Treatment RN

OneOncology•San Antonio, TX

2d•Onsite

About The Position

The START Center is growing and pioneering premier Cancer Care with leading doctors, advanced diagnostics, and cutting-edge therapies. We offer competitive wages, benefits, and yearly bonus opportunities. This role is for a Chemotherapy Registered Nurse responsible for providing safe, compassionate, and expert nursing care to patients receiving chemotherapy, immunotherapy, biologics, and supportive infusion treatments. The Chemo RN performs focused patient assessments, administers complex IV therapies, monitors for adverse reactions, educates patients and families, and collaborates closely with oncologists and the interdisciplinary team. This role requires specialized oncology knowledge, strong critical-thinking skills, and strict adherence to evidence-based chemotherapy safety standards.

Requirements

Current RN license by the Texas State Board of Nurse Examiners or a Compact RN license until residency is established and a Texas license can be obtained.
Ability to communicate well with physicians, staff, and patients.
Good phlebotomy, venous access, organizational and time management skills required.
Basic computer skills required.

Nice To Haves

1-3 years of oncology infusion or ONS Chemotherapy/Biotherapy Certification

Responsibilities

Administer chemotherapy, immunotherapy, targeted therapy, and related IV medications in accordance with provider orders and evidence-based protocols.
Verify chemotherapy orders, doses, and calculations following institutional safety policies (e.g., double-checks, protocol verification).
Access, de-access, and manage central lines and peripheral IVs.
Monitor patients closely during and after infusions for hypersensitivity, anaphylaxis, or other adverse reactions.
Manage infusion-related complications promptly using clinical judgment and emergency protocols.
Perform focused pre-treatment assessments, including vital signs, lab review, symptom evaluation, and treatment appropriateness.
Identify changes in patient status and communicate significant findings to the Clinic RN and Physician.
Provide emotional support and education about treatment plans, side effects, symptom management, and self-care strategies.
Educate patients on infection prevention, neutropenia and thrombocytopenia precautions, and when to seek urgent care.
Ensure accurate and timely documentation of assessments, medications, reactions, and interventions in the EHR.
Review lab values, diagnostic results, and pre-medication requirements before initiating treatment.
Assist with scheduling and patient flow to maintain an efficient and patient-centered infusion environment.
Follow OSHA, USP Guidelines, ONS/ONCC, and facility standards for handling hazardous drugs and PPE.
Maintain a safe environment for both patients and staff by adhering to infection control and hazardous waste disposal guidelines.
Maintain chemotherapy competency and annual reassessments as required.