Registered Nurse - Oncology (Chemo) |
| November 12, 2012 - December 03, 2012 |
| Location: | Greenville, NC |
| Employment Type: | Full Time |
| Department: | Clinical Services |
| Description: | The Hematology/Oncology registered nurse is qualified to safely administer chemotherapy by various routes following policies set forth by Physicians East and the Nurse Practice Act. The Registered Nurse will assume responsibility for chemotherapy drug preparation and administration in order to assure quality patient care and maintain the highest standards of patient and personal safety. |
| Duties: | 1. After adequate educational preparation and orientation, the nurse should demonstrate knowledge and skills in the following areas:
a. Pharmacology of antineoplastic agents
b. Handling, preparation and disposal of drugs
c. Principles of chemotherapy administration
d. Chemotherapy related intravenous therapy skills
e. Vascular access device management
f. Common problems encountered by patients and families
g. Assessment and management of chemotherapy induced side effects
h. Patient/family education relevant to chemotherapy
i. Patient and family’s ability to manage the patient’s post chemotherapy care in the home
j. Available resources in the home
k. Delegating to and supervising clinical activities of other licensed and unlicensed personnel within the guidelines set forth by the North Carolina Board of Nursing.
2. Participation in continuing education on chemotherapy and oncology related topics are recommended.
3. All patients receiving chemotherapy agents, whether investigational or noninvestigational, receive information in a manner conducive to their understanding before receiving the drug(s). When a patient agrees to participate in the research study, a written consent should be signed by the patient and becomes a permanent part of the medical record.
a. Patients are informed of the therapeutic benefits and risks of treatment, in the degree of detail they desire.
b. There is documentation of the patient’s level of understanding of the treatment prior to the initiation of therapy.
c. Consent is obtained at the initiation of treatment and applies unless the patient withdraws consent.
d. If the patient is a minor or appears incapable of getting informed consent, the nurse should consult appropriate administrative resources to determine individual institution/physician’s policy.
e. Although the physician has primary responsibility for obtaining the informed consent, the nurse shares that responsibility.
4. The nurse facilitates the exchange of information which includes but is not limited to the following:
a. A discussion of the nature of the illness and the nature and goal of the treatment
b. A description of the proposed treatment plan
c. A review of significant risks associated side effects and toxicities
d. The names of professionals who will carry out the treatment and be involved in the patient’s care during therapy.
5. The nurse participates in the informed consent process by
a. Reinforcing, clarifying or supplementing the information imparted by the physician
b. Assisting the patient and family in formulating questions and articulating concerns to the physician
c. Communicating in patient/family/physician perceptions of treatment goals, long or short-term effects and prognostic information to the physician prior to initiating therapy.
d. When written consent is required, it should be signed by the patient, witnessed and placed with the appropriate medical documents as specified by QMS.
6. Encourage sound infection control methods utilizing standard universal precautions and following OSHA guidelines set forth by Physicians East policy.
7. Keep POD manager informed of incidents or high risk situations.
8. Promote cost containment measures.
9. Present a professional image and follow dress codes as per office policy.
10. Maintain yearly CPR certification.
11. Attend fire safety classes, OSHA classes, clinical meetings and other continuing education classes as offered by Physicians East.
12. Maintain licensure in accordance with North Carolina Board of Nursing.
This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.
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| Qualifications: | Graduate of an accredited school of nursing. One year of professional nursing experience in a chemotherapy clinic setting preferred. |
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