The Radiation Oncology Nurse provides nursing care to patients undergoing radiation therapy treatments; performs physical examinations within prescribed guidelines and instruction of physician; carries out physician's orders for diagnostic tests to identify and assess patient's clinical problems and health care needs; records physical findings, formulates plan based on a patient's acuity, discusses case with physician and other health care professionals to prepare comprehensive patient care plan and evaluates outcomes.
The Radiation Oncology Nurse monitors all areas of patient care and effective relationships with physicians, patients, family and other health professionals.
The Radiation Oncology Nurse serves as a resource and role model for other positions. This position will demonstrate competency in the care of patient’s young adult to geriatric.
You will be responsible and accountable for the care of the assigned patients and directs others to assure Patient-Centered Care, which is based on patient needs, values, and choices. You demonstrate skill in developing and guiding collaborative collegial practice that delivers safe competent care based on meticulous application of the nursing process. He/she demonstrates sensitivity and understanding of the diverse cultural backgrounds of patients and caregivers.
The position involves maintaining current knowledge of evidence based nursing practice and the ability to demonstrate critical thinking skills in the implementation of all phases of the nursing process. He/she actively participates in patient care quality and performance improvement. This commitment to quality results in the development and implementation of action plans to include the monitoring of the effectiveness of improvements (Hold the Gains). The RN serves as a professional role model as a caregiver, mentor, teacher and resource for peers and other providers.
Job duties of this position may require access to protected patient information (PHI). The team member will be accountable for appropriate use of the record and compliance with all confidentiality and security policy and procedures related to use, access, and disclosure of PHI.
Principle Duties and Responsibilities:
Direct Comprehensive Care: Applies an integration of theory, research, experience and practical knowledge in providing holistic care for patients with cancer and their families within maximum scope of practice through protocols, practice guidelines and medical directives.
Conducts a through health assessment of the patients physical, psychosocial, cultural and spiritual needs by completing a patient history and physical examination.
Formulates and implements a holistic plan of nursing care that is communicated and clarified with the patient/family.
Interprets and organizes sequencing of diagnostic tests and procedures when nursing judgment and expertise is required.
Demonstrates hands on clinical skills specific to an area of practice and other job assignments as required.
Provides care that demonstrates sensitivity to client diversity and incorporates appropriate cultural practices.
Keeps abreast of current clinical trials relevant to her/ his patient population and communicates effectively with clinical trials staff to promote continuity of care.
Reviews protocols for clinical trials that may affect her/his patient populations.
Evaluates patient responses to interventions in order to determine progress toward achieving expected outcomes. Modifies the nursing plan of care accordingly.
Provides a comprehensive report when transferring accountability of a patients care to another nurse and/or facility.
Documents/ dictates patient history, physical examination data, nursing care plan and interventions, and the client’s responses in the clients record in a timely manner.
Supportive Care: Provides holistic nursing care to meet the emotional, psychological, informational, spiritual and practical needs of patients throughout the spectrum of cancer care.
Establishes a caring and therapeutic relationship with the patients demonstrating trust, respect and honesty.
Demonstrates excellent communication skills during all phases of the therapeutic relationship.
Creates an environment of support by listening attentively and offering support and confidentiality.
Demonstrates the ability of being there for the patient throughout their illness experience by acknowledging the patients reality and encouraging hope.
Assists the patient to identify psycho-social needs and concerns; and offers appropriate resources through information provision, education and referral.
Demonstrates counseling skills in assisting patient and family with coping mechanisms throughout the continuum of care from diagnosis to bereavement.
Navigation is used to denote a professional role intended primarily to expedite access to services and resources, and to improve continuity and coordination of care throughout the cancer continuum. The oncology nurse acts as a proactive guide to help cancer patients navigate the complex maze of cancer treatment and care. The nurse empowers the patient and family by providing information and education to facilitate decision making in order to enhance the patient’s choice of the best alternatives of care tailored to their individual needs.
Understands the impact of the cancer experience and strategizes when and how to best guide the patient and family throughout the cancer treatments. The oncology nurse will assess the patient’s needs, establish a therapeutic relationship, and teach, counsel and support the individual and family through the continuum of care.
Develops a collaborative partnership with the patient and their family that is respectful of their needs, wishes, knowledge, experience, values and beliefs.
Knowledgeable about the resources provided by the cancer care program at their institution and in the community.
Follows the process of patient education which consists of: assessment of need; statement of learning need; development of learning objectives with patient; implementation of teaching; and evaluation of learning.
Provides health counseling, navigation through treatment and interpretation of written as well as media/web based patient resources.
Plans, delivers and evaluates education directly or on a consultative basis for individual and/or groups of patients with cancer and their families in partnership with the interdisciplinary team.
Applies evidence based practice in the development of teaching tools / programs.
Advocates for the patient and family by mobilizing appropriate resources tailored to the individual patients care in a timely fashion. Identifies gaps in service and addresses them.
Organizes the interdisciplinary plan of care with other services and team members, as required to facilitate the seamless movement of the patient through the healthcare system.
Translates medical language and procedures for the patient and family by using language that is appropriate to the patient.
Professional Practice: Nurses are accountable for their own decision-making and actions, and maintaining competence to facilitate the best possible outcomes for patients.
Participates in professional and specialty nursing organizations
Supports development of and participates in clinically relevant research, committee and project work.
Advocates for and supports the development, implementation and evaluation of quality improvement initiatives (policy & procedure changes, standards, protocols, clinical pathways and medical directives).
Engages in self-appraisal by being proactive and innovative in meeting own learning needs based on patient population and changes in practice.
Performs reflective practice, which includes the required capacities of self-awareness, self-knowledge, and empathy, awareness of boundaries and maximum scope of the professional role.
Engages in reflective practice by maintaining knowledge and skills that will enhance/advance her/his/ professional oncology nursing practice.
Role models for oncology nursing through demonstration of expertise.
Acts as a resource to individuals and groups within hospital and community agencies to improve care and nursing practice.
Acts as a preceptor or mentor to staff/students, providing written or verbal feedback as necessary.
Recognizes ethical dilemmas and works through them using resources and a logical approach.
Demonstrates ethical behavior (i.e. honesty, integrity.) Recognizes when own values and beliefs conflict with the patients and is able to demonstrate conflict resolution skills.
Collaborative Practice: In collaborative practice the oncology nurse and oncologist share in the care of the patient through a complementary relationship which is based on shared decision-making and joint problem solving. Both the oncology nurse and oncologist utilize their skills and expertise to work in partnership with allied health professionals to provide holistic care to the patient and family members.
Demonstrates an understanding of the scope of practice as a nurse to ensure sound knowledge of role clarity, authority and accountability.
Utilizes strong communication and interpersonal skills to facilitate mutual agreement and acceptance of responsibilities within scope of practice, about shared care and distribution of activities.
Facilitates cost effective care through complementary but non-duplicating roles in collaborative practice.
Ensures the opportunity for the patient and the members of the interdisciplinary cancer care team to participate collaboratively in the planning, implementation and evaluation of comprehensive patient care.
Provides leadership and coordination in telephone practice to patients, family members and community healthcare professionals as needed.
Demonstrates strong communication skills to work in partnership with the oncologist to promote a trusting and respectful professional relationship.
Demonstrates conflict resolution skills by taking action to resolve conflict and develops innovative solutions to practice issues in partnership with the oncologist and other members of the interdisciplinary team.
Demonstrates the ability to prioritize and evaluate learning and development of the individual oncology nurse and oncologist to promote team function and the best possible outcome for the patient.
Evidence-Based Practice (EBP): EBP is the conscientious use of current best evidence from health care research in making decisions about the health care of patients. The oncology nurse participates in evidence-based practice in order to facilitate the best possible outcomes for patients.
Demonstrates knowledge relevant to her/his professional practice by providing theoretical or scientific (physiological and/or psychosocial) rationale.
Demonstrates an ability to formulate an answerable question, which is clinically relevant.
Selects and executes a rigorous search strategy to identify the best quantitative and qualitative evidence.
Critically appraises the strength of the research evidence for its validity and relevance to clinical practice and the patient population.
Disseminates his/her findings to the primary team(s), integrating the evidence with his/her clinical expertise and the patient’s unique values and circumstances as appropriate.
Evaluates effectiveness of intervention in attaining the desired patient outcomes.
Participates in nursing research initiatives
Participate in quality improvement processes to include Lean, patient safety initiatives.
Participate in quality improvement processes to include Lean, patient safety initiatives.
Attends and participates organizational meetings.
MS Word, Excel, Power Point, Outlook, Mosaic, and any other additional organizational computer systems or software
Other duties as assigned.
Graduate of an approved professional nursing program.
Licensed / currently registered to practice in the State of Maryland as a Registered Nurse.
Certification or actively pursuing certification with the Oncology Nursing Society (ONS) preferred
Certification in CPR required
Have two years of oncology nursing experience, possess age-specific competency, good oral and written communication skills and be cooperative, courteous, tactful and resourceful in relating to patients, families, medical staff and other health care professionals.
Must be able to complete job related competencies as deemed necessary to the performance of the RN role in the nursing department of employment.
Continuing Education Requirements:
Plans and conducts a minimum of two hours of job related educational programs.
Obtains 12 hours educational credit.
Willingly serves on at least one nursing hospital committee and one department committee to improve patient care or work area.
Attends 75% of staff meetings and read 100% of the minutes of the meetings missed.
Completes all mandated annual training and regulatory requirements.
Adventist HealthCare, founded in 1907, is the largest health-care network in Montgomery County and the largest provider of charity care and community benefits. These values guide our day-to-day activities:
Respect: We recognize the infinite worth of the individual and care for each one as a whole person.
Integrity: We are above reproach in everything we do.
Service: We provide com...passionate and attentive care in a manner that inspires confidence.
Excellence: We provide world-class clinical outcomes in an environment that is safe for both our patients and caregivers.
Stewardship: We take personal responsibility for the efficient, effective accomplishment of our mission.
Critical Success Factors
We believe the following factors are imperative to our business:
Faith-Based. We must be valued as a faith-based organization.
Best People, Best Place. We must be the best place to work for the best employees, physicians, volunteers and partners.
Safety and Clinical Excellence. We must be the safest place to receive care and we will deliver superior clinical outcomes.
Patient Experience. We must provide the most extraordinary health care experience for those we serve.
Financial Success. We must be financially successful in order to invest in our people, facilities and services.
Growing Organization. We must be a growing organization in order to preserve and expand our role as a vital community resource.
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