Registered Nurse 2 Oncology Infusion

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

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Department:

CC017721 MS Cancer Center Medical Oncology Aventura

Job Description Summary:

Position Responsibilities

• Demonstrates ability to interpret chemotherapy orders accurately ( calculates BSA and ANC correctly).
• Performs double check of chemotherapy orders utilizing patient identifiers.
• Demonstrate proficiency in the safe administration of chemotherapy and disposal of chemotherapy wastes and equipment as per ONS guidelines.
• Completes nursing documents accurately and in a timely manner following Joint Commission Standards.
• Provides patient education and documents appropriately using the approved documemtation forms.
• Demonstrates the ability to identify signs and symptoms of oncologic emergencies and provide management appropriately and quickly
• Assesses and reassesses patient complaint of pain and document findings.
• Identify acute local and systemic reactions as a result of extravasation or anaphylaxis in association with specific chemotherapy drugs and appropriate interventions.
• Attends annual mandatory inservices. Maintain certification in Basic Life Support. Achieves and maintains certification in speciality area.
• Delegates patient care responsibilities to assigned care givers based upon patient and staff competencies.
• Demonstrates a calm, professional manner during a crisis or emergency situation at all times within the patient care environment.
• Follows approved protocol in receiving critical results and performing timely and accurate communication and follow-up.
• Actively participates in the survivorship program of the center.
• Demonstrates knowledge and proficiency in charging services ( E&M levels, CPT) and reconciling charges.

Assessment

• Performs initial vital signs and admission history to include introduction to patient and family. Assessment of chief complaint and notification of physician within 15 minutes of arrival to unit.
• Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission.
• Performs and documents an accurate systems assessment at the beginning of each shift.
• Responds to diagnostic data and initiates appropriate action or intervention.
• Assesses patient education needs on admission and daily.
• Assesses psychosocial needs specific to patient's age, growth, and development.

Planning

• Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift.

Implementation

• Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
• Safely and correctly initiates and documents nursing interventions in emergency situations.
• Performs 24-hour chart check at the beginning of each shift.
• Administers, observes, and documents intravenous therapy according to hospital policy.
• Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness. Recognizes and reports adverse reactions immediately.
• Provides individualized instructions each shift to patient/significant other regarding the plan of care.
• Demonstrates safe and correct use of unit specific equipment.
• Ensures that each patient's general hygiene needs are met daily.
• Adheres to standard precautions including hand hygiene guidelines at all times.
• Documents specific patient valuables on designated form when received and immediately arranges for appropriate storage.
• Performs dressing changes using aseptic technique.
• Collects and labels specimens per policy when ordered by physician.
• Performs bedside glucose monitoring according to policy.
• Reports all abnormal findings immediately to physician.
• Initiates wound and skin protocol upon identification of risk.
• Inserts intermittent or indwelling urinary catheter using aseptic technique.
• Administers oxygen therapy according to physician order.
• Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders. Completes documentation of transfer summary. Ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report.
• Demonstrates safe and correct use of restraints as per policy.

Evaluation

• Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.
• Evaluates and documents patient's progress towards established goals/objectives every shift.
• Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift.
• Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems/needs, internal or community resources, and support systems.

Professional / Leadership and Staff Development

• Obtains 100% mandatory hospital and unit specific inservices annually, prior to evaluation date.
• Plans, presents, and documents unit inservice and / or interdepartmental pateitn care conference as required by level.
• Serves as a preceptor / clinical resource and documents competency in clinical skills annually.
• Functions as a charge nurse and assists in applying financial management principles.
• Uses established lines of communication for resolution of problems and interpersonal conflict.

Qualifications

• License/Registration/Certification

  • Current Licensure in the state of Florida. BSN preferred. BLS required/

• Education

  • Associate's Degree in Nursing. BSN preferred

• Experience

  • Level IV: 5+ years of experience in area of specialty in an inpatient or outpatient setting, and/or medical/surgical experience. Charge nurse or team leader experience preferred. Applicants must also possess the skills to independently perform the job requirements, tasks and responsibilities of the position.

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!

Degree Requirements:

Certification: