As an integral part of the multidisciplinary team, the float Registered Nurse utilizes the nursing process to provide therapeutic care to patients and their families in the outpatient setting with an emphasis on administering chemotherapy, biotherapy, blood products. The RN is also responsible to manage those patients who require acute care either prior to or instead of admitting the patient. This float position will be required to travel to various treatment centers for coverage and volume needs. The nurse will learn workflows from each location and will be able to provide support across all locations.

Departmental Specific Summary

As an integral part of the multidisciplinary team, the Registered Nurse has in depth knowledge of the infusion clinic operation. The RN utilizes the nursing process to provide therapeutic care to patients and their families in the outpatient setting with an emphasis on administering chemotherapy, biotherapy, blood products, and more. In addition, this position will receive and carry out orders from physicians and coordinate services with lab and other entities participating in patients' care. The RN is also responsible to manage those patients who require acute care either prior to or instead of admitting the patient. This position may need to travel to various treatment centers for coverage and volume needs. The nurse will learn workflows from each location and will be able to provide support across all locations.

Essential Duties

• Follows policies and procedures: demonstrates ability to access online manuals and references
• Transfers learned scientific knowledge into practical application in applying the nursing process
• ASSESSMENT Appropriately completes nursing assessment and screening upon patient arrival to receive therapy.
• DIAGNOSIS Interprets assessment information and formulates nursing diagnosis.
• PLAN Maintains problem list, medication list and allergies list.
• INTERVENTION Administers medications as ordered safely and efficiently utilizing appropriate precautions as necessary. Administers chemotherapy and biotherapy by following correct procedure by policy. Delegates tasks based on others’ scope of practice and competency. Acts as patient advocate as seen by intervening for effective management of side effects.
• DOCUMENTATION Documentation is complete and correct on all forms. Assessment and screening at each appointment including pain scale and review of possible side effects. Consents signed for all invasive procedures and the administration of blood products. Ensures medication is double checked and documented fully and accurately.
• EDUCATION Provides patient and family education as needed based on treatment plan or change in condition.
• EQUIPMENT Maintains B/P machine Maintains IV infusion pumps Monitors volume of equipment alarms Correctly identifies and notifies appropriate department about defective equipment
• COMMUNICATION Communicates effectively with all members of the healthcare team including the patient and family by: DH to inpatient area or department report for urgent patient care situations Appropriate patient/family interactions Effectively triaging phone calls Utilizing e-mail system SBAR
• ORGANIZATION Manages time effectively. Able to organize and prioritize responsibilities. Takes meal breaks without incurring overtime.
• OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals Uses two patient identifiers (Full name and date of birth) Does not use unapproved abbreviations Uses procedural time out for invasive procedures Uses appropriate communication between providers Completes medication reconciliation Maintains audible alarms Hazardous waste management Biohazard Medication Sharps Chemotherapy HIPPA OSHA requirements (ie. No food or drink in clinical areas) JCAHO (continuous survey readiness) Critical values are written, read back and shared with appropriate provider Dictated orders are written down, read back for validation, signed, timed, dated and diagnosis included Maintains a safe work environment for self and others
• QUALITY MEASURES Identifies and participates in data collection and process improvements
• PROFESSIONAL DEVELOPMENT Participates in professional hospital/nursing activities Relief charge nurse Nursing committees/councils Educational workshops Membership in ONS Assist in the development or updating of patient education materials
• Accepts and completes additional duties as assigned
• Professional certification
• Performs other related duties as assigned.

Required Qualifications:

• Req Bachelor’s Degree Degree in Nursing (BSN) required upon hire.
• Req 2 years Experience in a related healthcare setting
• Req Must have reliable means of transportation to travel to various locations.
• Req Must have excellent communication skills, including the ability to speak, read and write English proficiently.
• Req Knowledge of medical procedures and conditions and ability to understand, follow and successfully perform duties, including whole blood collection, and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures.

Preferred Qualifications:

• Pref Master’s degree Degree in Nursing or related field, or in progress * Master’s Degree in Nursing may be in lieu-of Bachelor’s Degree in Nursing.
• Pref Oncology focus experience strongly preferred.
• Pref Experience giving chemotherapy and/or other types of infusions.

Required Licenses/Certifications:

• Req Registered Nurse - RN (CA Board of Registered Nursing)
• Req Basic Life Support (BLS) Healthcare Provider from American Heart Association
• Req ONS Chemotherapy & Biotherapy If no certification upon hire, one must be obtained within 90 days of meeting eligibility criteria.
• Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
• Req Driver's License (CA DMV)
• Req Certification - Job Relevant Current/active Auto Insurance policy.

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