RN, Allergy & Clinical Immunology

Oregon Health & Science University•Portland, OR
•Onsite

About The Position

The Allergy and Clinical Immunology Registered Nurse (RN) is an integral member of the interdisciplinary healthcare team and part of the Medicine Specialties clinical nursing staff supporting the Allergy and Clinical Immunology practice. The RN works closely with the ACI Medical Director and the Medicine Specialties Nurse Manager to support safe, efficient clinical operations and provide high-quality specialty nursing care to pediatric, adult, and geriatric patients with allergic, asthmatic, and immunologic disorders. Using professional nursing judgment and specialty knowledge, the RN performs comprehensive nursing assessments, telephone and electronic triage, care coordination, and evidence-based patient and family education. The RN assesses and prioritizes acute and changing clinical conditions, including allergic reactions and risk for anaphylaxis; initiates appropriate nursing interventions; and escalates care when clinically indicated. The role also coordinates follow-up care, testing, referrals, medication management, and communication across the interdisciplinary healthcare team. The RN provides nursing care and support for specialty diagnostic and therapeutic procedures, including allergy skin testing, medication and food challenges, subcutaneous immunotherapy (SCIT), oral immunotherapy (OIT), and biologic therapies. This includes patient assessment and preparation, medication administration, monitoring for therapeutic and adverse effects, recognition and management of allergic reactions, patient and caregiver education, and accurate clinical documentation. Care is provided within the RN scope of practice and established organizational policies, protocols, and clinical workflows. The RN contributes to efficient clinical operations, quality improvement, evidence-based practice, and the advancement of specialty nursing care. The position may support patient flow and clinical operations; maintain medication, infection prevention, equipment, and regulatory standards; contribute to clinical workflows, protocols, policies, and educational resources; support staff education and competency development; and serve as a clinical resource. The RN demonstrates professional nursing leadership through clinical expertise, collaboration, mentorship, precepting, shared governance or committee participation, and contributions to initiatives that improve patient safety, clinical outcomes, consistency of care, and the patient and family experience. The ACI clinic provides comprehensive, evidence-based evaluation, diagnosis, and management of pediatric, adult, and geriatric patients with allergic, asthmatic, and immunologic disorders. Care is provided in outpatient clinics in Portland and Beaverton and through inpatient consultation services at OHSU and Doernbecher Children’s Hospital. Its multidisciplinary team includes physicians, advanced practice providers, fellows, residents, nurses, and other healthcare professionals.

Requirements

  • Minimum two years of clinical nursing experience within the last five years. New graduate RNs who successfully completed a senior practicum in OHSU’s Allergy and Clinical Immunology practice and demonstrate the required knowledge, skills, and competencies may be considered.
  • BSN graduates must have a baccalaureate degree in nursing from a CCNE-, ACEN-, or CNEA-accredited program 30 days before the start date.
  • ADN graduates must have an associate degree in nursing from an accredited program 30 days before the start date.
  • Associate degree nurses must enroll in a BSN program within three years of hire and complete it within five years of hire.
  • Current, unencumbered Oregon State Registered Nurse license.
  • Current, unencumbered Washington State Registered Nurse license or ability to obtain one within six months of hire.
  • BLS from AHA is required; new hires will be enrolled and must complete it during orientation.
  • Ability to perform the essential functions of the position with or without accommodation.

Nice To Haves

  • National certification in ambulatory care nursing or another relevant specialty certification.
  • Recent nursing experience within the last five years in an Allergy and Clinical Immunology practice caring for pediatric and adult patients with allergic, asthmatic, and immunologic disorders.
  • Experience with allergy specialty therapies and procedures, including SCIT, OIT, biologic therapies, allergy skin testing, and medication or food challenges.

Responsibilities

  • Perform comprehensive nursing assessments, telephone and electronic triage, care coordination, and patient and family education.
  • Assess and prioritize acute and changing clinical conditions, including allergic reactions and risk for anaphylaxis; initiate appropriate nursing interventions and escalate care when indicated.
  • Coordinate follow-up care, testing, referrals, medication management, and interdisciplinary communication.
  • Provide nursing care and support for allergy skin testing, medication and food challenges, SCIT, OIT, and biologic therapies.
  • Assess and prepare patients; administer medications; monitor therapeutic and adverse effects; recognize and manage allergic reactions; educate patients and caregivers; and document care accurately.
  • Support patient flow and clinical operations and maintain medication, infection prevention, equipment, and regulatory standards.
  • Contribute to clinical workflows, protocols, policies, and educational resources; support staff education and competency development; and serve as a clinical resource.
  • Contribute to quality improvement, evidence-based practice, and specialty nursing advancement.
  • Demonstrate nursing leadership through collaboration, mentorship, precepting, shared governance or committee participation, and initiatives to improve patient safety, clinical outcomes, care consistency, and patient and family experience.
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