Maintains an environment of safety for patients, self and others and supports patient safety initiatives.
High level assessment skills needed to review and recognize patient's biophysical, sociological, psychosocial, age specific and safety needs.
Assesses patient's current performance status, VS, current lab values, body surface area, required diagnostic tests/results and the physician's written order prior to administration of hazardous drugs. Assess patient's readiness to receive chemotherapy drugs relative to set parameters, physican orders, dianostic tests, pharmaceutical regimens and patient's pertinenent medication history.
Initiate a patient education plan according to learning level/needs/readiness of oncology patient, prescribed treatment regimens/chemotherapeutic agents. Ensure the oncology patient has obtained all prescription medication prior to chemotherapy administration. Obtain physician order for all necessary diagnostic tests required prior to IV infusion or oral chemotherapy.
Administers hazardous drugs/chemotherapy and assesses/monitors patient throughout infusion with strict adherence to Rex Policy and Procedure and ONS guidelines using personal protective equipment.
Documents medical history, medication history, hospitalizations, falls risks, medication reactions/patient concerns from previous hazardous drug treatment and addresses with physician, advanced practice practitioner or patient as appropriate. Documents current treatment pharmaceutical protocol and physical assessment into medical record accordeing to Rex Policy.
Proficient in loading, unloading, connecting, disconnecting and troubleshooting problems with the continuous medication administration pumps (i.e. CADD, CURLIN, etc). Abides by safe handling guidelines as recommended by Rex Policy, OSHA, ONS, etc.).
Participates in clinical trials ensuring regulatory compliance and patient safety is maintained.
Must utilize comprehensive high level expertise in understanding pharmacology; including dose and disease specific cancer knowledge, standards of practice for protocols and research based on diagnosis and prognostic indicators.
Utilizes high level critical thinking skills in recognition of potential reactions and adverse events related to administration of hazardous drugs and chemotherapy.
Utilizes high level critical thinking skills and double checking system to ensure accuracy in a variety of clinical areas including medication administration, compliance, infection control (high risk/immunocompromised patients) and patient safety. Continuously learning about oncology topics inorder to stay current with new practices and medications.
Recognizes, supports, and utilizes evidence based nursing practices. Participates in performance improvement and quality improvement activities. Adhere to the American Nurses Associaltion Code of Ethics.
Utilize critical thinking skills in telephone triage in high risk population for oncologic emergencies. Advise appropriate plan of care and document rationale for medical advice given.