Registered Nurse - Outpatient Hematology Oncology

Registered Nurse Outpatient Hematology / Oncology (Day shifts)Boston MA 02118Schedule: 24 32 & 36 hr shifts available MustHavesRegistration and current RN licensure in the state of MA in good standing required.Current basic life support (BLS) certification.Bio/chemo certificate required within one month of hire OCN preferred: must obtain within 2 years of hire.Minimum 1 year experience 2 years preferred with demonstrated competence in all aspects of nursing care and independent decision making in adult primary care. NiceToHavesPrevious hem/onc experience preferred. Will consider candidates with two years of recent infusion ER ICU med/surg experience.Previous experience with surgical oncology transplants stem cell transplants or amyloidosis preferred.Recent port access peripheral IV insertion and clinical assessment skills preferredPrevious skills with drains wound vacs and assisting with minor procedures preferredExperience with administration of chemotherapy/immunotherapy agents preferred The registered nurse adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment diagnosis planning intervention evaluation and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical educational quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies procedures protocols guidelines and standards of practice. ESSENTIAL RESPONSIBILITIES / DUTIES: Consistently and effectively utilizes all steps of the nursing process in the provision of timely safe efficient and appropriate patient/centered care.Responsibilities include administration of ordered injections pump disconnects and vaccines triage telephone calls from patient families and community or referring office follow up calls to patients as instructed by the provider prescription refills home care referrals and work closely with providers and nursing in clinic.Meets and follows all standards of nursing practice care and standards of professional performance of a registered staff nurse.Prioritize incoming calls based on clinical acuity. Determine the severity of the callers complaint. Direct the caller to the appropriate emergency services if necessary recommend the suggested medical followup based on their assessments and established triage protocols and provide health informationUsing the nursing process analyzes the assessment data to determine appropriate nursing diagnoses and facilitates access to the health care system and/or negotiates a satisfactory resolution to the issue.Work closely with providers nurses and all other members of the medical center staff by demonstrating effective communication teaching and negotiating skills.Accountable for quality assessment efficient managed care and patient satisfaction in collaboration with the health care team. Implements interventions identified in the nursing and medical plan of care.Provides and guides patient teaching counseling and indicated medical recommendations while maintaining standards of professional nursing practice.Document patient/pharmacy requests for prescription refills reviewing patient medical record and documenting recommended script in the patient medical record for provider review and approval.Schedule appointments for the primary care physician group and specialists.Review and triage the lab/xray results received in the office and notify the medical practitioner of critical values.Making followup calls to highrisk patients may also involve allowing the nurse to assess changes of status or to ensure that the patient sought the appropriate treatment.Documents information provided to patients during triage in any/all applicable electronic health record systems.Responsible for communicating to respective physicians any additional documentation/notes from triage event(s) that physician may need for followup patient care.Performs patient vitals medication reconciliation health histories and documents same in electronic medical record for provider reviewPerforms previsit review of patient information to ensure required information from patient chart lab results consults etc. are available in the electronic medical record for provider during visitEvaluates the patients progress toward the attainment of clinical and educational outcomes.Performs in office procedures such as EKGs PFTs assists with bone marrows surgical procedures etc. as ordered by the provider.Performs Nurse Only visits for patients that do not require a physician or NP such as BP checks immunizations injections education etc.Other related duties as required. JOB REQUIREMENTS Registration and current RN licensure in the state of MA in good standing required.Requires current basic life support (BLS) certification.Bio/chemo certificate required.ONS chemotherapy provider card within 60 days of hire OCN preferred: must obtain within 2 years of hire.Minimum 1 year experience 2 years preferred with demonstrated competence in all aspects of nursing care and independent decision making in hematology/oncology required.Previous experience with hematology/oncology triage surgical oncology transplants stem cell transplants or amyloidosis preferred.Recent port access peripheral IV insertion and clinical assessment skills preferredPrevious skills with drains wound vacs and assisting with minor procedures preferredAdditional certifications may be required for certain practice areas KNOWLEDGE AND SKILLS: Basic computer proficiency inclusive of ability to access enters and interpret computerized data/information.Effective interpersonal skills to facilitate communication with various members of the health care team patients and families.Organizational skills to set priorities and efficiently complete assigned work.Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.Relevant clinical experience and/or specialty certification required for certain practice areas e.g. enterstomal therapy epidemiology perioperative areas.Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.Ability to effectively delegate appropriate patient care activities.Effective verbal and written communication skills appropriate to the patient populations served.Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served.Ability to effectively manage stress due to critical issues related to patient care changing organizational climate and personnel issues.Ability to utilize judgment and decisionmaking skills in performing triage exemplifying sound clinical judgment.Pleasant telephone manner.Excellent customer service skills and personal service knowledge including needs assessment meeting quality standards for services and evaluation of customer satisfaction.Knowledge of electronic medical record systems and their usage.Outstanding written verbal telephone and interpersonal communication skills including time management (ability to prioritize and effectively manage multiple tasks).Knowledge of primary care clinical procedures and all processes involved in the delivery of quality care.Ability to effectively communicate information to supervisor peers or customers.Ability to work both effectively with minimal supervision as well as with fellow staff as a team.General office abilities including minimum of 40 wpm typing and faxing.Reading comprehension skills and computer literacy required.Excellent command of the English language is required.