Registered Nurse RN - Medical Oncology

apartment MyMichigan Health location_onMidland, MI, US

Summary

Up to 14K sign on bonus for qualified candidates

The medical oncology unit will consist of patients with a cancer diagnosis, medical step-down patients, and general medical overflow. This position has basic knowledge of pathophysiology of cancer and is able to assess, plan, implement and evaluate care for patients on this unit.

Employees who are in the casual position are required to pick up shifts as outlined in the Midland Nursing Casual Employee Policy.

Responsibilities

(30%)* Regularly assesses patients/clients needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.

(30%)* Provides direct patient care, including nursing assessment, medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc.

(20%)* Evaluates effectiveness of treatment plan and patients' condition to make suggestions and participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information and assessments to improve patient care.

(10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner.

(10%)* Follows up regarding medication changes and order clarifications.

OTHER DUTIES AND RESPONSIBILITIES:

Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information.

Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables.

Provide education to meet the individual needs and ability to learn.

Participates in care conferences as assigned.

Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient.

Coordinates care provided by patient care technicians.

Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient.

Demonstrates a general ability to manage assignments and perform routine duties on the unit.

Instructs other team members when appropriate, explaining goals and rationale for individualized care.

Implements clinical and technical aspects of care in accordance with established policies and procedures.

Demonstrates understanding of clinical pathways and utilizes appropriately.

Remains calm and efficient when working in stressful situations.

Documents in an accurate, clear, and concise way and includes pertinent clinical data.

Shares information and reports significant changes and/or abnormal findings to appropriate team members.

Participates in regulatory surveys.

Participates in the performance improvement activities.

Assists with orientation and ongoing competencies.

Provides a safe and secure environment for patient care.

Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards.

Remains current on new developments by reading professional journals, and attending seminars.

Demonstrates understanding of role in emergency preparedness procedures

Administers cardiac drips and chemotherapy per provider orders.

Assesses patient for signs or symptoms of complications of cancer or treatment protocols.

Accurately uses central lines for drawing blood, administering chemotherapy, etc.

Interacts positively with patients and families during severe stress situations.

Demonstrates critical thinking and integration of theory to practice for medical patients, oncology patients, medical step-down, and telemetry patients.

Participates in Transition of Care course for first 12 months after hire or transfer to position.

Monitors and initiates the need to institute safety measures to prevent patient injury.

Other duties as assigned.

Certifications and Licensures

Credential:RN: Registered Nurse

Equivalent Experience:

Qualification Source: MI

Essential: true

Credential:BLS: Basic Life Support

Equivalent Experience: Within 3 months of hire or transfer.

Qualification Source: AHA

Essential: true

Credential:DIMC: Dysrhythmia Interpretation Man

Equivalent Experience: Employees hired after January 1, 2025, are required to take, and pass Telemetry Monitoring and management class (DIMC) within 12 months of hire or transfer.

Qualification Source:

Essential: true

Credential:ACLS: Advanced Cardiac Life Support

Equivalent Experience: Within 12 months of hire or transfer

Qualification Source:

Essential: true

Credential:TEAM ADVANCED: Techniques for Effective Aggression Mgt

Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)

Qualification Source:

Essential: true

Credential:ONS BIOCRT: ONS/ONCC Chemotherapy Bio Cert

Equivalent Experience: Required within 12 months of hire or transfer into positions. Must be renewed every 24 months.

Qualification Source:

Essential: true

Required Education

Education: ASSOC

Equivalent Experience: Bachelor's degree in nursing preferred.

Education Specialization: NRG

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

The following education outline is intended for new hires or transfers who are new to Oncology Nursing. Any new hire or transfer who has already received their ONS Chemo / Bio safe handling card and/or their OCN certification is exempt from completing Cancer Basics or Chemotherapy Fundamentals.

Chemotherapy Education Pathway:

Full time & Part time RN

Pass ONS Cancer Basics course within 6 months.

Pass ONS Chemotherapy/ Biotherapy Fundamentals of Administration course within 12 months.

Maintain ONS Chemotherapy/ Biotherapy Fundamentals of Administration or ONS Chemotherapy and Biotherapy Certificate course (if applicable) per ONS recommendations.

Additional components of demonstrating competency for all nurses administering antineoplastic agents include:

Demonstration of safety and proficiency in the preparation, administration, handling, and disposal of antineoplastic agents as defined in the ONS Chemotherapy/ Biotherapy Fundamentals of Administration course and or the ONS Chemotherapy and Biotherapy Certificate course.

Demonstration of compliance with policy for management of chemotherapy spills and extravasation.

Demonstration of skill in compliance with the health system's policy for accessing, dressing, and flushing a variety of vascular access devices including Hohn, PICCs, Groshong, Hickman, and implanted medports.

Demonstration of skills in the assessment, planning, implementation, and evaluation of the oncology patient and family's learning needs.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Equivalent Experience And Other Comments (Education)

Education: ASSOC

Equivalent Experience: Bachelor's degree in nursing preferred.

Education Specialization: NRG

Essential: true

Other Comments

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Summary Under direct supervision of the specialty provider, will be responsible for patient assessment and care, and maintaining appropriate documentation. This position must have knowledge of specialty care and able to assess, plan, implement and evaluate care for patients. This position is responsible for coordinating care to assure high quality, compassionate patient care is provided. They will maintain and oversee patients at the office locations and will act as the liaison with other health care providers, organizations and departments. This position may be required to order all medical, pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MidMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement (CLIA) regulations, and all appropriate regulatory agencies. They will coordinate with and train any new employees, students and float staff as required. The clinical person will provide patient education, assist with specialty care modalities, symptom management, be available for emergencies, monitor for compliance and the effects of care management with high risk patients, educate on prescriptions and teach the patient and family the reasons for the medication and side effects, coordinate and ensure continuity of care with other providers. Also, may perform general office duties (keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you. Responsibilities (50%)* Provides complete patient assessment within their scope of their licensure. Greets patients and/or family. Records objective and subjective data concerning present condition. Updates and maintains accurate patient record using, but not limited to, the device database Paceart, secure messaging (if available), electronic medical records. Able to accurately and safely perform Pacemaker, Internal Cardiac Defibrillator (ICD) and loop Recorder check in the office. Able to comprehend and document on the remote device sites. Communicate abnormalities from the device checks both remotely and in office to the provider. Assess and document the appearance of the device site post-implant. (20%)* Triages all device calls, schedules daily urgent/emergent add-ons, receives and relays information on alerts from device remote sites. Supports, directs and refers patients for consults and/or testing. Performs medication refills and reconciliation as needed within the scope of their license. (20%)* Coordinates the care teams with the care indicated by the provider. Provides patient and/or family teaching on, but not limited to, device function, remote monitoring, wound care, and disease process. (10%)* Assists provider with examinations and procedures. Other Duties And Responsibilities Demonstrates critical thinking for patient management. Able to navigate all remote monitor sites and the Paceart data base. Follow-up on the alerts from device checks and remote monitoring with provider. Update patient on plan of care. Provides for the age specific needs of the population served according to standards and policies/procedures as evidenced by observation, documentation and peer feedback. Remain competent on the programming of all devices and companies that are used in the department. Maintains contact with representatives from various device companies regarding the programmers and supplies. Engaged in device research studies and communicates with research department when needed to. Ensure data that is collected is accurate and precise. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Understands necessary computer functions in the office setting which includes but not limited to electronic medical records to assist providers and staff. If applicable, maybe required to travel to satellite clinics. Maintains a system for accurately documenting and coding in the medical record as appropriate per policy. Participate in annual review for quality and completeness as necessary. Management of the patient symptoms as directed by the provider. Coordinates and ensure continuity of care with other providers. MyMichigan Health is a technology driven organization and employees need to demonstrate Competency in Microsoft® Windows. Employees may be required to participate in further learning opportunities offered by MyMichigan Health. Certifications and Licensures BLS - Basic Life Support Required Equivalent Experience - Within 1 month of hire or transfer RN - Registered Nurse Required ACLS - Advanced Cardiovascular Life Support Required - Equivalent Experience within 3 months of hire or transfer into the position. Required Education Education: Associates Degree Comments: BSN is preferred. Other Information Experience, Training And Skills Working knowledge of the organization’s Lawson, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the healthcare system or similar setting. Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls. Other Comments