Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Infusion, Part Time

Overview

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

 

Part-Time, 20 hours/week. 

Responsibilities

  • Practitioner
  • Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
  • Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
  • Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
  • Actively seeks feedback and acts to improve performance.
  • Engages in the governance of practice.
  • Leader/Decision Maker
  • Manages interpersonal relationships for self and with others.
  • Mentors colleagues for the advancement of nursing practice and the profession.
  • Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
  • Prioritizes and organizes time to optimize patient outcomes.
  • Scientist
  • Actively seeks out the most current evidence and standards and applies and translates to daily practice.
  • Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
  • Transferor
  • Communicates effectively in a variety of formats in all areas of practice.
  • Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
  • Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
  • Performs other duties as required or assigned.
  • Qualifications

    • Graduate from an accredited Nursing Program required.
    • Bachelor of Science Degree in Nursing (BSN) preferred.

    Required Licensure/Certifications

    • Licensed Registered Nurse with New Hampshire eligibility.
    • Basic Life Support (BLS) Certificate required upon hire.
    • ONS Fundamentals of Chemotherapy Immunotherapy Administration (FCIA) or Chemotherapy Immunotherapy Certificate (CHIC) within 30 days of hire date.

    Share this job

    Share to FB Share to LinkedIn Share to Twitter

    Related Jobs

    Tufts Medicine

    Registered Nurse, RN - Oncology Infusion, Outpatient, Per Diem

    $37.50 - $56.41 / hour
    Job Summary: Lowell General Hospital is an outstanding place to work and offers amazing advancement opportunities for our staff. We have competitive salaries & benefits, shared governance, tuition reimbursement, clinical mobility tracks and free on-campus parking. Staff are encouraged to participate in our unit-based council or one of the many council opportunities. This is an exceptional opportunity for an experienced Infusion RN to work close to home in a Magnet-recognized , community-based hospital. This position is in our Oncology/Hematology provider practice, working in an NP-led infusion room. Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience. Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts, policies and practices. Shift : Per Diem Job Overview The RN II independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. 12 Months - Less than 3 Years of RN Experience. 3. Current Basic Life Support (BLS) Certification. 4. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Participates in and maintains awareness of performance improvement initiates. 2. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice. 3. Conducts and documents accurate clinical assessments. 4. Develops, implements, and evaluates the patient’s individualized plan of care. 5. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs. 6. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members. 7. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards. 8. Recognizes patient/family rights through support of their informed decisions and advanced directives. 9. Continually evaluates and revises the care plan according to changes in the patient’s health status. 10.Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. 11. Supports the development of new staff members and helps facilitate their transition into unit. 12. Guides the professional growth of department staff through precepting. 13. Participates in professional development by identifying learning needs and seeking appropriate education. 14. Participates in departmental committees as needed. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. About Lowell General For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $37.50 - $56.41 based on full-time equivalent
    Whittier Health Network

    Registered Nurse 7a-7p - Whittier Rehab Hospital TCU

    $40 - $44 / hour
    Whittier Rehabilitation Hospital - Transitional Care Unit Registered Nurse needed for our 20 bed transitional care unit New Grads Welcome! PT 36 hours/week: 7a-7p and every other weekend Base Pay : $40.00-$44.00 per hour plus applicable diffs Primary Responsibilities: Supervises and evaluates all direct resident care and initiates corrective action as necessary. Provides clinical supervision of nursing assistants providing direct resident care Assumes responsibility for compliance with federal, state and local regulations within the assigned unit. Ensures that all physician renewal orders and physician documentation is timely and appropriate. Conducts resident rounds, reporting problems to nursing supervisor and initiating corrective action. Identifies resident problems and emergency situations, and initiates immediate "life saving" measures within the scope of nursing practice and in accordance with advance directives. Administers and documents medications, enteral nutrition, and treatments per the physician's order and accurately records all care provided and observations daily. Prerequisites: Graduate of an accredited RN school of Nursing. Current license in Massachusetts as RN. Knowledge of Geriatric Nursing required. Current certification in Basic Cardiac Life Support in accordance with American Heart Association or American Red Cross standards required. Experience working in a Skilled Nursing environment a plus Benefits Offered: 401k Paid Vacation, Sick and Holiday Medical Dental Vision Hospital, Accident and Critical Illness Short and Long Term Disability Life and Supplemental Life Flexible Spending Accounts Heath Savings Account
    Whittier Health Network

    Registered Nurse - Whittier Rehab Hospital TCU

    $40 - $44 / hour
    Whittier Rehabilitation Hospital - Transitional Care Unit Registered Nurse needed for our 20 bed transitional care unit FT or PT available and every other weekend 7a-3p or combo 7a-3p / 3p-11p Base Pay : $40.00-$44.00 per hour plus applicable diffs Primary Responsibilities: Supervises and evaluates all direct resident care and initiates corrective action as necessary. Provides clinical supervision of nursing assistants providing direct resident care Assumes responsibility for compliance with federal, state and local regulations within the assigned unit. Ensures that all physician renewal orders and physician documentation is timely and appropriate. Conducts resident rounds, reporting problems to nursing supervisor and initiating corrective action. Identifies resident problems and emergency situations, and initiates immediate "life saving" measures within the scope of nursing practice and in accordance with advance directives. Administers and documents medications, enteral nutrition, and treatments per the physician's order and accurately records all care provided and observations daily. Prerequisites: Graduate of an accredited RN school of Nursing. Current license in Massachusetts as RN. Knowledge of Geriatric Nursing required. Current certification in Basic Cardiac Life Support in accordance with American Heart Association or American Red Cross standards required. Experience working in a Skilled Nursing environment a plus Benefits Offered: 401k Paid Vacation, Sick and Holiday Medical Dental Vision Hospital, Accident and Critical Illness Short and Long Term Disability Life and Supplemental Life Flexible Spending Accounts Heath Savings Account
    Whittier Health Network

    Registered Nurse 12 hour shifts - Whittier Rehab Hospital TCU

    $40 - $44 / hour
    Whittier Rehabilitation Hospital - Transitional Care Unit Registered Nurse needed for our 20 bed transitional care unit PT 36 hours/week: 7p-7a and every other weekend Base Pay : $40.00-$44.00 per hour plus applicable diffs Primary Responsibilities: Supervises and evaluates all direct resident care and initiates corrective action as necessary. Provides clinical supervision of nursing assistants providing direct resident care Assumes responsibility for compliance with federal, state and local regulations within the assigned unit. Ensures that all physician renewal orders and physician documentation is timely and appropriate. Conducts resident rounds, reporting problems to nursing supervisor and initiating corrective action. Identifies resident problems and emergency situations, and initiates immediate "life saving" measures within the scope of nursing practice and in accordance with advance directives. Administers and documents medications, enteral nutrition, and treatments per the physician's order and accurately records all care provided and observations daily. Prerequisites: Graduate of an accredited RN school of Nursing. Current license in Massachusetts as RN. Knowledge of Geriatric Nursing required. Current certification in Basic Cardiac Life Support in accordance with American Heart Association or American Red Cross standards required. Knowledge of growth and development across the life span Benefits Offered: 401k Paid Vacation, Sick and Holiday Medical Dental Vision Hospital, Accident and Critical Illness Short and Long Term Disability Life and Supplemental Life Flexible Spending Accounts Heath Savings Account
    Dana-Farber Cancer Institute

    Staff Nurse Merrimack Valley (24 hrs/week)

    $38.21 - $80.50 / hour
    The Oncology Registered Nurse is focused on patient assessment, patient education, the coordination of care, administration of therapy, symptom management and supportive care for the Oncology and Hematology patients at Dana-Farber Cancer Institute. The Registered Nurse cares for individuals receiving therapy for oncologic and hematologic problems. The nurse’s responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The nurse’s role includes administration of chemotherapy and other medications and infusions, telephone nursing care, direct patient care and charge capture/billing for all services rendered. The nurse provides patient and family education and psychosocial and emotional support. He/she is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff as well as collaborating institutions and agencies. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills and an understanding of the principles and practices of clinical research. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Primary Duties And Responsibilities Delivers expert, evidence-based nursing care to patients and families. Implements nursing process: Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation. Assesses patient and family needs. Promotes health care outcomes in concert with currently accepted clinical practice guidelines. Analyzes assessment data to develop and support clinically accurate diagnoses. Collaborates proactively with all interdisciplinary team members with a patient centered focus to facilitate and maximize patient healthcare outcomes. Plans care by establishing goals with measurable outcomes. Implements the plan of care. Evaluates the patient’s response to interventions. Documents care according to Institute and regulatory agencies’ requirements. Administers medications and other treatments, which may include chemotherapy, and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions. Evaluates educational and psychological needs of patient and family and incorporates identified needs into the plan of care. Educates patient and family regarding treatment modalities of disease, which may include chemotherapy and radiation therapy and symptom management. Reviews patient’s clinical status and laboratory values pre-treatment and consults with provider when appropriate. Evaluates and determines need for patient referrals to other members of the interdisciplinary needs as appropriate. Identifies appropriate community resources to promote continuity of care and makes appropriate referrals. Manages patient care across the continuum, making appropriate referrals to home care and hospice, as necessary. Prepare and administers chemotherapy/biotherapy and supportive therapy in accordance with ASCO/ONS Guidelines. Recognizes and responds to emergency situations appropriately. Maintains BLS certification. Provides telephone triage according to policies and documents telephone interactions. Performs the following technical skills: Intravenous therapy including peripheral and central venous vascular access devices, including obtaining IV access Safe handling practices for hazardous, cytotoxic and biological agents Chemotherapy administration skills, including vesicant and non-vesicant medications Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. Supports the DFCI Nursing Department Professional Practice Model and Quality Plan. Accurately records charges for all services rendered on the day service. Collaborates with Clinic Assistant to assure accurate inventory of all supplies. Serves as a resource to medical personnel in other health facilities, providing telephone consultation to engender optimal Oncology practices and knowledge among health care professionals caring for cancer patients. Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds. Interacts with patients and families in a caring and compassionate manner respecting the need for privacy and confidentiality. Develops approaches to problem solving which meet the individual needs of the patients and families. Demonstrates the knowledge and skills necessary to provide age-specific care and support to the populations served. Promotes a culture of inclusion. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age. Manages the environment of patient care. Monitors the environment of care with attention to patient safety and assures compliance with regulatory agency standards. Complies with applicable policies, procedures, work rules and standards of conduct. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2015) in all aspects of professional practice. Bases care on the Standards of Oncology Nursing Practice and Oncology Nursing Society Chemotherapy Guidelines. Works collaboratively and functions as an effective member of the health care team. Demonstrates the ability to work collaboratively with peers and co-workers. Effectively addresses and manages conflicts. Demonstrates excellent communication skills. Demonstrates effectiveness as a contributing member to the multidisciplinary health care team. Delegates as appropriate and supervises assistive personnel in their provision of patient care. May function in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas. Participates in committees, councils, and initiatives. Demonstrates flexibility in setting and changing priorities. Accepts additional responsibilities as needed. Participates in QA/QI projects for the unit as requested. Seeks opportunities to foster professional growth. Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these. Attends inservices, workshops and seminars. Shares information gained with colleagues. Facilitates professional growth of self and others by acting as a preceptor and mentor for new staff. Meets all annual evaluation requirements and competencies within the established time period. Pursues active membership in local and national professional organizations. Knowledge, Skills And Abilities Demonstrated ability to work as an effective member of an interdisciplinary team. Demonstrated skills in critical thinking, problem solving, and ability to make independent decisions. Ability to function in a busy work setting with patients with complex needs. IV skills strongly preferred. Work tasks require walking, standing, climbing, sitting, bending, reaching and occasional lifting. Some tasks are performed while sitting. Good hearing and vision are required for the time spent in interactions with others, telecommunications and the required reading of medical and pharmaceutical documents and patient care related documents. Communications with physicians or staff during office hours requires organization of information, discretion and balancing of multiple communications. Relationships with patients/families and colleagues requires excellent listening skills, the ability to identify issues and seek a resolution that reflects the quality care and satisfaction goals of the practice. The work requires concentration and frequent mental and visual attention as well as the ability to work efficiently. Frequent interruptions and movement away from desk require the ability to stay focused and return to uncompleted tasks. Telephone communications listening and speaking skills are required for the time spent in this mode of communication. The ability to balance multiple tasks and normal stress associated with the duties and responsibilities of this position are essential requirements in the performance of this job. The ability to speak, read and write in English, and the ability to perform mathematical pharmaceutical calculations is required for this position. Demonstrates understanding of special needs and behaviors of age groups of the population served: young adult to geriatric. Minimum Job Qualifications Baccalaureate degree in nursing strongly preferred. If associate degree in nursing, must complete BSN degree within 4 years. Minimum of 1-year recent experience as an RN or completion of the Oncology Nurse Residency Program (ONRP). Ambulatory and/or oncology experience preferred. License/Certification/Registration Required Licensed as a registered Nurse in the Commonwealth of Massachusetts, or New Hampshire as appropriate. Professional nursing certification preferred (OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC). AHA BLS required (AHA ACLS accepted as minimum requirement). Supervisory Responsibilities No direct supervision of others but does supervise assistive personnel as appropriate in the provision of patient care. Patient Contact Yes Special Working Conditions Works in clinic and office settings with possible exposure to infectious diseases through airborne transmission or contact with blood or body fluids. At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEO Poster Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $38.21 - $80.50