Oncology Infusion/OTIC RN

DUTIES/RESPONSIBILITIES (include but are not limited to the following)

Clinical Care
· Perform comprehensive nursing assessments for oncology infusion and OTIC patients prior to each treatment, during treatment, and after treatment as indicated.

· Develop, implement, and evaluate individualized patient care plans in collaboration with providers and the interdisciplinary care team.

· Review laboratory values, weights, vital signs, provider orders, treatment plans, treatment parameters, medication parameters, and provider treatment authorization prior to treatment initiation.

· Verify chemotherapy, biotherapy, immunotherapy, infusion, blood product, and high-risk medication orders in accordance with departmental policy, organizational policy, and evidence-based oncology standards.

· Safely administer chemotherapy, immunotherapy, targeted therapies, biotherapy, blood products, IV hydration, antibiotics, iron infusions, injections, supportive medications, and other infusion treatments according to established standards and protocols.

· Perform independent double-verification of chemotherapy and other high-risk medications per departmental policy.

· Perform vesicant management, extravasation prevention, and extravasation response according to approved policies and orders.

· Monitor patients throughout treatment and promptly identify and respond to hypersensitivity reactions, infusion-related complications, treatment toxicities, changes in condition, and emergencies.

· Initiate appropriate emergency interventions for infusion reactions, oncologic emergencies, and other urgent clinical situations, including rapid response actions when indicated.

· Access, maintain, flush, de-access, and troubleshoot implanted ports, PICC lines, peripheral IV devices, and other vascular access devices within scope and competency.

· Administer and document medications accurately in the electronic medical record, including assessments, interventions, patient response, education, follow-up needs, and communication with the care team.

Oncology and Infusion Operations
· Coordinate patient care with oncology providers, pharmacists, patient access staff, financial counselors, laboratory, radiology, rehabilitation services, and ancillary departments.

· Review treatment plans and communicate concerns, delays, changes, missing information, or readiness issues to appropriate team members.

· Assist in coordinating patient scheduling, treatment readiness, continuity of care, and follow-up throughout the treatment journey.

· Ensure compliance with chemotherapy and hazardous medication handling, storage, administration, spill response, disposal, and personal protective equipment requirements in accordance with OSHA, USP <800>, and organizational guidelines.

· Maintain oncology accreditation, regulatory compliance, infection prevention, patient safety, and quality standards as applicable.

· Recommend process improvements to increase efficiency, improve patient flow, strengthen safety, and support high-quality care delivery.

· Cross-train and assist in other nursing departments as organizational needs require.

Education and Patient Advocacy
· Educate patients and caregivers regarding diagnosis, treatment plans, chemotherapy precautions, medications, potential side effects, symptom management, vascular access devices, infection prevention, follow-up care, and when to seek medical attention.

· Provide emotional support and advocacy for patients and families throughout the continuum of care.

· Connect patients with community resources, supportive care services, referrals, and interdisciplinary resources as appropriate.

· Serve as a clinical resource for patients, caregivers, and staff within the oncology infusion and OTIC setting.

Quality, Compliance, and Professional Expectations
· Follow established oncology, infusion, infection control, hazardous drug, emergency response, and patient safety standards.

· Participate in departmental quality improvement initiatives, performance improvement projects, safety initiatives, and accreditation readiness activities.

· Maintain required licensure, certifications, competencies, and continuing education requirements for oncology infusion and OTIC practice.

· Participate in orientation, competency validation, and mentoring of new staff as assigned.

· Promote and demonstrate WCHC Core Values and a consistent positive customer experience.

· Maintain flexibility in schedule, including willingness to work additional hours, take low census days, or alternate shifts as needed.

· Maintain regular attendance in accordance with WCHC attendance policies.

· Complete education for professional growth and technical knowledge.

· Perform other duties as assigned.

SKILLS AND ABILITIES

· Demonstrated knowledge of oncology nursing principles, infusion therapy practices, chemotherapy administration, hazardous medication safety, and vascular access management.

· Ability to safely administer chemotherapy, biotherapy, immunotherapy, infusion therapies, blood products, and other high-risk medications.

· Ability to recognize and respond appropriately to infusion reactions, extravasation, treatment toxicities, oncologic emergencies, and medical emergencies.

· Strong critical thinking, clinical judgment, analytical thinking, and prioritization skills in a rapidly changing clinical environment.

· Demonstrates clinical and technical expertise in their area of licensure, certification or experienced area.

· Strong written and verbal communication skills with prevalent professional demeanor.

· Ability to handle sensitive and confidential situations and documentation.

· Highly motivated with high ethical standards that supports and drives goals of the Company

· Ability to work in fast paced, rapidly changing, and regulated environment.

· Display knowledge of care required by adolescents, adults, and geriatrics.

· Effective time management and analytical skills to identify and resolve problems in a timely manner.

· Detail oriented.

EDUCATION AND/OR EXPERIENCE

Required
· Graduate from an accredited school of nursing.

· Current Registered Nurse license issued by the State of Iowa, eligibility for reciprocity, or work permit issued by the State of Iowa.

· Current BLS certification.

· Current ACLS certification or willingness to obtain within six months of hire.

· Minimum of two years of clinical nursing experience.

· Completion of the ONS Fundamentals of Chemotherapy & Immunotherapy Administration or willingness to complete within 1 year of hire.

Preferred
· Previous oncology, outpatient infusion, emergency, medical-surgical, or critical care nursing experience.

· OCN® (Oncology Certified Nurse) certification.

· Experience with vascular access devices, infusion pumps, chemotherapy administration, and outpatient treatment workflows.

· PALS preferred