Level II Registered Nurse (RN) - Clinic

Job Description

University of Miami is seeking a Registered Nurse (RN) Clinic Level II for a nursing job in Miami Beach, Florida.

Job Description & Requirements

• Specialty : Clinic
• Discipline : RN
• Duration : Ongoing
• 40 hours per week
• Shift : 8 hours, days
• Employment Type : Staff

Registered Nurse 2 - Specialty, Crohns & Colitis, Full Time

Up to $25,000 Sign-on Bonus

Work Location : Sylvester Cancer Center

1. The RN is responsible to for the direct care of his / her assigned patients, and to perform a variety of duties in an office setting to support optimum care to our patients.

2. Manage prescription refill and lab line, answering patient inquiries; enter refills for sign off and Uchart messages to appropriate clinical care staff member or physician.

3. Gathers medical documentation for medical necessity of those medications insurances refuse to cover. This requires writing of medical necessity letters.

RN will work with nursing staff, PA’s and physicians as necessary to get missing documentation, and submit prior authorization documentation to the insurance company for medications.

4. Track labs and pathology for patients sending reports to Physician for review.

5. Triaging patient call. Assures patients are called back and their problems managed.

6. Coordinates the scheduling of patients for tests, eg MRI, CT, EGD, EUS, and other GI procedures, and completes required forms for lab work.

7. Provides patients with basic instruction and information regarding tests and GI procedures including how to prep for procedures

8. Maintains accurate and complete patient records / documentation.

• Performs other duties as assigned.
• As necessary, employee may be asked to assist in clinics and obtains vital signs and patient information for inclusion in patient’s medical record.

9. As necessary, employee may assist with physical examinations by preparing supplies and handing instruments / materials to the doctor as directed.

10. Documents in Uchart all patient calls and communication between RN and patient.

11. Coordinates the plan of care with patients / family.

12. Promotes patient safety.

13. Communicates changes in plan of care to the patient / family and the health care team members in a timely manner.

14. Assure Press Gainey scores are held at the expected percents per guideline

15. Reviews all records, lab data, x-rays, and diagnostic procedures relevant to the patient. Communicates information with physician assigned to the patient.

16. Participates in hospital risk management program by reporting all untoward events according to hospital policy in a timely manner.

17. Identify and respond to the educational needs of the patient and family.

18. Assures patient compliance with laboratory and physician visits.

19. Maintains an updated excel spreadsheet with patient clinical data

20. Notifies Clinical care coordinator of patient no show or cancellations.

21. The RN is responsible to for the direct care of his / her assigned patients, to perform infusions in 4-bed Infusion center within Crohns & Colitis clinic.

22. Completes and passes ONS certification. Maintains active certification.

23. Completes and successfully passes VAD training course.

24. Completes and successfully passes Infusion training orientation.

25. Verifies chemotherapy / biotherapy consent for treatment is signed and validated

26. Coordinates time of administration with pharmacy and others as needed

27. States knowledge of drug and associates nursing implications

28. Checks that laboratory values are within acceptable parameters and reports results to MD / NP as needed

29. Identifies if agent vesicant or irritant

30. Verifies adequacy of venous access and appropriate IV-site selection

31. Verifies that original order is entered correctly

32. Verifies accurate height and weight and recalculates BSA and drug doses.

33. Verifies Cr. Clearance, formula utilized and recalculates carboplatin AUC dosage

34. Engages a second chemotherapy competent nurse recalculate dosage

35. Verifies that dose is within 10% variance range and initiates intervention if beyond 10%

36. Checks chemotherapy order for drug, doses, schedule, and route.

37. Verifies documentation of dose modifications

38. Ensures copy nonstandard regime, protocol. or of abstract is available

39. Verifies the presence of appropriate prehydration orders and specified parameters are indicated

40. Verifies initial patient education has been provided

41. Verifies patient understanding of treatment plan

42. Applies gloves and gown and uses safe-handling precautions

43. Compares original order with delivered drug

44. Verifies patient identification and shows chemotherapy label to patient

45. Verifies with second chemotherapy competent nurse the accuracy of volume infusion pump settings

46. Verifies adequacy and patency of venous access flushes line with 5-10 cc NS.

47. Demonstrates safe IV free flow administration :

a. Administers through side arm, or at hub closer to patient

b. Administers slowly rate 1-2 ml / minute, unless otherwise indicated

c. Vesicant verify blood return every 2-5ml

d. Demonstrates safe IV continuous infusion administration

e. Verifies use only central line for vesicant continuous infusions

48. Flushes with compatible solute between administration of medications

49. Demonstrates appropriate monitoring / observation for specific acute drug effects

50. Verbalizes appropriate action in the event of extravasation

51. Flushes line with at least 5-10cc NS

52. Appropriately removes device or flushes / maintains VAD

53. Disposes of chemotherapy waste according, and patient response

54. Documents medications, education, and patient response

55. Communicates post treatment considerations to patient and family members

56. Assures all chairs and equipment (IV pump, pillows, desk, chair)are wiped clean, lowers footrest and restocks areas with scrub the hub boxes, gloves, 2x2, alcohol wipes, bandaids, after each patient use and at the end of the day and prior to leaving for the day.

57. Provides patient with refreshments / meal as needed

58. Assures all medications are taken down prior to leaving for the day

59. Teams up with Clinic RN to assure Crash cart log is completed daily

60. Reviews patient uchart notes prior to infusions

61. Assures soiled linen room is always locked, and clutter free. Bins are not overfilled and only 1 bin is to be used at a time (not stacked together).

62. Assures all patients are scheduled for their next infusion appointment and receive AVS.

63. Provides hand-off communication before lunch and at end of day to clinic RN

MINIMUM QUALIFICATIONS

Education :

Graduate from an accredited school of nursing, Bachelor’s degree (BSN) preferred. RNs hired with an Associates (ASN) degree have 2 years to complete the BSN degree.

Certification and Licensing :

Valid Florida Registered Nurse License, ACLS, BLS certification from the American Heart Association required.

Experience :

Minimum 2 years of nursing experience

University of Miami Job ID #R100077871.

About University of Miami

The University of Miami is considered among the top tier institutions of higher education in the U.S. for its academic excellence, superior medical care, and cutting-edge research.

At the U, we are committed to attracting a talented workforce to support our common mission of transforming lives through teaching, research, and service.

Through our values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity and Teamwork (DIRECCT) we strive to create an environment where everyone contributes in making the University a great place to work.

We are one of the largest private employers in Miami-Dade County; home to more than 16,000 faculty and staff from all over the world.

Benefits

• Holiday Pay
• 403b retirement plan
• Sick pay
• Wellness and fitness programs
• Employee assistance programs
• Medical benefits
• Dental benefits
• Vision benefits
• Benefits start day 1
• Continuing Education
• Sign-On bonus
15 days ago