Registered Nurse

Job Description

Provides patients with safe, quality care throughout their treatment and disease process at all stages of diagnosis to end of life. Helps patients manage and live with diagnosis, retaining autonomy and independence by using the most appropriate disease/symptom/psychosocial management techniques.

• Coordinates and performs direct patient care, collaborating with other care providers and team members.
• Reviews, updates, and verifies all patient required data is present and available prior to and during each visit.
• Collaborates with physician or provider to assess and treat symptoms related to disease, treatment, disease progression, and acute illnesses.
• Performs telephone triage utilizing critical assessment skills to assess and evaluate patient concerns or needs.
• Starts peripheral IVs, manages central venous access devices including accessing and deaccessing implanted ports.
• Mixes and/or administers chemotherapy and other drugs according to Tennessee Oncology (TO) standards after training and competency validation.
• Administers and documents administration of chemo, bio, or targeted therapy and/or research study drugs according to TO practice standards.
• Follows all policies, procedures, and standards related to the use of drug cabinet, including drug verification, drug administration, documentation, and billing.
• Documents charges for services performed and medications administered.
• Ensures timely collection of all ordered laboratory specimens.
• Monitors PT/INR results and works with provider to manage anticoagulation or Coumadin therapy.
• Manages prescription and refill extension requests per TO policy, procedure, and standards.
• Assists with provider‑performed procedures (e.g., bone marrow biopsies and skin punch biopsies).
• Coordinates provision of supportive care with appropriate hospital staff (e.g., blood product transfusions).
• Conducts patient education and documents patient readiness to learn and understanding of teaching or information provided during the informed consent process.
• Completes forms and other necessary paperwork for patient assistance, patient employment, insurance (e.g., FMLA, short‑term and long‑term disability).
• Screens patients routinely for needs or distress and provides appropriate counseling, interventions, and referrals to community or support services.
• Uses an empathetic and caring approach with patients at all times.
• Demonstrates ability to effectively navigate within the Electronic Medical Record (EMR), documenting patient information and services performed.
• Completes required daily, weekly, and monthly drug or sample inventory counts, supply requests, waste documentation, audits, and billing entries.
• Informs Clinic/Operations Manager of clinic needs and concerns related to the work environment.
• Supervises LPNs, CNAs, and MAs.
• Stocks and manages inventory and supplies.
• Generates and reviews daily clinical reports for completion and accuracy.
• Adheres to practice standards, policies, and procedures.
• Travels to other TO clinics as needed.
• Participates in committees and focus groups as requested.
• Assumes responsibility for personal and professional growth, completing required or assigned training, continuing education, and competency validations necessary to perform job expectations accurately and successfully.
• Collaborates daily with dedicated clinic SCRI nurses, if applicable, to ensure adherence to research protocol and documentation of SCRI‑specific paperwork in the paper chart per protocol.

• Knowledge of nursing principles and practices.
• Knowledge of oncology practices and treatments.
• Knowledge of current developments in cancer diagnosis and therapy.
• Knowledge of research practices for phases I, II, and III clinical trials.
• Oncology resource to colleagues, allied health personnel, and health care consumers.
• Ability to administer chemotherapy and other treatment therapies.
• Ability to empathize with patients and families and manage grief and challenging patient interactions.
• Ability to collaborate with health care team to create personalized treatment plans for each cancer patient.
• Ability to cope with death and dying.

• Current TN or compact state RN license.
• Minimum one‑year RN experience (may be waived with Executive Director of Nursing approval).
• Current ONS Chemotherapy/Biotherapy card required within 6 months of hire; if less than one year of oncology experience, within 9 months of hire.
• Current TO approved BLS provider card.
• Oncology certification strongly recommended within 2 years of hire.
• Experience in an outpatient facility preferred.

• Must be willing and able to lift up to 50 pounds.
• Ability to remain upright on the feet most of the time.
• Must be able to remain in a stationary position less than one‑third of the time.
• Ability to communicate, distinguish sounds, and visualize.
• Regular manual dexterity.