Registered Nurse (Float)

Tennessee Oncology•Nashville, TN

11d

About The Position

The Registered Nurse (Float) provides safe, quality patient care throughout cancer treatment and the disease process, from diagnosis through end of life. The role helps patients manage their diagnosis while maintaining autonomy and independence through appropriate disease, symptom, and psychosocial management. The nurse coordinates direct care with physicians and other team members, supports treatment and research activities as applicable to the clinic, and travels to other Tennessee Oncology clinics as needed. The position also supervises LPNs, CNAs, and MAs and contributes to clinic operations, documentation, inventory, and ongoing professional development.

Requirements

Current Tennessee or compact-state RN license.
At least one year of RN experience; this may be waived with Executive Director of Nursing approval.
Current ONS Chemotherapy/Biotherapy card required within six months of hire, or within nine months of hire for candidates with less than one year of oncology experience at the time of hire.
Current Tennessee Oncology-approved BLS provider card.
Knowledge of nursing principles and practices, oncology practices and treatments, and current developments in cancer diagnosis and therapy.
Knowledge of research practices for Phase I, II, and III clinical trials.
Ability to administer chemotherapy and other treatment therapies.
Ability to empathize with patients and families and handle grief and challenging patient interactions.
Ability to collaborate with the healthcare team to develop personalized treatment plans for cancer patients.
Ability to cope with death and dying.

Nice To Haves

Oncology certification is strongly recommended within two years of hire.
Experience in an outpatient facility is preferred.

Responsibilities

Coordinate and provide direct patient care in collaboration with physicians, providers, and other care team members.
Review, update, and verify that required patient data is available before and during each visit.
Collaborate with physicians and providers to assess and treat symptoms related to disease, treatment, disease progression, and acute illnesses.
Perform telephone triage and assess and evaluate patient concerns and needs.
Start peripheral IVs and manage central venous access devices, including accessing and deaccessing implanted ports.
Mix and/or administer chemotherapy and other drugs according to Tennessee Oncology standards after training and competency validation.
Administer and document chemotherapy, biologic, targeted therapy, and research study drugs when applicable to the clinic, following practice standards.
Follow drug-cabinet policies and procedures for drug verification, administration, documentation, and billing.
Document charges for services and medications administered, and ensure timely collection of ordered laboratory specimens.
Monitor PT/INR results and work with providers to manage anticoagulation and Coumadin therapy.
Manage prescription and refill-extension requests according to Tennessee Oncology policies and standards.
Assist with provider-performed procedures, such as bone marrow biopsies and skin punch biopsies.
Coordinate supportive care with appropriate hospital staff, including blood product transfusions.
Educate patients and document readiness to learn and understanding of information provided, including during informed consent.
Complete forms and paperwork related to patient assistance, employment, insurance, FMLA, and short- and long-term disability.
Screen patients for needs and distress, provide appropriate counseling and interventions, and refer them to community or support services as appropriate.
Use an empathetic and caring approach with patients.
Navigate the electronic medical record and document patient information and services performed.
Complete required drug and sample inventory counts, supply requests, waste documentation, audits, and billing entries.
Inform the Clinic/Operations Manager of clinic needs and work-environment concerns.
Supervise LPNs, CNAs, and MAs; stock and manage inventory and supplies.
Generate and review daily clinical reports for completion and accuracy.
Adhere to practice standards, policies, and procedures.
Travel to other Tennessee Oncology clinics as needed.
Participate in committees and focus groups as requested.
Complete assigned training, continuing education, and competency validations on time, and take responsibility for personal and professional growth.
Collaborate daily with dedicated clinic SCRI nurses, when applicable, to support research-protocol adherence and required SCRI documentation in paper charts.