Job Description

JOB TITLE : Provider/ APP Nurse

JOB SUMMARY : Collaborates with and provides professional nursing support to NHO Providers in the care of patients with oncology or hematological conditions following established standards and practices.

REPORTS TO: Director of Provider Services

SCOPE: Specialized oncology nurse who attains proper judgement and competence to provide patient centered care under the direct supervision of the physician. Assist Physician/Advanced Practice Provider (APP) in the development of personalized patient care plans to promote the safe delivery of chemotherapy and biotherapy treatments. 

Works within the scope of licensure as a registered or license practical nurse. Applies identified evidence-based nursing practices consistent with national standards and supports quality outcomes. Works collaboratively with the interdisciplinary team to meet the physical, psychosocial, educational, spiritual needs of the patient and family, contributes to and implements the plan of care. Maintains competency in all clinic standards while supporting NHO mission and core values. 

--- Honesty – Openness – Positivity – Elevate --

PRINCIPAL DUTIES: Provides general nursing care to patients within scope of licensure.

• Utilize the nursing process – assessment, planning, implementation, and evaluation to facilitate continuing healthcare opportunities to individuals, families, and community.
• Delegate and provide supervision of LPNs and clinical support staff. Assist with flow of patients to avoid delays for providers and undue waiting for patients.
• Provide direct patient care to prepare patients for examination, assist with procedures, assure completion of provider orders, perform assessments, central line maintenance, oral medication compliance, and IV medication administration.
• Employ critical thinking skills and knowledge-based nursing judgement.
• Knowledgeable in anticancer therapies and treatment regimens includes.
• Indications, dosing, calculations, premedication, and supportive cares
• Carries out the treatment plan to completion as directed by the physician. 
• Adheres to safety standards with attention to error prevention.
• Collaborate with the healthcare team utilizing communication tools to provide focused and concise information, execute orders with readback, and assure accuracy and appropriateness. 
• Assist patients and other healthcare entities with inquiries regarding changes in patients’ health status and follow-up activities, including providing information on laboratory results, diagnostic tests, scheduling, and medications. 
• Teach and counsel patients and families concerning health assessment, how to evaluate symptoms, medications, effectiveness of treatment, how and when to notify the healthcare team. 
• Follow practice standards to ensure consistency and effectiveness promoting positive outcomes and access to health care.
• Demonstrate effective and respectful communication with patients, families, and the healthcare team. 
• Approach patient care with empathy and compassion.
• Guide patients through the complexities of their diagnosis, supportive services, and the health care system.
• Identify learning needs of the patient, educate by adapting to the learning style, and utilizing the teach-back method. 
• Assist staff in clinic quality improvement measures and clinic standards of practice such as Quality Oncology Practice Initiatives (QOPI), Oncology Nurse Society (ONS), and National Institute of Safety & Health (NIOSH)
• Perform other duties as assigned.

PHYSICAL REQUIREMENTS: Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or up to 10 pounds of force consistently to move objects including the human body. Ability to assist adult patients to exam tables and maintain patient mobility including walker and wheelchair assistance. Exposure to blood, waste, bodily fluids, communicable diseases, and hazardous drugs while utilizing appropriate safety standards. 

EDUCATION / LICENSURE: Graduate from an accredited school of nursing. Current licensure as a Registered Nurse in the State of Nebraska required. 

OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Highly encouraged Oncology Certification when qualified. 

EXPERIENCE: One year of nursing experience. Experience working with oncology patients preferred.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of nursing and clinical systems. 
• Knowledge of federal and state regulations related to nursing practice, OSHA, and HIPAA requirements.
• Knowledge of computer hardware equipment and software applications relevant to work functions.
• Knowledge of quality metrics. 
• Skill in organizing work to achieve clinical goals and meet patient/medical provider needs.
• Skill to maintain clinical competency as required for licensure and clinic standards. 
• Skill to ensure that equipment and facilities are in proper condition for use in delivering health care.
• Skill to engage diverse populations and provide culturally sensitive coaching, education, and assistance. 
• Ability to communicate effectively both verbally and in writing.
• Ability to work as a team member. 
• Ability to maintain confidentiality of patient information.
• Ability to integrate new work process and adapt to change.
• Ability to exercise courtesy, tact, and professionalism. 
• Ability to work in a fast-paced environment relevant to changing patient needs.
• Ability to receive feedback and apply it to work performance.
• Ability to maintain regular and punctual attendance.
• Ability to attend required meetings and participate in committees as requested.

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