EDUCATION & EXPERIENCE:
Any combination equivalent to the experience and education that are required by federal, state, and local guidelines. The minimum requirements for experience and education are:
- AA, AS, Diploma, or BSN from an accredited school of registered nursing
- Currently licensed as a Registered Nurse in California
- Two years of experience as a registered nurse
- Current First Aid and CPR at the BLS level
- Radiation Oncology experience and/or OCN status preferred
- Ability to provide two current, acceptable, and verifiable professional references
- Must attend basic, intermediate, and advanced orientations prior to independently providing patient care
- Must possess or be eligible to obtain a current California driver’s license
- Current health record must be on file with either PPD or chest x-ray
- Must be able to pass all program mandated health screenings
Positions in this class of employment are situated in a standard clinical environment where there is little or no exposure to variations in the weather or other similar elements. Physical agility must be such that the RNRO is able to stand, walk, or sit for extended periods of time. This position has a direct patient contact and calls from the ability to assist frail patients in rising, walking, sitting, and lying down, etc.; frequently throughout the course of the shift. The RNRO should be able to lift up to 25 pounds repeatedly and 65 pounds intermittently. Due to the fact the work is categorized by OSHA as Bloodborne Pathogen Category I, there is potential exposure to blood, body fluid/tissue, and infectious wastes. There is also potential exposure to chemical and toxicants.
RECOMMENDED MINIMUM WPT SCORE: Twenty-six (26)
The RNRO is required to have basic educational preparation to function as a registered professional nurse as well as a cancer-specific knowledge base and demonstrated clinical expertise in cancer care. The RNRO must have a board knowledge base and proactive standards which include the following: the pathology and treatment of various cancers; a working knowledge of research application and protocol devilment; knowledge of the principles and practices of safe radiation therapy administration; management of side effects, symptom control; and a working knowledge of available community resources. The RNRO functions as a coordinator of client care, collaborating with other cancer providers and health team members to provide required care as effectively as possible. The RNRO is accountable for delivering care within the framework of the nursing process.
The RNRO is responsible for data gathering that is focused in eleven high-incidence problem areas: Prevention and early detection, information, coping, comfort, nutrition, protective mechanisms, mobility, elimination, sexuality, and circulation. The RNRO uses assessment finding to formulate diagnose and prioritize problems according to client needs. The RNRO engages the patient in mutual goal setting and collaboration in developing the plan of care directed toward achieving identified goals. The effectiveness of the plan of care in goal achievement is evaluated through client outcomes.
The RNRO actively participates in professional role development activities including continuing education, quality assessment and improvement, and the review of and clinical application of research findings. The RNRO develops ethical sound practice and confronts ethical challenges through application of the standards of Radiation Oncology nursing practice.
This position reports to the Radiation Oncology Physician Assistant and Radiation Oncology Medical Director. The RNRO is also responsible for the supervising of the clinical component of the Medical Assistants in the department.
STANDARDS OF RADIATION ONCOLOGY NURSING:
Standards describe the responsibly for which an RNRO is accountable. The framework that follows describes a competent level of professional performance and professional nursing practice shared by nurses engages in the delivery of cancer care. The word client will be used to denote the individuals, families, group, or communities “for” whom the nurse is providing specific service as sanctioned by nursing practices acts” (ANA 1991)
Standards of Care:
The RNRO systematically and continuously collects data regarding the health status of the client
The RNRO analyzes assessment data in determining nursing diagnosis.
The RNRO identifies expected outcomes individualized to the client.
The RNRO develops an individualized and holistic plan of care that prescribes interventions to attain expected outcomes.
The RNRO implements the plan of care to achieve the identified expected outcomes for the client.
- Receives assignments from the RO PA or MD or designees and follows up using established protocols
- Provides treatment and/or nursing procedures to the patient in the clinic
- Prepares clinical and nursing notes that meet organizational requirements
- Informs RO physicians, PA and other appropriate personnel of changes in patient condition or need
- Counsels the patient and/or family meeting nursing and related needs
- Educates and instructs patient and patient’s caregivers in procedures and related care needs
- Actively prepares for and participates in case conferences, peer to peer, M & M and radiation safety meetings.
- Routinely attends and participates in in-service training programs
- Collects data as required to meet legal mandates
- Provides accurate and legible data to the RO PA or designee
- Maintains confidentiality in all matters related to the patient and the organization
- Maintains personal composure and integrity under stressful conditions
- Submits documentation in a timely fashion
- Performs related duties as require by the RO MD, PA or designee
- Principles, practices and procedures of nursing in a clinical environment
- Nursing documentation requirements and care techniques
- Conditions that are symptomatic and care delivery techniques
- Various racial, religious, and ethnic cultures in the organization area
- Arranging outpatient referrals as ordered by physicians for DME, etc.
- Coordinating chemotherapy and radiation treatment schedules
- Proper discharge of patient’s home with follow-up appointments
- Completing initial and subsequent assessments (e.g., heights, weights, vitals, etc.)
- Assuring that all records and images are available prior to new patient consultations.
- Routine nursing skills practiced in a clinical environment
- Insuring that patients have signed informed consent prior to the initiation of therapy
- Obtaining appropriate venous/arterial access via peripheral veins or implanted devices
- Obtaining and preparing lab specimens per established policies and procedures
- Obtaining lab values on patient and evaluating proper parameters
- Information gathering and recording
- Providing accurate and timely records of critical events
- Soliciting sensitive information from patients and their caregiver
- “Most Current” nursing techniques and procedures
- Cooperating with the RO physicians, PA and other co workers
- Contacting all patients who miss treatment visits, follow-up appointments, or consultations to arrange for reschedule
- Remaining calm with patients and their caregivers under stressful conditions
- Effective supervision of the RO MA
- Read, write, and communicate on a professional level
- Perform multiple tasks in a timely manner
- Perform efficiently in a high-pressure setting
- Review radiation therapy treatments
- Assist with examinations, injections, aspirations, and biopsies as needed
- Deal effectively with various personalities on a routine basis and in a professional manner
- Develop and maintain professional relationships with co workers
- Follow written and verbal directions while retaining the ability to tactfully question directions that seem unclear, unsafe, illegal
- Identify and solve routine problems encountered in the clinic