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Washington County Hospital and Clinics

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Oncology Clinic RN

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Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

Clinical Patient Care

  • Perform comprehensive nursing assessments of oncology patients during clinic visits and patient encounters.
  • Collect, document, and communicate vital sign and weight assessment, patient health information, symptoms, treatment responses, and concerns to providers.
  • Collect patient labs prior to appointment by port access, PICC lab draw, or venipuncture.
  • Monitor patients for treatment-related side effects, disease progression, and changes in condition.
  • Assist providers with examinations, procedures, and coordination of care.
  • Administer medications, injections, vaccinations, and treatments within scope of practice and departmental policy.
  • Review laboratory results, diagnostic studies, treatment plans, and provider orders to ensure patient readiness for treatment.
  • Assess and manage oncology-related symptoms using evidence-based nursing practice.
  • Provide care coordination across the cancer care continuum.
  • Monitor and address urgent patient concerns and collaborate with providers regarding interventions.
  • Identify patients requiring immediate evaluation or escalation of care.
  • Assist patients and families in navigating treatment plans and healthcare resources.

Patient Education

  • Educate patients and caregivers regarding diagnosis, treatment plans, medication management, symptom monitoring, and self-care.
  • Reinforce provider treatment recommendations and educational materials.
  • Provide education regarding chemotherapy, immunotherapy, radiation therapy, surgical procedures, and supportive care services.
  • Educate patients regarding infection prevention, nutrition, activity recommendations, and symptom management strategies.
  • Support informed decision-making by ensuring patients understand treatment plans and available resources.
  • Assist with survivorship education and long-term follow-up planning.

Telephone Triage & Symptom Management

  • Provide nursing telephone triage utilizing established protocols and clinical judgment.
  • Assess patient symptoms using evidence-based oncology triage principles.
  • Prioritize calls according to urgency and patient safety needs.
  • Provide patient instructions and escalate concerns to providers as appropriate.
  • Document triage encounters accurately and timely within the electronic medical record.
  • Coordinate same-day appointments, treatment modifications, or emergency interventions when indicated.

Care Coordination

  • Maintain communication with Infusion Charge Nurse and Patient Access Associate to coordinate appointments, diagnostic testing, referrals, and follow-up care.
  • Facilitate communication between providers, departments, and external healthcare organizations.
  • Collaborate with infusion staff regarding treatment readiness and patient care needs.
  • Assist with treatment scheduling and continuity of care processes as needed.
  • Coordinate supportive care services and referrals to specialty resources.
  • Serve as an advocate for patient needs throughout the care continuum.

Documentation

  • Maintain accurate, timely, and complete documentation in the electronic health record.
  • Document patient assessments, care interventions, education, patient responses, and provider communications.
  • Ensure compliance with organizational, regulatory, and accreditation standards.
  • Protect patient confidentiality and safeguard protected health information.

Quality Improvement & Professional Practice

  • Participate in quality improvement initiatives and departmental performance improvement activities.
  • Assist with oncology program development, accreditation readiness, and regulatory compliance activities.
  • Maintain competency related to oncology nursing standards and evidence-based clinical practice.
  • Participate in departmental meetings, education programs, and competency validation activities.
  • Support patient safety initiatives and organizational performance goals.
  • Promote collaboration and teamwork throughout the organization.

General Responsibilities

  • Demonstrate WCHC Core Values and Customer Service Standards.
  • Maintain flexibility in scheduling and staffing needs.
  • Complete assigned education and competency requirements.
  • Crosstrain and support departmental operations as appropriate.
  • Maintain regular attendance in accordance with WCHC attendance policies.
  • Perform additional duties as assigned.

SKILLS AND ABILITIES

  • Strong leadership and organizational skills.
  • Excellent communication and interpersonal abilities.
  • Demonstrated ability to manage multiple priorities.
  • Knowledge of oncology nursing standards and infusion therapy practices.
  • Ability to maintain confidentiality and professional conduct.
  • Ability to function effectively in a fast-paced clinical environment.

EDUCATION AND/OR EXPERIENCE

  • Graduate of an accredited school of nursing.
  • Current Registered Nurse license in the State of Iowa.
  • Minimum three years of clinical nursing experience.
  • Minimum two years of oncology and/or infusion nursing experience.
  • Current Basic Life Support (BLS) certification.
  • Current Advanced Cardiac Life Support (ACLS) certification.
  • Completion of ONS (Oncology Nurse Society) Fundamentals of Chemotherapy and Immunotherapy Administration or willingness to complete within 6 months of employment.

Preferred

  • Prior charge nurse or leadership experience.
  • Oncology Certified Nurse (OCN®) certification.
  • Biotherapy Provider Card.
  • Experience utilizing oncology treatment planning systems and electronic medical records.

Skills

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