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.
An RNRO performs in an environment that demands extreme flexibility in dealing with patients, physicians, patient families, and members of the general public with many different cultural backgrounds and needs. The job demands that the RNRO be able to perform all of the routine duties of a registered nurse in a clinical environment.
Satisfactory performance at this level requires the fill knowledge, ability, and willingness to perform duties at the highest professional levels at all times. The RNRO must continuously exercise a strong commitment to the organizational goals of the Comprehensive Blood and Cancer Center, while simultaneously exhibiting intelligence and sensitivity to extreme human needs.
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 developes 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.
Standards of Professional Performance:
Quality of Care
The RNRO systematically evaluates the quality of care and effectiveness of Radiation Oncology nursing practice.
The RNRO evaluates his/her own nursing practice in relation to professional practice Oncology nursing practice.
The RNRO acquires and maintains current knowledge in Radiation Oncology nursing practice
The RNRO contributes to the professional development of peers, colleagues, and others
The RNRO makes decisions on behalf of the clients that are determined in an ethical manner
The RNRO collaborates with the client, significant others, and multidisciplinary cancer care team in providing client care.
The RNRO contributes to the scientific base of nursing practice and the field of Radiation Oncology through the review and application of research
The RNRO considers factors related to safety, effectiveness, and cost planning in delivering client care.
Receives assignments from the DCO 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 DCO, physicians, and other appropriate personnel of changes in patient condition or need
Counsels the patient and/or family meeting nursing and related needs
Instructs patient and patient’s caregivers in procedures and related care needs
Actively participates in case conferences
Routinely attends and participates in in-service training programs
Collects data as required to meet legal mandates
Provides accurate and legible data to the SCO 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 SCO 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 patients home with follow-up appointments
Completing initial and subsequent assessments (e.g., heights, weights, vitals, etc.)
Assuring that all records and films are available prior to physician examination
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 SCO, physicians, 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
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
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.
Internal Number: 100
About Comprehensive Blood and Cancer Center
CBCC has grown to be one of the premier free-standing cancer centers on the West Coast. CBCC has earned a reputation as a leader in cancer treatment. This reputation has enabled CBCC to be selected for every significant clinical trial since the mid-80's. That means our patients are among the first in the nation to access the most promising new treatments. CBCC has proactively sought the most elite and prestigious accreditations in the country to ensure that the clinical services offered meet the highest standards of care in the country. The CBCC difference is an unwavering commitment to excellence and sincere compassion for patients.