Nantucket Cottage Hospital Registered Nurse - Infusion - Part Time in Nantucket, Massachusetts
Part-time, 24 hours per week, Rotating shifts
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.**
_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:
o Nursing diagnosis specific to the patient’s actual problems/needs.
o Nursing diagnosis which reflects complex etiology. o Individual teaching plans using identified teaching needs.
o Nursing interventions consistent with nursing diagnosis and etiology. o 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: o Making appropriate referrals to other health care services. o 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.
- 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.
- 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.
- 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_
- Current nursing standards of practice required.
- Previous demonstration of leadership skills and experience required.
- 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
- Certification as a provider of BLS, ACLS preferred
- 1 year of Medical Surgical setting
- Strong IV skills or certification
- 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.
Job: *Registered Nurse
Organization: *Nantucket Cottage Hospital (NCH)
Title: Registered Nurse - Infusion - Part Time
Location: MA-Nantucket-NCH Nantucket Cottage Hospital
Requisition ID: 3172202