Nursing Opportunities (RN and NP) Pediatric Oncology

Job Details

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Job ID:
28351

Location:
450 Brookline Ave, Boston, MA 02215

Category:
Nursing

Employment Type:
Full time

Work Location:
PTL Remote: 2-3 days remote/wk

Overview

Nurses and Nurse Practitioners needed for several openings in Pediatric Oncology. 

  • Pedi Neuro-Oncology Nurse Navigator
  • Pedi Stem Cell Transplant/Bone Marrow Failure Nurse Navigator
  • Pedi Solid Tumor Oncology Nurse Navigator
  • Pedi Heme-Malignancy Oncology Nurse Navigator
  • Pedi Infusion Nurse
  • Nurse Practitioner in Pediatric Neuro Oncology

The World renown Jimmy Fund Clinic at Dana Farber Cancer Institute is Looking for nursing talent to expand our team! Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Responsibilities

PRIMARY DUTIES AND RESPONSIBILITIES FOR RNS:

 

  1. Participates in day-to-day operations of the program including patient education and call triage
  2. Participates in program evaluation and development of strategic goals consistent with DFCI’s mission and professional values.
  3. Participates in the QA/QI projects for the program.
  4. Supports the research activities of the program.
  5. Exhibits professional commitment through individual integrity, honesty and accountability to self and others
  6. Delivers expert clinical care through evidenced-based practice partnerships with patients, families and colleagues.
  7. Assumes nursing care responsibilities for a defined group of patients within the program, including but not limited to assessment, education, coordination, and documentation.
  1. Facilitates individualized care within the context of functional status, cultural consideration, health literacy, psychosocial, reproductive/fertility, and spiritual needs for patients, families and caregivers.
  2. Supports a smooth transition of patients from active treatment into survivorship, chronic cancer management, or end-of-life care.
  3. Assists patients with cancer with issues related to treatment goals, advanced directives, palliative care, and end-of-life concerns using an ethical framework that is nonjudgmental and nondiscriminatory.
  4. Acts as a liaison between the patients, families, and caregivers and the providers to optimize outcomes.
  5. Advocates for patients to promote patient centered care that includes shared decision making and patient goals of care with optimal outcomes
  6. Provides psychosocial support to and facilitates appropriate referrals for patients, families and caregivers
  1. Contributes to ONN program and role development, implementation, and evaluation within the healthcare system and community
  2. Participates in the tracking and monitoring of metrics and outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program
  3. Functions as the primary nursing contact for care delivered within the physician practice setting.
  4. Engages in collaborative decision making, utilizing available data expertise and wisdom of the collective
  5. Manages patient care across the continuum, including new patient calls, and making appropriate referrals as necessary.
  6. Works collaboratively and functions as an effective member of the health care team.
  7. Monitors the environment of care with attention to patient safety, and assures compliance with regulatory agency standards.
  8. Maintains clinical practice that is evidence-based and consistent with nursing policies, procedures and standards.
  9. Provides care based on age-specific needs of the patient.
  10. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) in all aspects of professional practice.
  11. Complies with accepted standards of professional nursing practice that is evidence- based and consistent with policy, and procedures determined by DFCI as well as with all licensure/registration requirements applicable to the nursing role.
  12. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age.

PRIMARY DUTIES AND RESPONSIBILITIES FOR NPs

  • Delivers expert, scientifically based care to patients using advanced skills in the evaluation, diagnosis and treatment of patients with hematological-oncological diseases and adverse health conditions.
    1. Assesses patient and family needs from a holistic viewpoint.
    2. Performs comprehensive physical assessment. Differentiates between normal and abnormal physical findings, and interprets to determine the severity of illness. Recognizes and differentiates oncological emergencies associated with specific diseases and conditions.
    3. Assesses pain and symptom management that includes side effects of chemotherapy and radiation therapy.
    4. Formulates a multidisciplinary plan of care based on identified diagnoses. Continually reassesses plan based on patient's current condition.
    5. Incorporates age-specific interventions related to safety, nutrition, physical limitations, polypharmacy, skin integrity, psychosocial needs and other areas as appropriate in the care provided.
    6. Administers chemotherapy, medications and treatments in accordance with Institute policy and performs procedures as determined by disease center needs.
    7. Documents care reflective of advanced practice, and complies with all Institute, collaborating institution and regulatory agency requirements.
    8. Provides patient and family education, instruction and reinforcement to meet identified learningneeds.
    9. Identifies appropriate community resources to provide continuity of care and makes appropriate referrals to homecare and hospice agencies.
    10. Delegates responsibilities for the performance of selected patient care activities to assistive personnel within established regulations and policies. Provides appropriate and intermittent supervision.
    11. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) in all aspects of professional practice.
    12. Recognizes and responds to emergency situations appropriately. Maintains BLS certification.
    13. Pursues active membership of local and national professional organizations.
  • Manages therapeutic regimes and appropriate follow-up care for acute and chronic problems associated with hematological-oncological diseases and conditions.
    1. Prescribes medications, which may include chemotherapy, IV fluid, and blood component therapy in accordance with research protocols, Medical Staff Bylaws, Institute, state and federal regulations, and collaborating institution policies.
    2. Evaluates the patient's response to therapy and appropriately modifies interventions as needed.
    3. Orders consultations, diagnostic and laboratory tests and scans in accordance with research protocols and current practice standards. Completes all requisitions in accordance with DFCI policies and procedures.
    4. Demonstrates awareness of protocols available in the disease center. Complies with clinical protocol requirements regarding appropriate collection and recording of data and information required.
    5. Performs diagnostic and therapeutic procedures in accordance with practice guidelines, research protocols, Medical staff Bylaws, Institute and collaborating institution policies.
    6. Coordinates elective and emergency admissions to collaborating institutions in accordance with the patient's medical condition, research protocols, Medical Staff Bylaws, Institute and collaborating institutions' policies and procedures.
    7. Obtains required consents for treatment and procedures.
  • Practices according to written guidelines in compliance with the Massachusetts Board of Registration in Nursing. Maintains prescriptive privileges as defined by the Massachusetts Department of Public Health. Utilizes prescriptive authority responsibly for Schedule II through V controlled substances in the Commonwealth of Massachusetts.
    1. Develops and maintains current practice guidelines that specifically describe the nature and scope of the nurse's practice; the circumstances in which physician consultation or referral is required; the use of established procedures for the treatment of common medical conditions which the nurse may encounter; and provisions for managing emergencies. Guidelines must also include a mechanism to monitor prescribing practices including documentation of review with a supervising physician at least every three months; protocols for the initiation of intravenous therapies and Schedule II drugs; specify the frequency of review of initial prescription of controlled substances. The initial prescription of Schedule II drugs must be reviewed within 96 hours. 
    2. Monitors prescriptive practice in collaboration with the supervising physician and submits quarterly reports to direct supervisor.
    3. Maintains current Collaborative Practice Agreement signed by NP and supervising physician.
  • Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds.
    1. Interacts with patients and families in a caring and compassionate manner.
    2. Provides patient and family education related to the disease process, treatment plan, alternatives, symptom management, care and follow up.
    3. Provides care based on the age-specific needs of the patient.
    4. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age.
  • Manages the environment for patient care providing leadership in the identification and integration of resources to achieve desired outcomes.
    1. Monitors the environment of care with attention to patient safety, and assures compliance with regulatory agency standards.
    2. Complies with Institute, nursing, and collaborating institutions' unit policies, procedures, work rules and standards of conduct.
    3. Develops collaborative relationships with colleagues which facilitate mutual involvement in planning care. Acknowledges and uses expertise of others through formal and informal consultation in planning and evaluating patient care. 
    4. Provides leadership in the development and implementation of an integrated plan of care.
  • Provides leadership in the formulation and achievement of unit goals within Nursing and Patient Care Services, the Disease Center, the Institute and the community.
    1. Assists in defining goals and developing systems and work processes for the unit, Nursing and Patient Care Services, the Institute and collaborating institutions.
    2. Participates in and provides leadership to committees, councils, and initiatives.
    3. Works collaboratively and functions as an effective member of the health care team.
    4. Demonstrates flexibility and the ability to set and change priorities.
    5. Participates in QA/QI projects in the disease center and the Division of Nursing and Patient Care Services. 
    6. Fosters and promotes an environment that facilitates professional communication and collaboration with colleagues.
    7. Supports research activities within the Division of Nursing and Patient Care Services, the Institute, and collaborating institutions.

The NP meets all requirements of the registered nurse's responsibilities which include assessment, planning, implementation and evaluation of nursing care for a complex patient population. Patients have a wide range of ages, acuity, and hematological and/or oncological diagnoses.

The NP is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff at the Institute and other collaborating institutions and agencies. The role requires critical thinking, an understanding of research principles and practices, and an expanded scope of clinical practice and leadership that improves the quality of care and advances the practice of nursing throughout the work setting and community. The Mission, Vision and Core Values of the Dana-Farber Cancer Institute are incorporated into all areas of practice.

Qualifications

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong.  As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff.  Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

MINIMUM JOB QUALIFICATIONS for RNs:

 

  1. Licensed as a Registered Nurse in the Commonwealth of Massachusetts
  2. Baccalaureate degree required; baccalaureate in nursing preferred  
  3. Minimum of 1 year (or equivalent) of oncology nursing experience
  4. Certification in Oncology Nursing, OCN, AOCN, or CPON preferred

MINIMUM JOB QUALIFICATIONS for NPs:

  1. Authorization to practice in an expanded role as a Nurse Practitioner in the Commonwealth of Massachusetts
  2. Current certification from a nationally recognized accrediting body approved by the Massachusetts Board of Registration in Nursing for Nurse Practitioners
  3. Minimum of 24 contact hours beyond generic education in pharmacotherapeutics
  4. Masters degree in Nursing
  5. Minimum of 1 year oncology nursing experience or 1 year Nurse Practitioner experience
  6. Oncology Nurse Practitioner experience preferred
  7. In possession of Massachusetts Department of Public Health and Federal DEA numbers
  8. Certification in Oncology Nursing preferred - OCN, AOCN, CPON
  9. Demonstrated ability to work as an effective member of an interdisciplinary team.
  10. Demonstrated critical thinking, problem solving skills and ability to make independent decisions.

    Professional Development:

  1. Identifies areas for professional growth.
  2. Formulates professional goals, objectives and methods for accomplishing these.
  3. Serves as representative on Nursing and Institute committees, including the Program Nurse Committee
  4. Supports research activities within the Nursing and Patient Care Services and the Institute.
  5. Meets all annual evaluation requirements and competencies within the established time period.
  6. Collaborates in preparing professional reports, articles, and presentations for colleagues and the public.
  7. Pursues active membership in local and national professional organizations.
  8. Commitment to continuous learning and improvement through a high spirit of inquiry, innovation and mentoring.

 

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

 

  1. Demonstrated ability to work as an effective member of an interdisciplinary team.
  2. Demonstrated skills in critical thinking, effective communication, organizational skills, problem solving, and ability to make appropriate independent decisions.

  

PATIENT CONTACT: Yes- Demonstrates understanding of special needs and behaviors of age groups of the population served:  all age groups, infants to geriatric.

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