently perform the job requirements, tasks, and responsibilities of the position.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Demonstrate a calm, professional manner during crises and emergency situations in the patient care environment.
Perform comprehensive nursing assessments for oncology patients.
Review laboratory values, diagnostic testing, treatment plans, and clinical documentation before provider visits and treatment initiation.
Interpret chemotherapy orders accurately, including calculating BSA and ANC.
Assess treatment-related toxicities and communicate findings to providers.
Monitor patients for disease progression, complications, and treatment-related concerns.
Provide triage and symptom management for acute and chronic oncology-related issues.
Identify signs and symptoms of oncologic emergencies and provide timely, appropriate management.
Prioritize patient care and complete assigned duties within the shift.
Participate in survivorship planning and supportive care initiatives.
Communicate effectively with patients, families, physicians, and interdisciplinary teams.
Review and interpret laboratory results, relay critical results to providers, and document them promptly in EPIC.
Reinforce informed consent and patient understanding of treatment.
Educate patients about treatment side effects, emergency symptoms, and self-management strategies.
Use established communication channels to resolve problems and interpersonal conflict.
Understand the patient's diagnosis and interdisciplinary plan of care.
Provide individualized education on diagnoses, treatment options, chemotherapy, immunotherapy, targeted therapies, oral agents, symptom management, and supportive care.
Escalate concerns to the nursing leadership team using the chain of command.
Complete nursing documentation accurately and promptly in accordance with Joint Commission standards.
Use EPIC to document assessments, interventions, referrals, and staff communication accurately.
Safely initiate and document nursing interventions during emergencies.
Follow approved protocols for receiving critical results and communicating and following up accurately and promptly.
Understand and demonstrate the use of departmental equipment.
Follow hospital chemotherapy, biotherapy, and immunotherapy protocols, including checklist review, required two-nurse checks, monitoring, medication disposal, line or port care, discharge instructions, and appointment confirmation.
Safely administer chemotherapy and dispose of chemotherapy waste and equipment according to ONS guidelines.
Identify acute local and systemic reactions, including extravasation and anaphylaxis, and provide appropriate interventions.
Follow blood product transfusion protocols and manage transfusion reactions according to protocol.
Use the chemotherapy spill kit and approved PPE during chemotherapy and biotherapy administration and disposal, in accordance with institutional policy.
Understand signs and symptoms of oncologic emergencies and emergency or symptom management.
Reinforce treatment goals and confirm understanding through patient-centered teaching.
Collaborate with physicians, pharmacy, laboratory services, research teams, social work, navigation, and support services, referring patients as needed.