Registered Nurse

OneOncology•Gallatin, TN

About The Position

Provides patients with safe, quality care throughout treatment and the disease process, from diagnosis through end of life. Helps patients manage and live with their diagnosis while retaining autonomy and independence through appropriate disease, symptom, and psychosocial management. The nurse coordinates and performs direct patient care in collaboration with physicians, providers, and other care team members; provides oncology treatments and patient education; and supports research activity where applicable. The role also includes documentation, inventory and supply management, supervision of LPNs, CNAs, and MAs, and travel to other Tennessee Oncology clinics as needed.

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 Tennessee Oncology-approved BLS provider card.
  • Current ONS Chemotherapy/Biotherapy card required within six months of hire; within nine months of hire for candidates with less than one year of oncology experience at hire.
  • Knowledge of nursing principles and practices, oncology practices and treatments, and current developments in cancer diagnosis and therapy.
  • Ability to administer chemotherapy and other treatment therapies.
  • Ability to empathize with patients and families and manage 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.
  • Willingness and ability to lift up to 50 pounds.
  • Ability to 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.
  • Knowledge of research practices for Phase I, II, and III clinical trials.
  • Ability to serve as an oncology resource to colleagues, allied health personnel, and healthcare consumers.

Responsibilities

  • Coordinate and perform direct patient care in collaboration with other care providers and 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 using critical assessment skills to evaluate patient concerns and needs.
  • Start peripheral IVs and manage central venous access devices, including accessing and deaccessing implanted ports.
  • Mix or administer chemotherapy and other drugs according to Tennessee Oncology standards after training and competency validation.
  • Administer and document chemotherapy, biologic, targeted therapy, and applicable research study drugs 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 work with providers to manage anticoagulation and Coumadin therapy.
  • Manage prescription and refill-extension requests according to policy and procedure.
  • Assist with provider-performed procedures, such as 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 or information provided during informed consent.
  • Complete paperwork for patient assistance, employment, insurance, FMLA, and short- and long-term disability needs.
  • 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 in it.
  • Complete required drug and sample inventory counts, supply requests, waste documentation, audits, and billing entries.
  • Inform the Clinic or 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 support research-protocol adherence and required SCRI documentation in paper charts.
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