Registered Nurse, Hematology Oncology Triage/Clinic, 27 Hours (Days)

BMC Software•Boston, MA

1d•$38 - $79

About The Position

The Registered Nurse provides professional performance and direct patient care in accordance with the American Nurses Association’s standards, Massachusetts Board of Registration in Nursing regulations, and established agency policies, procedures, protocols, guidelines, and standards of practice. Under the general supervision of the Nurse Manager, the nurse uses the nursing process to assess, diagnose, plan, intervene, evaluate, and coordinate care for patients and families across the health care continuum, and is accountable for clinical, educational, quality, and fiscal patient care outcomes. In the Hematology Oncology Triage/Clinic, the nurse administers ordered injections, disconnects pumps, gives vaccines, triages telephone calls, makes provider-directed follow-up calls, handles prescription refill requests, and coordinates home care referrals. Telephone triage involves assessing callers without visual or face-to-face interaction, determining acuity, recommending appropriate care or referrals, providing health information and home-care guidance, and directing callers to emergency services when necessary. The nurse documents triage and refill information in the electronic health record and communicates relevant information to providers. The role also includes working with providers and clinic staff, scheduling appointments, reviewing and triaging laboratory and imaging results, performing patient vitals, medication reconciliation and health histories, and preparing patient records for visits. The nurse supports providers during visits and performs ordered office procedures, including EKGs, PFTs, and assistance with bone marrow and surgical procedures. Nurse-only visits may include blood pressure checks, immunizations, injections, and education.

Requirements

Nursing degree: diploma, Associate of Science in Nursing (ASN), or Bachelor of Science in Nursing (BSN); ability to obtain a BSN within four years.
Current RN licensure in good standing in Massachusetts, required by the start date.
Current Basic Life Support (BLS) certification by the start date.
ONS chemotherapy provider card, required or to be obtained during orientation.
At least one year of experience, with demonstrated competence in nursing care and independent decision-making in adult primary care.
Basic computer proficiency, including accessing, entering, and interpreting computerized information.
Effective interpersonal, verbal, written, and telephone communication skills.
Organizational skills to set priorities and complete assigned work efficiently.
Analytical ability to solve clinical nursing issues and conduct quality-improvement or research-utilization projects.
Ability to delegate appropriate patient care activities effectively.
Physical ability to meet core job responsibilities in accordance with practice-setting demands.
Ability to manage stress related to critical patient-care issues, organizational change, and personnel matters.
Sound judgment and decision-making skills in clinical triage.
Pleasant telephone manner and excellent customer service skills, including needs assessment and evaluation of customer satisfaction.
Knowledge of electronic medical record systems and their use.
Time-management skills and ability to prioritize and manage multiple tasks.
Knowledge of primary care clinical procedures and processes involved in delivering quality care.
Ability to communicate effectively with supervisors, peers, patients, families, and customers, and to work both independently with minimal supervision and collaboratively as part of a team.
General office abilities, including typing at a minimum of 40 words per minute and faxing.
Reading comprehension skills and computer literacy.
Excellent command of the English language.
Ability to obtain OCN certification within two years of hire.

Nice To Haves

BSN.
Two years of nursing experience.
ONS chemotherapy provider card already obtained.
OCN certification.
Experience in hematology/oncology, emergency medicine, triage, or adult ambulatory care.
Previous experience with surgical oncology, transplants, stem cell transplants, or amyloidosis.
Recent port access, peripheral IV insertion, and clinical assessment skills.
Experience with drains, wound vacs, and assisting with minor procedures.
Multilingual skills beyond English in languages appropriate to the patient populations served.

Responsibilities

Use all steps of the nursing process to provide timely, safe, efficient, appropriate, patient-centered care.
Administer ordered injections and vaccines and disconnect pumps.
Triage telephone calls from patients, families, community members, and referring offices; prioritize calls by clinical acuity and direct callers to appropriate emergency services or follow-up care when indicated.
Assess callers, provide health information and home-care advice, and facilitate access to providers, services, and community resources.
Make follow-up calls to patients as instructed by providers, including calls to high-risk patients to assess status or confirm appropriate treatment.
Handle patient and pharmacy prescription refill requests, review the medical record, document recommended prescriptions, and submit them for provider review and approval.
Coordinate home care referrals and work closely with providers, nurses, and other medical center staff.
Document triage information and patient care details in applicable electronic health record systems and communicate additional documentation to physicians for follow-up.
Schedule appointments for primary care physicians and specialists.
Review and triage laboratory and X-ray results and notify practitioners of critical values.
Perform patient vitals, medication reconciliation, and health histories, and document findings in the electronic medical record.
Review patient information before visits to ensure charts, laboratory results, consultations, and other required information are available to providers.
Implement interventions in the nursing and medical plan of care and evaluate progress toward clinical and educational outcomes.
Provide and guide patient teaching, counseling, and indicated medical recommendations.
Perform ordered in-office procedures, including EKGs and PFTs, and assist with bone marrow and surgical procedures.
Conduct nurse-only visits, including blood pressure checks, immunizations, injections, and education.
Meet nursing practice and professional performance standards and contribute to quality assessment, efficient managed care, and patient satisfaction.
Perform other related duties as required.