This nursing role focuses on providing compassionate and skilled triage services in cancer care, working with patients to assess their needs and guide them through their treatment journey. The position is for a dedicated Registered Nurse ready to contribute to a dynamic team in an oncology/hematology clinic environment.
Responsibilities
Demonstrate sound knowledge of nursing processes, healthcare systems, and community resources
Understand healthcare technology, equipment, and supplies
Be familiar with state law on nursing care, nurse practice guidelines, and RCCA policies and procedures
Utilize nursing judgment in decision-making when responding to patient calls and questions
Demonstrate critical thinking using logic and reasoning to identify strengths and weaknesses of alternative solutions
Perform assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological, and cognitive status
Formulate a goal-directed plan of care, prioritized and based on determined nursing diagnosis and patient outcomes
Implement care in a knowledgeable, skillful, consistent, and compassionate manner
Establish priorities of patient care based on essential patient needs and available resources
Evaluate the effectiveness of care given by all healthcare team members, including environmental factors
Demonstrate sound knowledge of ONS and OSHA guidelines
Reflect sound knowledge of IV therapy principles in techniques
Reflect sound knowledge of chemotherapy administration principles in techniques
Demonstrate knowledge of medical record documentation requirements and federal/state laws related to health care information release
Maintain and demonstrate knowledge of telephone-based clinical assessment techniques
Demonstrate knowledge of medical practice telephone triage protocols
Demonstrate knowledge of appropriate home health information to follow until a physician visit, if immediate hospitalization is not needed
Be familiar with common side effects of administered drugs and ask patients about them before subsequent cycles
Perform a short evaluation of the patient situation to estimate severity of illness and/or injury, including chief complaint, vital signs, and mental status
Talk directly to patients on the telephone and direct them to home care, a physician visit, or the emergency room
Determine the urgency of seeing the patient based on brief assessment and familiarity with condition and history, conferring with the physician as needed
Provide appropriate home health advice to patients who do not need immediate physician evaluation or ER visit
Send patients with high-risk chief complaints to the ER immediately
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Set up or arrange for appointments for patients needing to be seen by a physician or NP
Handle routine information requests from patients, including reporting lab results and diagnostic testing as directed
Refill patient prescriptions, including obtaining prior-authorizations when necessary
Arrange home care or hospice needs, including appropriate durable medical equipment
Demonstrate competency in physical assessment of oncology and hematology patients
Demonstrate competency in all aspects of chemotherapy administration, monoclonal antibody therapy, IV therapy, subcutaneous and intramuscular injection administration
Practice within ONS guidelines during any adverse event while administering chemotherapy
Demonstrate competency in the use of all intravenous access devices, including intra-hepatic infusion pumps
Demonstrate proficiency in performing all on-site laboratory testing, including documentation and QC
Obtain blood specimens for analysis by fingerstick or venipuncture
Review all specimens for acceptability
Educate patients in proper technique for collection of midstream urine samples for culture
Collect specimens for culture using sterile technique for blood, throat, sputum, or superficial wound cultures
Instruct patients in proper collection of twenty-four-hour urines, verifying containers and instructions
Perform daily Quality Control (QC) on the Hematology Analyzer Instrument and maintain documentation
Investigate all out-of-range results and document corrective action
Dispose of all biohazard waste according to OSHA standards
Perform instrument checks on Coagulation and Glucose Instruments prior to use and maintain documentation
Perform Urinalysis Quality Control if a Urinalysis is performed and maintain documentation
Handle all emergency situations in a calm, efficient, and confident manner
Demonstrate knowledge of standing orders during emergent situations
Notify the physician and nursing manager immediately of any emergency
Document emergency events and outcomes thoroughly and accurately
Identify learning needs of oncology patients and their families and implement appropriate measures
Prepare for and implement chemotherapy teaching sessions for all new chemotherapy patients
Document appropriate information in the patient’s medical record concisely, neatly, and legibly
Document thoroughly the physical assessment, medication administration, and infusions according to guidelines
Charge appropriate services rendered accurately on the RCCA superbill
Document telephone triage encounters accurately in the patient’s medical record
Document all medication refills in the patient’s medical record
Practice OSHA safety standards and maintain Universal Precautions
Dispose of all biohazard waste and adhere to all guidelines
Understand and incorporate infection control into practice by demonstrating sterile and clean technique
Maintain cleanliness of the working environment
Demonstrate effective communication skills, clearly addressing patient issues with the healthcare team
Follow the chain of command appropriately
Comply with all State, Federal, and Local Regulations
Possess good analytical judgment and attention to detail
Demonstrate good problem-solving skills and ability to work under pressure
Conduct practice without discrimination
Demonstrate the ability to work well with peers, ensuring a strong cohesive team
Respect and maintain patient privacy by adhering to HIPAA guidelines
Be aware of legal requirements related to patient care
Direct performance to minimize risk for patients and employees
Appropriately report areas identified as potential risk
Assume responsibility and accountability for individual judgments and actions
Perform duties of LPN, Medical Assistant, Lab Technician, and Clinical Secretary in their absence
Assist in filing and maintaining medical records
Attend two educational in-services yearly to enhance and maintain knowledge
Requirements
Demonstrated knowledge and skills to provide appropriate care to all age groups
Ability to make good professional decisions quickly despite stressful atmosphere
Ability to handle stressful and constantly changing conditions
R.N. Completion of nursing training from an accredited school of nursing
Minimum of two years of professional nursing experience
Current State of N.J. Licensure in Professional Nursing
Current CPR certification
Nice to have:
BSN preferred program
Cancer-specific knowledge base
Out-patient clinic experience
ONS Chemotherapy Certification
Oncology Nurse Certification
Benefits
Health, dental, and vision plans
Wellness program
Health savings account
Flexible spending accounts
401(k) retirement plan
Life insurance
Short-term disability insurance
Long-term disability insurance
Employee Assistance Program (EAP)
Paid Time Off (PTO) and holiday pay
Tuition discounts with numerous universities
Important Details
Schedule: full time
Physical Requirements
Ability to stand and walk for extensive periods of time
Manual and finger dexterity and eye-hand coordination to provide nursing care and operating equipment
Ability to lift up to 50 pounds
Ability to stoop, squat, or bend frequently
Corrected vision and hearing within normal range to observe and communicate with patients and professional staff
Exposure to patient elements including communicable disease and bloodborne pathogens
Exposure to toxic substances, ionizing radiation, medicinal preparations, and other common hazards of an emergency department
About the Company
Regional Cancer Care Associates (RCCA) is dedicated to transforming cancer care.
Regional Cancer Care Associates (RCCA) is one of the nation’s largest and most respected oncology networks, dedicated to advancing cancer care through innovation, collaboration, and compassion.
