Registered Nurse; RN - PRN

Overview

Registered Nurse (RN)

REGISTERED NURSE (PRN AS NEEDED POSITION)

Registered Nurse (RN) Manages and coordinates nursing care for medical oncology and hematology patients. Under general supervision of the medical oncologist or nurse practitioner, the RN assesses, analyzes, plans, implements, evaluates, and documents nursing care for the patient and provides direct patient care. The RN also assists with tasks necessary for the general operation and organization of the Nursing unit.

• Clinical Practice
  • Assessment: Assists patients as needed with completion of history and physical form. Assesses patient vital signs, as needed. New Patients: height, weight, blood pressure, pulse, respirations, and temperature. Rechecks: height, weight, and blood pressure. As needed, checks pulse oximetry and blood sugar per glucose monitor. Documents and reconfirms in each visit the patient’s current medications and allergies. Utilizes the electronic medical record (EMR) system to accurately chart all patient visit information.
  • Assesses physical, psychological and educational needs of patients according to guidelines, standards of care and individual needs.
  • Assesses patient care needs and/or changes in condition throughout treatments and procedures and communicates findings to the provider.
• Planning
  • Coordinates plan of care for patients, including follow up treatments and appointments.
  • Coordinates scheduling of chemotherapy and other treatments, facilitates processing of provider orders, and coordinates with pharmacy staff on provider orders.
  • Assists in preparation and transfer of patients within the facility or for transfer to other facilities.
• Implementation
  • Provides professional nursing care to patients based on patient needs and plan of care.
  • Assists the provider as needed in complex interventions, examinations, and procedures.
  • Completes or coordinates with laboratory or hospital staff to collect specimens, label, and transport specimens to laboratory.
  • Administers treatments as ordered by the provider, including fluids, antibiotics, chemotherapy treatments, and other treatments as indicated.
  • Administers injections, including subcutaneous and intramuscular injections.
  • Accesses, draws blood samples, and provides routine maintenance care for all types of central lines, including infusaports, Hickman’s, Groshong’s, PICC’s and any other tunneled or non-tunneled catheter.
  • Monitors, evaluates and documents patient responses to treatments.
  • Communicates any changes in patient condition during treatments to the provider and implements revised plan of care as needed.
  • Revises patient medication profiles and assists provider with medication refill orders as needed.
  • Ensures documentation is complete and accurate and entered into the EMR or Pharmacy systems or in paper charts.
  • Utilizes the EPIC system to document all clinical data.
• Patient Education
  • Provides and reinforces patient and family/significant other teaching, such as providing appropriate brochures on treatment, potential side effects, etc. and answering questions.
  • Documents patient and family/significant others educational needs and documents intervention and understanding.
  • Refers to other members of the healthcare team as necessary for assistance to meet patient and family / significant others’ needs.
• Evaluation and Documentation
  • Documents all observations, interventions, and patient responses to interventions.
  • Witnesses’ patient or authorized person’s signature on consent forms, as needed.
  • Takes, records and follows-through on provider orders as needed.
  • Follows-through on provider messages, “PANIC”-level reports, “STAT” orders, etc.
• Other
  • Rooms patients and enters visit documentation into the EMR or pharmacy systems or into paper charts for providers, as needed.
  • Directs patients, families, significant others to exam and/or procedure rooms and treatment areas as needed.
  • Cleans exam and infusion rooms, disinfects surfaces, and ensures exam rooms are ready for patients, as needed.
  • Inspects oxygen tanks, Oximeter and Glucometer monitors and documents results.
  • Stocks supplies in nursing areas and patient rooms and arranges with the appropriate individual to…