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WC
Washington County Hospital and Clinic
Oncology Infusion/OTIC RN
Career Insights for Oncology Registered Nurse
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Based on Iowa data
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What they do
An Oncology Registered Nurse provides care to cancer patients. Works with Oncologists to provide cancer treatment (chemotherapy) and help patients manage symptoms during treatment. Works in clinical settings, including hospitals and long term care facilities, and may also work in palliative care.
$93,154 / year median in Iowa
+8% projected growth
Job Description
DUTIES/RESPONSIBILITIES
(include but are not limited to the following) Clinical Care- Perform comprehensive nursing assessments for oncology infusion and OTIC patients prior to each treatment, during treatment, and after treatment as indicated.
- Develop, implement, and evaluate individualized patient care plans in collaboration with providers and the interdisciplinary care team.
- Review laboratory values, weights, vital signs, provider orders, treatment plans, treatment parameters, medication parameters, and provider treatment authorization prior to treatment initiation.
- Verify chemotherapy, biotherapy, immunotherapy, infusion, blood product, and high-risk medication orders in accordance with departmental policy, organizational policy, and evidence-based oncology standards.
- Safely administer chemotherapy, immunotherapy, targeted therapies, biotherapy, blood products, IV hydration, antibiotics, iron infusions, injections, supportive medications, and other infusion treatments according to established standards and protocols.
- Perform independent double-verification of chemotherapy and other high-risk medications per departmental policy.
- Perform vesicant management, extravasation prevention, and extravasation response according to approved policies and orders.
- Monitor patients throughout treatment and promptly identify and respond to hypersensitivity reactions, infusion-related complications, treatment toxicities, changes in condition, and emergencies.
- Initiate appropriate emergency interventions for infusion reactions, oncologic emergencies, and other urgent clinical situations, including rapid response actions when indicated.
- Access, maintain, flush, de-access, and troubleshoot implanted ports, PICC lines, peripheral IV devices, and other vascular access devices within scope and competency.
- Administer and document medications accurately in the electronic medical record, including assessments, interventions, patient response, education, follow-up needs, and communication with the care team. Oncology and Infusion Operations
- Coordinate patient care with oncology providers, pharmacists, patient access staff, financial counselors, laboratory, radiology, rehabilitation services, and ancillary departments.
- Review treatment plans and communicate concerns, delays, changes, missing information, or readiness issues to appropriate team members.
- Assist in coordinating patient scheduling, treatment readiness, continuity of care, and follow-up throughout the treatment journey.
- Ensure compliance with chemotherapy and hazardous medication handling, storage, administration, spill response, disposal, and personal protective equipment requirements in accordance with
OSHA, USP
, and organizational guidelines.- Maintain oncology accreditation, regulatory compliance, infection prevention, patient safety, and quality standards as applicable.
- Recommend process improvements to increase efficiency, improve patient flow, strengthen safety, and support high-quality care delivery.
- Cross-train and assist in other nursing departments as organizational needs require. Education and Patient Advocacy
- Educate patients and caregivers regarding diagnosis, treatment plans, chemotherapy precautions, medications, potential side effects, symptom management, vascular access devices, infection prevention, follow-up care, and when to seek medical attention.
- Provide emotional support and advocacy for patients and families throughout the continuum of care.
- Connect patients with community resources, supportive care services, referrals, and interdisciplinary resources as appropriate.
- Serve as a clinical resource for patients, caregivers, and staff within the oncology infusion and OTIC setting. Quality, Compliance, and Professional Expectations
- Follow established oncology, infusion, infection control, hazardous drug, emergency response, and patient safety standards.
- Participate in departmental quality improvement initiatives, performance improvement projects, safety initiatives, and accreditation readiness activities.
- Maintain required licensure, certifications, competencies, and continuing education requirements for oncology infusion and OTIC practice.
- Participate in orientation, competency validation, and mentoring of new staff as assigned.
- Promote and demonstrate WCHC Core Values and a consistent positive customer experience.
- Maintain flexibility in schedule, including willingness to work additional hours, take low census days, or alternate shifts as needed.
- Maintain regular attendance in accordance with WCHC attendance policies.
- Complete education for professional growth and technical knowledge.
- Perform other duties as assigned.
Benefits
- Dental Insurance