Registered Nurse

OneOncology•Murfreesboro, TN

About The Position

Provides safe, quality patient care throughout treatment and the disease process, from diagnosis through end of life. Supports patients in managing and living with their diagnosis while maintaining autonomy and independence through appropriate disease, symptom, and psychosocial management. The nurse coordinates direct care with providers and other team members, administers oncology and other therapies, supports clinical research where applicable, and documents patient care and services in the electronic medical record.

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; within nine months of hire for those with less than one year of oncology experience at hire.
  • Current Tennessee Oncology-approved BLS provider card.
  • Knowledge of nursing principles and practices.
  • Knowledge of 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 cope with death and dying.
  • Ability to collaborate with the health care team to develop personalized treatment plans for cancer patients.
  • Ability and willingness to lift up to 50 pounds, remain upright on the feet most of the time, and remain in a stationary position less than one-third of the time.
  • Ability to communicate, distinguish sounds, and visualize; regular manual dexterity.

Nice To Haves

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

Responsibilities

  • Coordinate and perform direct patient care in collaboration with providers and other care team members.
  • Review, update, and verify that required patient information is available before and during visits.
  • Collaborate with physicians and providers to assess and treat symptoms related to disease, treatment, progression, and acute illness.
  • Perform telephone triage using critical assessment skills.
  • Start peripheral IVs and manage central venous access devices, including accessing and deaccessing implanted ports.
  • Mix and administer chemotherapy and other drugs according to Tennessee Oncology standards after training and competency validation.
  • Administer and document chemotherapy, biologic, targeted, and applicable research-study therapies according to practice standards.
  • Follow drug-cabinet policies and procedures for verification, administration, documentation, and billing.
  • Document charges for services performed and medications administered.
  • Ensure timely collection of ordered laboratory specimens.
  • Monitor PT/INR results and collaborate with providers to manage anticoagulation and Coumadin therapy.
  • Manage prescription and refill-extension requests according to policy and standards.
  • Assist with provider-performed procedures, including bone marrow 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 teaching and informed-consent information.
  • Complete paperwork for patient assistance, employment, insurance, FMLA, and short- and long-term disability.
  • Screen patients for needs and distress; provide counseling and interventions and refer them to appropriate community or support services.
  • 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.
  • Take responsibility for personal and professional growth and complete assigned training, continuing education, and competency validations on time.
  • Collaborate daily with dedicated clinic SCRI nurses, where applicable, to follow research protocols and complete required SCRI paperwork in the paper chart.
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