RN Infusion Full-time
Confluence Health

Nurse Infusion RN - Moses Lake

Salary Range

$42.61 - $80.07
Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

 

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

  • Medical, Dental & Vision Insurance
  • Flexible Spending Accounts & Health Saving Accounts
  • Paid Time Off
  • Generous Retirement Plans
  • Life Insurance
  • Long-Term Disability
  • Gym Membership Discount
  • Tuition Reimbursement
  • Employee Assistance Program
  • Adoption Assistance
  • Shift Differential

For more information on our Benefits & Perks, click here!


Summary

The Infusion Therapy RN is responsible for the comprehensive holistic care of oncology and non-oncology patients being infused with chemotherapy, biologic therapy agents, blood products, fluids, and other medications. The nurse provides care coordination and direct patient care; consults with physicians and colleagues; and educates patient/family on symptom management and new therapies, for oncology and non-oncology patients, treated in the infusion department. This position provides longitudinal comprehensive nursing care to oncology/hematology patients and to non-oncology patients requiring infusion therapy and complex cancer treatments. This position works in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient.

 

Position Reports To: Clinical Practice Manager


Essential Functions

  1. Demonstrates a high level of understanding of oncology illnesses and treatment modalities.
  2. Demonstrates the ability to assess baseline physical, emotional and social needs.
  3. Provides clinical and technical oversight to patients requiring infused or injected chemotherapy, biologic therapy, blood products, and other agents:
    • Performs a nursing assessment prior to and during each infusion or treatment per policy and procedure of the medical center.
    • Has knowledge of agents infused including the potential drug toxicities, side effects, proper methods of administration, and interventions necessary for the safety of the patient.
    • Safely prepares infusion and pump set-up for each drug that is infused.
    • Follows parental administration policy and procedure of the medical center for the medications given.
    • Monitors patient during and after the infusion, observing for any adverse effects.
    • Provides anaphylactic/life-saving interventions to potential hypersensitivity reactions following correctly administered medications.
  4. Provides comprehensive care to patients as part of the overall care team.
    • Manages patient symptoms, concerns and/or reactions and effectively communicates the entire picture to nurse navigator and/or provider for that patient.
    • Demonstrates ability to develop a plan of care to respond to patient symptoms and reactions resulting from the disease or the treatment.
    • Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations.
    • Demonstrates ability to effectively intervene and direct colleagues during a patient crisis.
    • Provides patient and family education about treatments and side effects, procedures such as bone marrow aspiration and ommaya taps/intrathecal chemotherapy in collaboration with the other members of the healthcare team.
    • Informs Clinical Practice Manager of high-risk patient situations.
  5. Reviews and implements the treatment and therapy plans.
    • Maintains a working knowledge of current protocols related to the patient population. Knows research resources and how to access.
    • Monitors the patient response to cycled therapies including lab values and symptom assessment.
    • Administers medications and therapies as ordered.
    • Documents necessary information supporting the care, including assessment, response, complications, interventions and resolutions per guidelines and policy of the medical center and department.
  6. Maintains and Develops IV/CVAD skills.
    • Maintains knowledge of current ONS and INS standards.
    • Follows the ONS/ASCO and INS guidelines for infusions, injections, and procedures.
    • Provides education on access and maintenance of central lines to all departments of the medical center.
    • Follows policy and procedures for IV and Central lines of the medical center.
  7. Takes an active role in professional development to stay current with medications, oncology care and treatment and current standards of ONS, ASCO, and INS.
  8. Serves as resource in their area of expertise for staff and colleagues.
  9. Actively engages in PI and LEAN processes.
  10. Demonstrates effective and professional communication and collaboration with colleagues and providers.
  11. Assures the safety of patients and other staff.
    • Follows all policy and procedures of the Medical Center related to verification of orders and products when administering chemotherapy, biotherapy, and other infusion agents.
    • Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center.
    • Prepares and protects patients and families during infusions through the strict adherence of the infection control policy, universal precautions, and standards applied to procedures of the Medical Center and the Oncology Department.
  12. Required to maintain active Basic Life Support (CPR) certification.
  13. Required to take call as rotation requires on weekends.
  14. Required to travel as rotation requires to Infusion Oncology clinics within two hours of main campus.
  15. Other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.


Qualifications

Required:

  • Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499).
  • Current BLS Health Provider card and renewal every two years.
  • Chemotherapy/Biotherapy certification within the first year of employment.
  • Additional certifications may be required dependent on department needs.
  • Ability to work independently and to use critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge.
  • Ability to develop clinical judgment.
  • Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response.
  • Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skills.
  • Ability to effectively provide information by checking what information the person knows already, giving small amounts of detail at a time, using clear terms, avoiding jargon, avoiding detail unless requested, checking for understanding, pausing, and waiting for a response.
  • Ability to effectively utilize time management skills; the ability to organize and manage time constraints, to independently manage tasks including basic computer skills and EMR.
  • Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations.

Desired:

  • IV/Central Line experience and Oncology experience.
  • Knowledge of infused and injectable medications for the treatment of various diagnoses ordered by Specialty providers.
  • OCN certification.

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

 

Physical/Sensory Demands For This Position:

  • Walking – F
  • Sitting/Standing – F
  • Reaching: Shoulder height – O
  • Reaching: Above shoulder height – F
  • Reaching: Below shoulder height – O
  • Climbing – O
  • Pulling/Pushing: 25 pounds or less – F
  • Pulling/Pushing: 25 pounds to 50 pounds – O
  • Pulling/Pushing: Over 50 pounds – O
  • Lifting: 25 pounds or less – F
  • Lifting: 25 pounds to 50 pounds – F
  • Lifting: Over 50 pounds – F
  • Carrying: 25 pounds or less – F
  • Carrying: 25 pounds to 50 pounds – O
  • Carrying: Over 50 pounds – O
  • Crawling/Kneeling – F
  • Bending/Stooping/Crouching – F
  • Twisting/Turning – F
  • Repetitive Movement – F

Working Conditions:

  • Open Infusion Suite, with minimal private room settings. Infusion Pharmacy located within the same department.

Job Classification:

  • FLSA: Non-exempt
  • Hourly/Salary: Hourly

Physical Exposures For This Position:

  • Unprotected Heights – No
  • Heat – No
  • Cold – No
  • Mechanical Hazards – No
  • Hazardous Substances –Yes
  • Blood Borne Pathogens Exposure Potential – Yes
  • Lighting – No
  • Noise – No
  • Ionizing/Non-Ionizing Radiation – No
  • Infectious Diseases – Yes

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Establishes and maintains a therapeutic relationship with the patient and family. Uses evidence-based practices to increase understanding of patient's perceptions of care. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. Engages in formal and informal peer and institutional review processes. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. Contributes to quality and safety practices and required compliance measures. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations Performs charge nurse duties as assigned. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. Facilitates patient throughput on a shift basis. Professional Development Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. Advances clinical competence in nursing practice to progress from novice to expert. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. Incorporates ethical principles into decision making for patient and family. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. Serves as a professional role model and preceptor for new staff and students. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. Contributes to the profession of nursing through participation in professional organizations. Qualifications Graduation from an accredited Nursing program. Bachelor’s Degree in Nursing. (BSN) Associate’s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate’s Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO. Relevant clinical competence in area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application Licensed as a registered nurse with current registration in New York State Name: Basic Life Saver (BCLS) Issuing Agency: AHA ONS/ONCC Chemo Bio Certificate Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Kaiser Permanente

Level III Staff RN - Clinic - Full Time - Chemo Infusion - Los Angeles

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.