Registered Nurse, Hem Onc/Cancer Care Triage, 40 Hours (Days)

The Registered Nurse adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing and is primarily responsible for professional performance and direct patient care.

The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum.

The registered nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines, and standards of practice.

Before applying for this role, please read the following information about this opportunity found below.

Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year.

It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all and is the largest safety-net hospital in New England.

The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery system that includes many community health centers.

Join BMC today and help us achieve our Vision 2030, which is a long-term goal to make Boston the healthiest urban population in the world.

Position : Hematology Oncology Triage

Department : Hematology / Oncology Clinic

Schedule : Full Time, 40 Hours

POSITION SUMMARY :

The registered nurse adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing and is primarily responsible for professional performance and direct patient care.

The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum.

The registered nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines, and standards of practice.

ESSENTIAL RESPONSIBILITIES / DUTIES :

• Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient, and appropriate patient-centered care.
• Responsibilities include administration of ordered injections, pump disconnects and vaccines, triage telephone calls from patients, families, and community or referring offices, follow-up calls to patients as instructed by the provider, prescription refills, home care referrals, and work closely with providers and nursing in the clinic.
• Meets and follows all standards of nursing practice care and standards of professional performance of a registered staff nurse.
• Prioritize incoming calls based on clinical acuity. Determine the severity of the caller's complaint. Direct the caller to the appropriate emergency services if necessary, recommend the suggested medical follow-up based on their assessments and established triage protocols, and provide health information.
• Using the nursing process, analyzes the assessment data to determine appropriate nursing diagnoses and facilitates access to the health care system and / or negotiates a satisfactory resolution to the issue.
• Work closely with providers, nurses, and all other members of the medical center staff by demonstrating effective communication, teaching, and negotiating skills.
• Accountable for quality assessment, efficient managed care, and patient satisfaction in collaboration with the health care team.

Implements interventions identified in the nursing and medical plan of care.

• Provides and guides patient teaching, counseling, and indicated medical recommendations while maintaining standards of professional nursing practice.
• Document patient / pharmacy requests for prescription refills, reviewing patient medical records and documenting recommended scripts in the patient medical record for provider review and approval.
• Schedule appointments for the primary care physician group and specialists.
• Review and triage the lab / x-ray results received in the office and notify the medical practitioner of critical values.
• Making follow-up calls to high-risk patients may also involve allowing the nurse to assess changes of status or to ensure that the patient sought the appropriate treatment.
• Documents information provided to patients during triage in any / all applicable electronic health record systems.
• Responsible for communicating to respective physicians any additional documentation / notes from triage event(s) that physicians may need for follow-up patient care.
• Performs patient vitals, medication reconciliation, health histories, and documents same in electronic medical record for provider review.
• Performs pre-visit review of patient information to ensure required information from patient chart, lab results, consults, etc.

are available in the electronic medical record for provider during visit.

• Evaluates the patient's progress toward the attainment of clinical and educational outcomes.
• Performs in-office procedures such as EKGs, PFTs, assists with bone marrows, surgical procedures, etc. as ordered by the provider.
• Performs Nurse Only visits for patients that do not require a physician or NP, such as BP checks, immunizations, injections, education, etc.
• Other related duties as required.

JOB REQUIREMENTS :

• Registration and current RN licensure in the state of MA in good standing required.
• Nursing degree : Diploma, ASN or BSN (preferred); ability to obtain BSN within the first 4 years of employment.
• Requires current basic life support (BLS) certification.
• Bio / chemo certificate required.
• ONS chemotherapy provider card within 60 days of hire, OCN preferred : must obtain within 2 years of hire.
• Minimum 1 year experience, 2 years preferred with demonstrated competence in all aspects of nursing care and independent decision making in hematology / oncology required.
• Previous experience with hematology / oncology triage, surgical oncology, transplants, stem cell transplants or amyloidosis preferred.
• Recent port access, peripheral IV insertion, and clinical assessment skills preferred.
• Previous skills with drains, wound vacs, and assisting with minor procedures preferred.
• Additional certifications may be required for certain practice areas.

KNOWLEDGE AND SKILLS :

• Basic computer proficiency inclusive of ability to access, enter, and interpret computerized data / information.
• Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families.
• Organizational skills to set priorities and efficiently complete assigned work. Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.
• Relevant clinical experience and / or specialty certification required for certain practice areas, e.g., enterostomal therapy, epidemiology, peri-operative areas.
• Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.
• Ability to effectively delegate appropriate patient care activities.
• Effective verbal and written communication skills appropriate to the patient populations served.
• Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served.
• Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate, and personnel issues.
• Ability to utilize judgment and decision-making skills in performing triage exemplifying sound clinical judgment.
• Pleasant telephone manner.
• Excellent customer service skills and personal service knowledge including needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Knowledge of electronic medical record systems and their usage.
• Outstanding written, verbal, telephone, and interpersonal communication skills, including time management (ability to prioritize and effectively manage multiple tasks).
• Knowledge of primary care clinical procedures and all processes involved in the delivery of quality care.
• Ability to effectively communicate information to supervisor, peers, or customers.
• Ability to work both effectively with minimal supervision as well as with fellow staff as a team.
• General office abilities including a minimum of 40 wpm typing and faxing.
• Reading comprehension skills and computer literacy required.
• Excellent command of the English language is required.

Equal Opportunity Employer / Disabled / Veterans

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