RN PD - Oncology

Mount Sinai Medical Center of Florida•Aventura, FL

About The Position

The RN PD - Oncology provides nursing care in the MS Cancer Center Medical Oncology Aventura department. The role includes oncology-specific responsibilities and the assessment, planning, implementation, and evaluation of patient care. The nurse interprets and double-checks chemotherapy orders, safely administers chemotherapy, educates patients, identifies and responds to oncology emergencies and treatment reactions, and documents care in accordance with applicable standards and hospital policies. The role also includes coordinating care with patients, families, physicians, and other care team members; maintaining clinical certifications and competencies; and participating in staff and professional development activities.

Requirements

Current licensure in the state of Florida.
Associate’s degree in Nursing.
Basic Life Support certification is required.
Complete mandatory annual in-services and maintain annual competency in clinical skills.
Maintain certification in the specialty area.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Interpret chemotherapy orders accurately, including calculating BSA and ANC, and double-check orders using patient identifiers.
Safely administer chemotherapy and dispose of chemotherapy waste and equipment according to ONS guidelines.
Complete nursing documentation accurately and promptly, following Joint Commission standards; provide and document patient education using approved forms.
Identify signs and symptoms of oncology emergencies and respond appropriately; identify and manage acute local or systemic reactions, including extravasation or anaphylaxis.
Assess and document pain complaints and findings; communicate critical results and follow up promptly according to approved protocol.
Participate in the center’s survivorship program and accurately charge and reconcile services, including E&M levels and CPT.
Perform initial vital signs and admission history; assess the chief complaint and notify the physician within 15 minutes of arrival to the unit.
Complete and document nursing admission and systems assessments, identify physiological, psychological, and psychosocial needs, and assess education needs.
Initiate an interdisciplinary plan of care within eight hours of admission and prioritize and complete assigned care duties during the shift.
Carry out and document nursing interventions, including emergency interventions, and evaluate patient responses, outcomes, and progress toward goals each shift.
Perform a 24-hour chart check at the beginning of each shift.
Administer, observe, and document intravenous therapy according to hospital policy; administer medications within 30 minutes of scheduled time, observe their effectiveness, and report adverse reactions immediately.
Provide individualized instructions to patients and significant others regarding the plan of care, and ensure daily hygiene needs are met.
Provide pre-operative and post-operative care and instructions for assigned surgical patients during the shift.
Follow standard precautions and hand hygiene guidelines; perform dressing changes using aseptic technique; collect and label ordered specimens according to policy.
Perform bedside glucose monitoring, administer internal feedings via NG, G, or J tubes, and report abnormal findings immediately to the physician.
Initiate wound and skin protocols when risks are identified; provide ostomy care and insert intermittent or indwelling urinary catheters using aseptic technique.
Administer oxygen therapy according to physician orders and use unit-specific equipment and restraints safely and correctly.
Document patient valuables and arrange for appropriate storage; coordinate patient transfers, complete transfer summaries, and ensure referral forms and handoffs accompany intra-facility transfers.
Update patient care problem lists and individualized care standards based on patient and family responses, progress, or changes in medical status; evaluate length of stay and transfer or discharge planning needs.
Delegate patient care responsibilities according to patient and staff competencies and maintain a calm, professional manner during emergencies.
Complete mandatory hospital and unit-specific in-services, maintain clinical skills competency and required certifications, attend staff meetings, and use established communication channels to resolve problems and conflicts.
Maintain current Basic Life Support certification and certification in the specialty area.