Nurse- Ambulatory Hem/ Oncology | BWH

Mass General Brigham•Boston, MA

9d•$42 - $106•Onsite

About The Position

The Staff Nurse works in the Mass General Brigham Cancer Institute’s ambulatory hematology/oncology multidisciplinary clinic at Brigham and Women’s Hospital. In collaboration with the multidisciplinary care team, the nurse provides autonomous, accountable care across prevention, diagnosis, treatment, follow-up, palliation, bereavement, and survivorship. The role coordinates personalized care plans with specialists in areas including radiation oncology, surgery, and clinical research, and systematically assesses patient health, develops and evaluates care plans, administers treatments, and communicates with the care team. The nurse provides patient and family education and psychosocial and emotional support, while ensuring care is safe, holistic, timely, efficient, effective, and responsive to cultural, spiritual, and ethnic needs. The clinic is on the BWH Main campus and is typically open Monday through Friday. The position is 40 hours per week, primarily days with variable, rotating scheduling; weekend rotation may be added if necessary. The role supports an MGBCI cost center operationally and follows the BWH Department of Nursing professional governance and reporting structure.

Requirements

Graduate of an approved school of nursing.
Current Massachusetts nursing registration.
Bachelor of Science in Nursing required for newly licensed nurses.
OCN chemotherapy certification required.
At least two years of hematology/oncology nursing experience.
Recent experience with port access and peripheral IV insertion.
Experience assisting with and/or managing care related to bone marrow biopsies and aspirations.
Experience coordinating and monitoring patients undergoing lumbar punctures and administration of intrathecal chemotherapy.
Knowledge of leukemia, lymphoma, multiple myeloma, and other hematologic malignancies.
Experience in hematology/oncology triage.
Ability to work weekend rotation under the MNA contract.
Demonstrated analytic thinking necessary to care for a group of patients.
Observational skills and ability to set priorities.
Ability to function under stress with good interpersonal and communication skills.
Ability to apply hospital standards for service, teamwork, communication, respect, and time and priority management.

Nice To Haves

Strong clinical assessment skills in ambulatory oncology and infusion settings.
Membership in professional organizations is recommended.
Nursing certification in Ambulatory Care or an Ambulatory Specialty area is preferred.

Responsibilities

Serve as a point of contact for patients at home and in the ambulatory setting, coordinating optimal clinical management with physicians, advanced practice providers, nurses, support staff, and other care team members.
Communicate with patients through daily telephone triage and Gateway messages.
Triage symptoms and medical urgencies or emergencies to physicians and advanced practice providers, and guide patients to the appropriate level of care and timeframe.
Monitor patients at home for expected treatment toxicities and screen for unexpected toxicities or events related to chemotherapy, surgery, and radiation.
Coordinate home services, including visiting nursing, palliative care, hospice, home infusion, laboratory services, and monitoring.
Coordinate and perform blood draws and routine central-line flushing and maintenance, including dressing changes.
Coordinate, perform, and document injections and vaccinations according to protocol.
Coordinate, perform, and document intravenous therapies in the practice and in collaboration with Short Stay Infusion Units.
Assist physicians and advanced practice providers with outpatient diagnostic and therapeutic procedures, including bone marrow biopsies, intrathecal chemotherapy, and lumbar punctures.
Educate patients and families about disease, treatment plans, medications, and home-care needs.
Assist with disability and FMLA forms, advance directives, and pre-authorizations as needed.
Assess psychosocial needs and communicate with social services or psychiatry for follow-up.
Problem-solve, serve as a resource to the multidisciplinary care team, and resolve complex issues for providers and patients.
Advocate for patients and families in a patient-centered practice environment.
Organize and manage multiple tasks while adapting to changing situations.
Use computer applications necessary for ambulatory/outpatient practice.
Maintain and update specialty clinical knowledge and skills using current research and evidence-based practices.
Work flexibly across different specialty clinics.
Follow the I CARE Standards in interactions with patients, families, visitors, colleagues, and the community.
Demonstrate observational skills, set priorities, function under stress, communicate effectively, work as a team, respect others, and manage time and priorities.