RN, Infusion - Nantucket

Site: Nantucket Cottage Hospital

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Job Summary

The Chemotherapy/IV therapy Nurse functions as an experienced clinical Registered Nurse in coordinating patient care and collaborating with other care providers and health team members to provide high-quality care of patients needing outpatient infusion therapy. This nurse acts as a patient guide and advocate by assisting patients and families to seek information, ensuring informed consent regarding treatment decisions and promoting the maximal level of patient-desired independence. This nurse is accountable for delivering care to the patient within the framework of the nursing process. This is a clinical position assuming department wide responsibility.

Qualifications

Essential Job Duties and Responsibilities

Assessment: The IV Therapy Nurse systematically and continually collects data regarding the health status of the patient. This data is communicated in a timely manner with other members of the health care team as needed.

• Collects pertinent objective and subjective data in a timely manner, ongoing, systematic, and culturally competent manner.
• Collects data from multiple sources, including the patient, the family, the interdisciplinary cancer care team members, and the community using appropriate assessment techniques.
• Uses theoretical and evidence-based concepts in nursing to assess individual patient populations.
• Collects data in problem areas that may include but are not limited to health promotion, patient/family education, coping, comfort, nutrition, complementary and alternative medicine, protective mechanisms, mobility, gastrointestinal and urinary function, sexuality, cardiopulmonary function, oncology emergencies, end-stage renal disease, psychosocial issues and palliative and end-of-life care.

Diagnosis: The IV Therapy Nurse ensures that the assessment data is analyzed to determine nursing diagnosis. This nurse is also recognized as the expert in outpatient infusion therapy and used as a resource and mentor to regular nursing staff.

• Determines nursing diagnoses and potential problem statements from assessment data.
• Formulates nursing diagnoses that conform to an accepted classification system.
• Develops individualized nursing diagnoses that are physically, psychosocially, spiritually, and culturally appropriate to the patient.
• Ensures nursing diagnoses reflect the patient's actual or potential health problems.
• Validates nursing diagnoses with the patient, family, and interdisciplinary care team when possible.

Outcome Identification and Planning: The Nurse ensures that individualized expected outcomes are identified. The IV Therapy Nurse ensures that an individualized and holistic plan of care that prescribes interventions to attain expected outcomes.

• Initiates patient plan of care using assessment data upon admission based on age specific needs.

• Incorporates in the patient plan of care the:

• Nursing diagnosis specific to the patient's actual problems/needs.

• Nursing diagnosis which reflects complex etiology.

• Individual teaching plans using identified teaching needs.

• Nursing interventions consistent with nursing diagnosis and etiology.

• Attainable goals with target dates.

• Documents nursing intervention and patient's response by the end of the treatments according to established procedures.

• Implements discharge plans by:

• Making appropriate referrals to other health care services.

• Implementing individualized teaching plan based on actual discharge needs.

• Formulates the patient plan of care based on acceptable standards of practice.

• Communicates the patient plan of care (written/verbal) through established procedures.

• Plans individualized patient care using nursing theory in collaboration with patient and other health care providers.

• Implements patient's plan of care in collaboration with patient, family members and significant others.

• Communicates the initial plan of care and revision (written/verbal) through shift reports and other established procedures.

• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome, documentation in the patient record and revision of the plan of care.

• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.

• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.

• Reports unusual occurrences to Clinical Nurse Leader/Director of Nursing, and/or MD as appropriate.

• Demonstrates proficiency in administering treatments, procedures and equipment appropriate to the unit/department as demonstrated by the skills checklist.

• The Nurse ensures that the plan of care is implemented to achieve the identified expected outcomes for the patient.

• Administers safely and documents medication regimen according to established protocols with no more than one documented error per year.

• Uses standard precautions as outlined in the Departmental Infection Control Manual.

• Utilizes learning principles as demonstrated by the documentation of teaching outcomes.

Evaluation: The IV Therapy Nurse systematically and regularly evaluates the patient's response to interventions to determine progress toward achievement of expected outcomes.

• Ensures that the patient/family and the members of the interdisciplinary care team participate collaboratively in the evaluation process when possible.
• Maintains a systematic and ongoing evaluation process.
• Collects evaluation data from all pertinent sources
• Compares actual findings to expected findings.
• Reviews and revises the nursing diagnoses, expected outcomes and plan of care based on the findings of the evaluation process.
• Uses evidence-based research in the evaluation of expected outcomes.
• Communicates the patient's response with the interdisciplinary cancer care team and other agencies involved in the healthcare continuum.
• Documents the findings of the evaluation in the patient's record.

Nursing Competency: Demonstrates competency in the following areas by physical demonstration, verbal or written exam: Equipment, Age Specific Assessment and Intervention, Procedures such as IV therapy,

Medication Administration, as listed on annual competency assessment form.

Professionalism:

• Attends all mandatory hospital/unit-based in-services.
• Actively participates in 75% of unit staff meetings, patient care conferences, and/or one project relevant to the unit per year.
• Maintain an environment that is committed to high standards of patient care and supportive of nursing personnel providing that care.
• Assumes responsibility and accountability in providing open communication, consensus decision-making, group goal setting and shared responsibility.
• Authority, responsibility and accountability for nursing practice rest with the professional nurse.
• Function in a collaborative and collegial relationship with other health professionals and providers.
• Demonstrates consideration toward patients, family and other hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which shows concern, dignity and respect.
• Adheres to hospital/department policy and dresses in a manner that represents the nursing profession as a professional; maintaining personal cleanliness of dress and hygiene, wearing ID badge.

Staff Development:

• Participates in performance improvement and in activities designed for professional growth.
• Reviews and signs all in-service updates.
• Identifies own deficits in knowledge and pursues venues to enhance learning.
• Uses credible, evidence-based educational resources.
• Identifies and meets individual goals annually which are congruent with the Nursing Departments long and short-term goals.
• Involved in decision making process by participating in committees one unit/department-based project.

Other:

• Maintains order of the department by maintaining adequate stock of supplies and ensuring adequate forms for the clinical record, patient education etc.
• Maintains equipment, participates in the recommendation and purchase of new equipment.
• Assists in the performance improvement plan by gathering data and recommending implementation of a plan of action.

Essential Knowledge, Skills, and Abilities Required for the Position

Knowledge of:

• Current nursing standards of practice required.

Skills:

• Previous demonstration of leadership skills and experience required.

Ability to:

• Ability to tactfully communicate with both internal and external customers.
• Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.
• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.
• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

Credentials and Experience Required:

• Graduate of an accredited nursing school required; Bachelor's Degree in Nursing preferred.
• Current valid Massachusetts Registered Nurse (RN) license required.
• Current chemotherapy/biotherapy card required within 3 months of employment.
• BLS/CPR certification required within one week of hire. AHA & ARC accepted.
• 1 year of Medical Surgical setting
• Strong IV skills or certification

Special Requirements:

• Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned.
• Must be willing to work additional/irregular shifts as on occasion to meet patient needs
• May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports.
• Must be available to work overtime as needed to complete all job duties.
• Must be available to work in the case of a Hospital declared emergency.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

57 Prospect Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$37.69 - $89.59/Hourly

Grade

RN7MN1

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

1575 Nantucket Cottage Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.