Med/Onc RN - Oncology ( 24 hrs/wk; days)
GENERAL SUMMARY: Under the direction of the Director, Oncology Services, assesses the health care needs of cancer patients and formulates, implements, and evaluates a plan of care. Provides direct care, including the administration of chemotherapy, blood products, and other therapies related to cancer management. Functions as a resource person, educator, and counselor to patients and families dealing with the diagnosis and treatment of cancer. Ensures quality and safe delivery of care to patientsin the following age groups: All ages; Neonate; Infancy; Toddler; Preschool; School age; Adolescent; Adult; Geriatric.
PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Performs an assessment of the medical, physical, and emotional status of cancer patients and families. Designs, implements, and evaluates a plan of care based on age appropriateness and educational abilities. Reviews and interprets diagnostic findings and participates in the development of a treatment strategy. Develops an individualized approach to care based on situations presented by the patient. 2. Provides direct patient care to each patient and family, including phlebotomy, administration of chemotherapy, and administration of blood products and medications associated with cancer treatment. Works to prevent or minimize side effects and complications of treatment and the disease process. Intervenes to minimize severity of predicted effects. Collaborates with physicians in a multidisciplinary manner for the safe, competent, integrated delivery of care. 3. Provides guidance and counseling to patients and family members, assisting with the various psychosocial responses to a diagnosis of cancer. Works to mobilize patients to identify and implement lifestyle changes which enhance quality of life. Provides educational materials and opportunities to allay fears and develop a positive approach to disease management. 4. Ensures safe and efficient patient triage daily within the unit. Adjusts the schedule and assignments as needed to ensure the best care delivery. Monitors patient flow and responds to needs in a prioritized manner. Works to ensure minimal waiting times and smooth flow. 5. Serves as a consultant for the Medical Center and community in the management of cancer care. Collaborates with the patient care units for the education and competency of the staff.
KNOWLEDGE, EXPERIENCE, AND OTHER JOB REQUIREMENTS: 1. Level of knowledge equivalent to that ordinarily acquired through completion of a Bachelor's Degree in nursing. Current licensure as a registered nurse in Massachusetts. 2. Minimum of two years of acute care oncology experience, one year in an ambulatory setting. 3. Expert IV and phlebotomy skills. Familiarity with VAD's and Central Access Systems.
ESSENTIAL PHYSICAL JOB FUNCTIONS
1. Ability to communicate face to face with individuals; communicate via call system with individuals; communicate via telephone with individuals; read, write, speak and understand the English language
1. Ability to hear heart, lung and bowel sounds; blood pressure, and fetal heart sounds using stethoscope; respiratory sounds without stethoscope; patient verbalizations – speech, crying, moans, etc; monitor alarms, fire alarms, positive pressure room alarms.
1. Requires (Near/Far/Depth/Color) vision for patient assessment, charting, computer use, lab tests, read monitors, injections, vitals, blood draw, measurements
1. Ability to vertically/horizontally transfer objects weighing up to 10 lbs from 69 inches to 26 inches, up to two times an hour for a distance of up to 150 feet without mechanical assistance. (example: Linens)
2. Ability to vertically/horizontally transfer objects weighting up to 10 lbs from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts)
3. Ability to vertically/horizontally transfer objects weighing up to 15 lbs from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual)
4. Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank)
5. Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors)
1. Ability to push/pull IV poles and Blood Pressure machine for patient care. Must be able to horizontally transfer IV poles and Blood Pressure machine requiring a force of up to 1 lb., up to ten times an hour for a distance up to 50 ft.
2. Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs (total weight of 250 lbs), up to once an hour for a distance up to 200 ft.
3. Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs (total weight of 410 lbs), up to once an hour for a distance up to 200 ft.
4. Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs (total weight of 713 lbs/2 =357 lbs.) five times an hour for a distance up to 50 ft.
5. Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs, up to five times an hour.
6. Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs, up to six times a day.
7. Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs, up to six times an hour (one time in ten minutes).
1. Ability to climb stairs up to 80 steps an hour in a twelve hour time period.
1. Ability to perform bilateral coupling forces up to 5 lbs, up to ten times an hour for paperwork and patient care.
1. Ability to perform repetitive assumption of posture to access a point 1 inch from floor up to ten times an hour. Must be able to access low areas for changing linens and straightening patient’s rooms.
1. Ability to tolerate a seated posture up to 15 minutes, continuously, for a total of up to 2 hours per 12 hour time period.
2. Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period.
1. Assume a squat. Reaching from 1” height on floor, returning to upright position (10 times).
1. Ability to walk up to 3 miles in a 12 hour time period.
Ability to use and wear Personal Protective Equipment (PPE), gloves, mask, gown, goggles, face shield.