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