RN PD - Oncology

Mount Sinai Medical Center•Aventura, FL

About The Position

The RN PD - Oncology provides nursing care in the Medical Oncology department at Mount Sinai Medical Center’s Cancer Center. The role includes oncology-specific responsibilities such as accurately interpreting and double-checking chemotherapy orders, safely administering chemotherapy, educating patients, recognizing and managing oncology emergencies and treatment reactions, and participating in the center’s survivorship program. The nurse performs admission and ongoing assessments, develops and updates interdisciplinary plans of care, administers treatments and medications, documents care and patient outcomes, and evaluates progress toward care goals. The position also includes patient transfers and discharge planning, staff and professional development activities, and compliance with hospital policies and standards.

Requirements

Current Florida licensure.
Associate’s Degree in Nursing.
Basic Life Support certification required.
Level I is entry level.

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 on time, following Joint Commission standards.
Educate patients and document education using approved forms.
Recognize signs and symptoms of oncology emergencies and provide prompt, appropriate management.
Assess and reassess patient pain and document findings.
Identify acute local and systemic reactions, including extravasation and anaphylaxis, and initiate appropriate interventions.
Attend required annual in-services and maintain Basic Life Support and specialty-area certifications.
Delegate patient care responsibilities based on patient and staff competencies.
Maintain a calm, professional manner during crises and emergencies.
Follow protocols for receiving critical results and communicating and following up promptly and accurately.
Participate in the center’s survivorship program.
Demonstrate proficiency in charging services, including E&M levels and CPT, and reconciling charges.
Obtain initial vital signs and admission history, assess the chief complaint, and notify the physician within 15 minutes of the patient’s arrival to the unit.
Complete and document a nursing admission assessment, including physiological and psychological factors, to develop an interdisciplinary plan of care within eight hours of admission.
Perform and document an accurate systems assessment at the beginning of each shift and respond to diagnostic data with appropriate action or intervention.
Assess patient education needs on admission and daily, and assess psychosocial needs based on age, growth, and development.
Initiate an interdisciplinary plan of care within eight hours of admission and prioritize care based on patient needs.
Understand the patient’s diagnosis and interdisciplinary plan of care.
Initiate and document nursing interventions safely and correctly in emergencies.
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 and document effectiveness, and immediately recognize and report adverse reactions.
Provide individualized instructions to patients or significant others each shift regarding the plan of care.
Use unit-specific equipment safely and correctly and meet each patient’s general hygiene needs daily.
Provide pre-operative and post-operative care and instruction to assigned surgical patients during the shift.
Follow standard precautions, including hand hygiene guidelines.
Document patient valuables on the designated form when received and arrange for appropriate storage immediately.
Perform dressing changes using aseptic technique and collect and label ordered specimens according to policy.
Perform bedside glucose monitoring according to policy.
Administer internal feedings through NG, G, and/or J tubes.
Report abnormal findings to the physician immediately and initiate wound and skin protocols when risk is identified.
Provide ostomy care, including irrigation, appliance use, and reinforcement of teaching.
Insert intermittent or indwelling urinary catheters using aseptic technique and administer oxygen therapy according to physician orders.
Transfer patients into and out of the unit efficiently, obtain complete and correct physician orders, complete transfer summaries, ensure referral forms accompany intra-facility transfers, and give or receive report.
Use restraints safely and correctly according to policy.
Document and report patient responses and outcomes related to interventions, treatments, procedures, interactions, and patient or family education.
Evaluate and document patient progress toward established goals and objectives every shift.
Update and revise the patient care problem list and individualized care standards every shift based on patient and family responses, progress, or changes in medical status.
Evaluate length of stay and transfer or discharge planning needs based on anticipated needs, resources, and support systems.
Complete all mandatory hospital and unit-specific in-services annually before the evaluation date.
Plan, present, and document unit in-services as required by level; document clinical competencies annually; and attend staff meetings as required.
Use established communication channels to resolve problems and interpersonal conflicts.