RN Oncology Full-time
(Temporary, Full-Time, Days)
Medical Oncology - Bend, Oregon

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                      RN, Clincal Oncology Practice

REPORTS TO POSITION:      Clinical Manager of Cancer Services

DEPARTMENT:                       Cancer Services

DATE LAST REVIEWED:        April 2022

OUR VISION:                           Creating America’s healthiest community, together

OUR MISSION:                        In the spirit of love and compassion, better health, better care, better value

OUR VALUES:                         Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The Cancer Center at St. Charles Health System is a comprehensive cancer center that provides holistic care to our patients. The cancer center provides chemotherapy, medical oncology, infusion services, radiation therapy, integrative medicine, nutrition, social work, survivorship, and other supportive care treatments. All of our staff support our patients in the various stages of their treatments. 

POSITION OVERVIEW: The Registered Nurse Clinical Oncology Practice serves as a single point of contact for referring physicians, patients, and caregivers to provide assistance with accessing clinical and supportive care services offered within St. Charles Health System. This Registered Nurse collaborates and coordinates the delivery of quality, efficient and cost-effective health care services for patients with complex illnesses inclusive of all providers and partners of the health care team. This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Serves as both a clinical and supportive resource for the patient and family by providing education about their illness, ensuring access to timely care, coordinating follow up, and assisting with other needs throughout the continuum of care.

Collaborates with healthcare providers and community resources to develop an evidence-based, comprehensive individualized plan of care. Ensures interventions are patient centered and facilitates effective and efficient medical utilization. 

Develops, documents, and monitors patient/family response to plan of care, and revises the plan as indicated. Provides patient self-management support and tools with a focus on empowering the patient/family to build capacity for self-care.

Act as a patient advocate and liaison between patients, PCP, specialists, hospital, post-acute care, and community resources to ensure timely access to services.

Performs clinical procedures and treatments within the nursing scope of practice including but not limited to injections, central line care, venipuncture, IV placement, and port access/flush.  

Assists with admissions to the hospital as needed.

Utilizes clinical interventions based on risk stratification and evidence-based clinical guidelines under the direction of designated leadership.

Gathers medical information from providers for the purpose of decision making for pharmaceutical utilization, referrals, and coordination of care. Monitors physician, patient, and staff satisfaction scores. Measures timeliness of care indicators and tracks patient volumes.

Completes timely post-hospital follow-up including review of discharge instructions, medication reconciliation, and follow-up appointments.

Utilizes documentation and evaluation tools to efficiently and accurately document the processes and interactions with patients in the care coordination program. Maintains care coordination file in established clinical format using PC technology and system tools.

Participates in multidisciplinary team conferences and in overall program evaluation of processes. Identifies problems and proposes/develops process improvement strategies to enhance care management services.

Participates in professional development, regarding evidence-based engagement, communication, behavior change, and care coordination strategies to incorporate into clinical practice that also keeps the health care team current.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient, and caregiver.

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients, and guests

Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies.  

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds.

Supports the vision, mission, and values of the organization in all respects.

Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. 

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:       

Required: As required for RN Licensure.

Preferred: N/A

LICENSURE/CERTIFICATION/REGISTRATION:

Required:

Registered Nurse with a current, valid, and unencumbered license in the State of Oregon.

AHA Basic Life Support for Healthcare Provider Certification.

Valid Oregon driver’s license and ability to meet St. Charles Health System driving requirements.

Ability to travel to business functions/meeting with clients and providers/attend trainings/meetings and all St. Charles Health System worksites.

Preferred: N/A

EXPERIENCE:

Required: Minimum of one (1) year of experience in oncology or ambulatory care nursing with experience in disease management, care coordination, patient education, and triage skills.

Preferred: One (1) to two (2) years clinical oncology nursing experience, preferably in an outpatient or ambulatory setting.

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION: 

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. 

Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.

Strong team working and collaborative skills.

Ability to effectively reach consensus with a diverse population with differing needs.

Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.

Ability to multi-task and work independently.

Attention to detail.

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.

Strong analytical, problem solving and decision-making skills.

Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office.

Understanding and application of federal and state regulations, local programs and their eligibility requirements and application processes; insurance benefits, services, and limitations.

Able to perform phlebotomy procedures following the Standards of Practice as outlined in the St. Charles Health System Work Instruction.

PHYSICAL REQUIREMENTS

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.  

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. 

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. 

Rarely (10%): Climbing stairs. 

Never (0%):  Climbing ladder/step-stool (varies by area), operation of a motor vehicle. 

Exposure to Elemental Factors 

Rarely (10%): Wet/slippery area, chemical solution. 

Never (0%):  Heat, cold, noise, dust, vibration, uneven surface. 

Blood-Borne Pathogen (BBP) Exposure Category 

Risk for Exposure to BBP 

.

Schedule Weekly Hours:

40

Caregiver Type:

Temporary

Shift:

First Shift (United States of America)

Is Exempt Position?

No

Job Family:

REGISTERED NURSE ACUTE CARE

Scheduled Days of the Week:

Monday-Friday

Shift Start & End Time:

0700-1730

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RN Med/Surg 3C Oncology- New Grads May Apply

Full-Time, Days, 72hrs pp New Grads May Apply! New Hire Sign on Bonus Available! Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities JOB SUMMARY The RN's practice is guided by the ANA Standard for Professional Nurse and Code of Ethics. The RN has knowledge of professional nursing principles, practices, concepts, and procedures as applied to the care of the patient population served. The RN records patients' medical history and symptoms help perform diagnostic tests and analyze results, operate medical equipment, administer treatment and medications, and help with patient follow-up and rehabilitation. The RN establishes a care plan or contributes to an existing plan. The plan may include activities, such as administering medication, including careful checking of dosages and avoiding interactions; starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, blood, and blood products; administering therapies and treatments; observing the patient and recording those observations; and consulting with physicians and other healthcare clinicians. The RN teaches patients and their families how to manage their illnesses or injuries, explain post-treatment and home care needs; diet, nutrition, and exercise programs; and self-administration of medication and therapy. The RN provides direction to licensed practical nurses and nursing aides regarding patient care and delegates when appropriate. The RN supports efforts to advance clinical knowledge and skills. The RN precepts new hire staff and students. The RN assists the staff and students to seek and complete the tasks required to complete their competency skills. The RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as required. The RN may continue to improve the patients experience, clinical outcomes and works to promote a healthy work environment. Nursing practices theory-based nursing that is evidenced based utilizing a Shared Governance model for decision-making. All RN staff who have direct responsibility for the care of stroke patients must have knowledge of: Stroke symptoms and warning signs Protocols and pathways used to identify, evaluate and management of stroke patients NIHSS Stroke Alert activation and protocol Stroke quality indicators Available stroke patient education materials and community resources ESSENTIAL FUNCTIONS Possess the knowledge of how to collect health data in a systematic and ongoing manner, prioritizing data collection as determined by the patient’s immediate condition or needs and involving the family. Analyzes the assessment data in determining diagnoses, and utilize the nursing diagnosis to develop, implement, evaluate and revise an appropriate patient plan of care that is family centered, developmentally and age-appropriate, and culturally relevant. Identifies expected outcomes individualized to the patient and their specific health problems. Develops plans of care that are individualized to the patient’s condition or needs, reflecting current nursing practice that is evidence-based, providing for continuity of care, and are family centered. Implements interventions in the plan of care. Initiates treatments, medications, emergency and resuscitative measures based on appropriate utilization of standing orders, policies and procedures. Provides nursing care to meet the physical, emotional, spiritual, and social-cultural needs of the patient and family utilizing a family-centered approach to care delivery. Evaluates the patient’s progress toward attainment of outcomes. Documents observations, nursing interventions, therapeutic measures, multi-systems monitoring data, and other data relevant to the patient’s care in a retrievable form. Provides ongoing evaluation of the quality and effectiveness of the care plan to ensure that they maintain and enhance patient outcomes that promote the delivery of cost-effective high-quality healthcare Evaluates one’s own nursing practice in relation to professional practice standards and relevant statutes and regulations of the system and department policies and maintains current knowledge in nursing practice. Systematically evaluates the quality and effectiveness of nursing practice. Integrates ethical principles in all aspects of practice. Enhances knowledge of culture and diversity needs for specific populations. Collaborates with others in the practice of nursing professional development at the institutional, local, regional and state levels. as colleagues. Interacts with and contributes to the professional development of peers and other health care providers through positive role-modeling, fostering peer relationships, and participating in preceptor and/or mentor programs thereby creating an environment for quality practice. Collaborates with members of the multidisciplinary team in assessing, planning, implementing and evaluating patient care delivery. Collaborates with the patient, family and other health care providers in providing patient care Develops and evaluates standards of care for patients that are evidence-based. Identifies changes that should be made in nursing practice using an evidence-based approach and facilitating the initiation of, adoption of, and adaptation to change. Participates in and uses evidence-based research to identify strategies for improving nursing practice, and patient outcomes. Designs, creates, and applies research by supporting the integration of research into practice fostering the use of systematic evaluative research with regard to clinical, educational, and managerial data. Considers factors related to safety, effectiveness, and cost in planning and delivering patient care by utilizing all resources effectively and efficiently. EDUCATION degree or Diploma in Nursing. All staff who have direct responsibility for the care of stroke patients, please refer to the addendum for stroke specific education requirements - PRIOR TO START All Diploma and ADN hires must Complete a BSN within 60 months of hire OR have 5 or more years of Registered Nurse experience (including direct patient care or indirect RN roles) at the time of hire. in nursing (BSN) EXPERIENCE 1 year RN experience for all Float Positions Required and >10 months med-surg or acute specialty setting Preferred LICENSES AND CERTIFICATIONS Registered Nurse (RN) - License State And/or Compact State Licensure as a registered nurse in the State of Arizona Upon Hire Required and Basic Life Support (BLS) - Certification Certification in BLS training course C, and unit specific certification as required by specialty area DOP. Required and National certification for unit specific patient population. Preferred