Registered Practical Nurse - Oncology Clinic (GEN)

Scarborough Health Network•Granbury, TX

13d•$36 - $39•Onsite

About The Position

Reporting to the Manager of the Cancer Care and Hematology Clinics, the Registered Practical Nurse (RPN) will be responsible for providing excellent care alongside a multidisciplinary interprofessional team to a diverse adult patient population who require cancer care and hematology services. Scarborough Health Network’s (SHN) Cancer Care program aims to provide comprehensive, coordinated, and high-quality care for patients in Scarborough. As a member of the Cancer Care and Hematology Clinic team, working in direct collaboration with the RN, the RPN will: provide care to address the physical, psychological, social, spiritual and educational needs of oncology and hematology patients and their families. The RPN is accountable for the provision of care in accordance with the ‘standards of practice’ as delineated by the College of Nurses of Ontario. The RPN provides care autonomously to meet the holistic needs of individuals experiencing care situations with predicable outcomes and low risk for negative outcomes. When encountering patients with care needs in situations beyond this, the RPN will work in collaboration/consultation with the RN and other care providers.

Requirements

Current registration as a Registered Practice Nurse with the College of Nurses of Ontario (CNO)
Registered Practical Nurse Diploma from an accredited community college
Membership in RPNAO is an asset
Current BCLS
Mandatory - Successfully completes and obtains the Oncology Nursing Society (ONS) Fundamentals of Chemotherapy and Immunotherapy Administration course / ONS Fundamentals Provider Card within first 2 months of hire/transfer
Mandatory - Successfully obtains ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification within first 6 months of hire/transfer
Mandatory - After obtaining initial ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification, must successfully maintain ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification every 2 years for the duration of employment with the Cancer Care and Hematology Clinics
Mandatory - Experience within last three (3) years caring for patients with cancer diagnoses and their families
Experience and competency with IV insertion, CVAD (PICC/PORT care, including accessing, de-accessing, flushing, blood draws and dressing changes
Demonstrates knowledge, experience and the ability to care for patients with the following: initiation and maintenance of IV therapy, administration of IV medication, blood and blood product administration, blood glucose monitoring, routine and additional infection control precautions, normal and abnormal lab values
Competency in administering sub-cutaneous and intramuscular injections
Experience in providing patients and families with health teaching
Demonstrated strong interpersonal skills
Ability to respond in emergency situations
Ability to lift, turn, and transfer patients manually and with mechanical aids
Effective oral and written communications skills
Able to clearly articulate and document nursing assessments and patients' goals of care
Familiar and comfortable with electronic documentation (EPIC)
Demonstrated strong organizational, prioritization and problem-solving skills
Willingness to participate in process improvement
Demonstrated commitment to maintain Reflective Practice Standards as outlined by the College of Nurses of Ontario
Demonstrated commitment to our core values of Inclusion, Compassion, Innovation, Courageous
Must have a satisfactory attendance and performance record
Demonstrated understanding of and commitment to SHN comprehensive safety programs and practices including staff safety, patient safety and environmental safety and participation in regular in-service education sessions
Engages in ethical conduct and strives to understand and appreciate the diversity of our patient/staff population and community
Strong work ethic and commitment is required
Demonstrated professionalism and reliability

Nice To Haves

Membership in RPNAO is an asset

Responsibilities

Provide support for patient care in the Cancer Care and Hematology clinics by executing the following tasks:
Vital Signs assessments
Initial, follow-up and Symptom assessment
Health Teaching
Equipment set up (e.g. priming IV lines)
Initiation, management, and discontinuation of venous access devices (peripheral and central)
Administration of supportive medications: Such as pre-medications (PO/IV/S/C)
Administration of supportive interventions not directly related to systemic treatments such as blood transfusions, hydrations, electrolyte corrections, iron transfusions
Supportive interventions directly related to systemic treatment such as taking vital signs and conducting assessment of patients
Initiation of IV, CVAD, SC, IM, IV Administration of supportive medications including pre-medications for systemic treatment treating hypercalcemia, hormone injections and growth factors (e.g. filgrastim, peg filgrastim).
Blood draws from CVADs for lab work
Specimen collection (urine/stool/wound)
Assisting in Bone Marrow Biopsy procedure
Pre and post care for patient going for procedures (e.g. paracentesis, etc.)
Provides support to the interprofessional team members in delivering and coordinating care within the clinic
Works closely with the RNs to provide optimal patient care and continuity
Liaise with physicians, nurse practitioners, pharmacists, unit clerks, social workers, registered dietitians, and home and community care coordinators as required to ensure the provision of seamless coordinated patient care planning
Maintain clean working environment and disinfect patient care equipment/chairs/stretchers/rooms as per IPAC practices after each patient
Maintains professional development by attending/participating in systemic therapy and hematology clinical lunch and learn sessions, participates in ongoing continuing education initiatives
Successfully completes and obtains the Oncology Nursing Society (ONS) Fundamentals of Chemotherapy and Immunotherapy Administration course / ONS Fundamentals Provider Card within first 2 months of hire/transfer
Successfully obtains ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification within first 6 months of hire/transfer
After obtaining initial ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification, must successfully maintain ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification every 2 years for the duration of employment with the Cancer Care and Hematology Clinics
Maintains a current knowledge base regarding evidenced-based practices for the patient with cancer and hematological diagnoses
Upon successfully obtaining the ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification, additional drug administration responsibility for the following:
Regimens with low/no potential of infusion reaction
Regimens containing non-vesicant drugs
Medical condition of patient is stable
Treatments with predictable and manageable immediate responses and low risk of negative outcomes
Examples of regimens (after RN administered first cycle of treatment):
Gemcitabine (when administered as a single agent)
Maintenance therapies, such as trastuzumab, rituximab and pemetrexed, where multiple cycles have been given with no issue
Immunotherapy as monotherapy
Bortezomib injections
FOLFIRI
Bendamustine
Panitumumab

Benefits

Defined Benefit pension plan through the Healthcare of Ontario Pension Plan
Comprehensive insured benefits package including health and dental benefits
New Graduate Initiative
Enroute Program
Critical Care Sponsorship Program
Employee Discount and Incentive Programs
Employee and Family Assistance Program (EFAP), along with other comprehensive wellness offerings, including our Spiritual Care team of registered psychotherapists for spiritual, religious or emotional care; mental health supports; and on-site wellness rounding
Recognition events
Leadership Development and Learning Programs
Tuition Assistance Program