RN SR

US Oncology Inc.; Roanoke (VA); On-site; USD 63,000 - 97,000; Full time

Job summary

US Oncology Inc. in Roanoke, VA is seeking an experienced registered nurse to provide professional oncology care under supervision, adhering to national and company standards.

The role supports an interdisciplinary team, administers chemotherapy and hydration, monitors patient condition, documents assessments, and educates patients and caregivers. A BSN with seven years of nursing, including three in oncology, and OCN certification is required, along with RN license and CPR.

Qualifications

• BSN degree with nursing licensure and OCN certification.
• At least seven years nursing experience, including oncology.
• Current CPR certification and ongoing CE requirements.

Responsibilities

• Mixes and administers chemotherapy, hydration and other medications under physician direction.
• Assists physician with exams and procedures; maintains patient flow in/out of exam rooms.
• Records patient data prior to each physician visit: vitals, height, weight, allergies, medication changes.
• Maintains exam room disinfection; assesses patient condition and initiates appropriate action.
• Completes chemotherapy charge forms; ensures pre-authorization and consent forms are obtained.
• Assists with ambulatory infusion pump use and documentation of pump usage.
• Facilitates dose modification by assessing patient, labs, protocol, and physician consultation.
• Performs venipuncture, port access and central line care.
• Administers medications/blood products with correct dosage, route and time.
• Operates infusion pumps and provides pump-use instruction to patient/caregiver.
• Documents nursing assessments, teaching and administration in patient chart; communicates with physician.
• Ensures nursing charges on fee slips; supports medical assistants.
• Triages patient calls; assesses needs and provides teaching and referrals as needed.
• Manages medication refill requests from pharmacy line and records in chart.
• Follows OSHA guidelines for cytotoxic agents and biohazardous materials.
• Maintains patient confidentiality.
• Other duties as assigned.

Skills

Oncology nursing

Patient care

Medication administration

Vital signs assessment

Education

BSN degree

OCN certification

RN license

CPR certification

Tools

Venipuncture equipment

Infusion pumps

Port access devices

Medical records tools

Job description

Overview

Under minimal supervision, provides professional nursing care for patients adhering to national and company standards and guidelines for specialty regulations. Demonstrates knowledge of physiological, psychological, and developmental and age specific differences in the patient population including late adolescence, adulthood, middle age, and the elderly. Collaborates with the interdisciplinary team to provide for assessment and therapeutic management of patient/family needs. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Mixes and administers chemotherapy, hydration and other medications under the direction and supervision of a physician.
• Assists physician with exams and procedures. Maintains efficient and appropriate patient flow in and out of exam rooms.
• Records patient data prior to each physician visit, including but not limited to, vital signs, height, weight, allergies, medication changes.
• Maintains all exam room disinfection protocols. Assesses patients for changes in condition, including but not limited to abnormal labs, x-rays, scans, drug reactions and initiates appropriate action.
• Maintains knowledge of reimbursement procedures. Completes all chemotherapy charge forms. Assures pre-authorization and appropriate consent forms are obtained prior to administration of therapies.
• Demonstrates knowledge of ambulatory infusion pump use and maintenance, cleaning pumps after use, and proper documentation of pump usage.
• Facilitates dose modification by assessing patient, assessing labs, consulting protocol or treatment plan, calculating dose, and consulting physician regarding dosage modifications, problems, and symptom management.
• Performs venipuncture, accesses implanted ports and maintains central lines catheter devices.
• Administers all medications/blood products using correct medication/blood product, dosage/amount, route, time and technique.
• Displays appropriate technical skills for the administration of chemotherapy, medications and blood products, to include, but not limited to: venipuncture, central line access and infusion devices.
• Programs portable infusion pumps for continuous drug delivery and provides instruction to the patient and/or caregiver in the use of the pump at home.
• Documents nursing assessments, patient teaching and fluid and medication administration in the patient chart. Communicates all pertinent information and any interventions to the physician.
• Assures nursing charges are accurate and complete on patient fee slips. Acts as a resource person to the medical assistants.
• Triages patient phone calls as needed and documents relevant information in the patient's chart. Assesses patient/family needs and provides teaching and other instructional material. Demonstrates awareness of community resources available to patients and assists with referrals if necessary.
• Manages patient medication refill requests from the pharmacy telephone line and records the information in the patient chart.
• Follows OSHA guidelines when handling cytotoxic agents, biohazardous waste and any other material potentially infected with a blood borne pathogen.
• Maintains patient confidentiality.

-Other duties as assigned.

Qualifications

BSN degree with at least seven (7) years nursing experience, including at least three years oncology nursing experience, with current OCN certification required. Experience and knowledge of the purpose and use of medications in the treatment of cancer. RN state license and current registration with the State Board of Nursing in practicing state. Current CPR certification required. Must maintain continuing education requirements.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.

Pay Scale

The general pay scale for this position at BRCC is $62,933.07-$96,824.00. The actual hiring rate is dependent on many factors, including but not limited to prior work experience, education, job/position responsibilities, location, work performance, etc.