Nurse- Ambulatory Hem/ Oncology | BWH

Brigham and Women's Hospital; Boston (MA); On-site; USD 57,000 - 146,000; Full time

Job summary

Brigham and Women's Hospital is seeking an Ambulatory Staff Nurse for the Mass General Brigham Cancer Institute at the Brigham Main Campus in Boston. The role focuses on autonomous ambulatory care within a multidisciplinary cancer care team, coordinating patient plans from prevention to survivorship.

Responsibilities include triage via phone/gateway messages, patient education, and collaboration with physicians and APPs. Onsite work with 40-hour weekly schedule; weekend rotations possible.

Qualifications

• Graduate of an approved school of nursing with current MA registration.
• BSN required for newly licensed nurses.
• OCN chemotherapy certification required.

Responsibilities

• Serve as a point of contact with patients in ambulatory/outpatient settings to ensure optimal clinical management with the multidisciplinary care team.
• Communicate with patients via daily telephone triage and Gateway messages.
• Assist in triage of symptom management and guide patients to appropriate level of care.
• Monitor patients at home for toxicities related to chemo/surgery/radiation.
• Coordinate home services including visiting nursing and palliative care.
• Perform blood draws and maintenance of central lines; document injections and IV therapies.

Skills

Hematology/oncology nursing

Port access

IV insertion

Intrathecal (IT) chemotherapy

Education

Massachusetts RN license

BSN for new grads

OCN chemotherapy certification

Job description

Site: The Brigham and Women's Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Hematology Oncology Ambulatory Triage - Multidisciplinary Clinic

Staff Nurse RN | 40 Hours, Variable, Rotating (Mainly Days) | MGB Cancer Institute at BWH | Main Campus Location

Clinic is typically open Monday through Friday however the hospital may at a later date include weekend rotation if necessary.

AMBULATORY STAFF NURSE Mass General Brigham Cancer Institute at Brigham and Women's Hospital

Mass General Brigham Cancer Center is at the forefront in providing specialized, coordinated cancer care and includes over 500 dedicated cancer specialists and more than 30 multidisciplinary disease centers and programs. The new outpatient clinic/practice will be in a newly built practice location on the BWH Main campus.

About this Outpatient Staff Nurse job

The Staff Nurse practices at a high level of autonomy and accountability in collaboration with the multidisciplinary care team to provide a continuum of patient care from prevention, early detection, diagnosis, treatment, follow-up, palliation, bereavement and survivorship. They are integral in coordinating patient care through specialized clinical centers and programs, including our partners in radiation oncology, surgery and clinical research, to develop and implement a personalized care plan for each patient aimed at achieving optimum clinical outcomes.

The Staff Nurse systematically and continuously collects and assesses data related to patient health status to develop, execute, and evaluate the plan of care in the ambulatory/outpatient care setting. They provide necessary assessments, administer treatments, and communicate with the multidisciplinary care team.

The Staff Nurse provides patient and family education and psychosocial and emotional support. They ensure that care is safe, holistic, efficient, effective, timely and meets the cultural, spiritual, and ethnic needs of each patient and family.

While this position supports an MGBCI cost center operationally, the Staff Nurse functions within the Brigham and Women's Hospital Department of Nursing professional governance structure, and all nursing staff maintain reporting alignment through BWH nursing leadership.

Responsibilities

• Serves as a point of contact with patients at home and in the ambulatory/outpatient setting to ensure optimal clinical management in collaboration with attending physicians, advanced practice providers, fellow nurses, support staff and other members of the multidisciplinary care team.
• Communicates with patients via daily telephone triage and Gateway messages.
• Assists in triage of symptom management and medical urgencies/emergencies to attending physicians and advanced practice providers and guides the patient to the appropriate level of care in the appropriate time frame.
• Monitors patients at home for anticipated chemotherapy/surgery/radiation-associated toxicities, and screening for unanticipated toxicities/events.
• Coordinates home services including, but not limited to, visiting nursing, palliative care and hospice, home infusion, laboratory services and monitoring, etc.
• Coordinates and performs blood draws and routine flushing and maintenance of central lines, including dressing changes.
• Coordinates, performs, and documents injections and vaccinations per protocol.
• Coordinates, performs and documents intravenous therapies within the practice and in collaboration with the Short Stay Infusion Units.
• Assists attending physicians and advanced practice providers with outpatient diagnostic and therapeutic procedures including, but not limited to, bone marrow biopsies, IT Chemo, lumbar punctures, etc.
• Educates patients and families about their disease, treatment plan, medications, and home care needs.
• Provides assistance with disability forms, FMLA forms, Advanced Directives, and pre-authorizations as needed.
• Assesses psychosocial needs of patients and families. Communicates with social services or psych for follow-up.
• Ability to problem-solve, function as a resource to other members of the multidisciplinary care team and resolve complex issues on behalf of providers and patients.
• Comfort in a practice environment that promotes patient-centered care and willingness to advocate for patients and families.
• Exceptional organizational skills and flexibility to manage multiple tasks and adapt to quickly changing situations.
• Knowledge of computer applications necessary to function in an ambulatory/outpatient setting.
• Maintains and updates clinical knowledge and skills, as they relate to specialty practice and clinical expertise, based on the most up-to-date knowledge, research and current evidence-based practices.
• Flexibility to work seamlessly within different specialty clinics.

Additional Job Description

The I CARE Standards guide me in my interactions with patients, family members, visitors, colleagues, and neighbors in my workplace and surrounding community to optimize the Brigham experience and help fulfill my role in our mission of providing seamless, high quality patient and family centered care.

C. I will Communicate my commitment to high quality performance

A. I will Appear and act as a professional

R. I will Respect all individuals

E. I will Extend myself

Qualifications

To qualify you must have:

Education

• Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses.
• OCN chemotherapy certification required.

Experience

• Two or more years of hematology/oncology nursing experience required.
• Recent experience with port access and peripheral IV insertion required.
• Demonstrated experience assisting with and/or managing care related to bone marrow biopsies and aspirations required.
• Experience coordinating and monitoring patients undergoing lumbar punctures and administration of intrathecal (IT) chemotherapy required.
• Knowledge of leukemia, lymphoma, multiple myeloma, and other hematologic malignancies required.
• Experience in hematology/oncology triage required.
• Strong clinical assessment skills in the ambulatory oncology and infusion settings preferred.

Other

• Membership in professional organizations is recommended and nursing certification in Ambulatory Care or an Ambulatory Specialty area is preferred.
• Able to work weekend rotation per the MNA contract.

Additional Job Details (if applicable)

• Must demonstrate observational skills and the ability to set priorities.
• Must be able to function under stress with good interpersonal and communication skills.
• Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.

Remote Type

Onsite

Work Location

60 Fenwood Road

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$41.71 - $105.65/Hourly

Grade

MNA333At

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected under Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership \"looks like\" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.