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Oncology Advanced Practice Registered Nurse

2 months ago


Lexington Kentucky, United States CommonSpirit Health Full time
Job Summary

We are seeking a highly skilled and experienced Oncology Advanced Practice Registered Nurse (APRN) to join our team at CommonSpirit Health. As a key member of our healthcare team, you will provide high-quality, comprehensive, and accessible patient care through clinical expertise, role modeling, mentoring, consultation, interdisciplinary collaboration, and utilization of research.

Key Responsibilities
  • Assess patient needs and perform comprehensive assessments in accordance with established professional standards, hospital policy, national core measures, and other quality indicators.
  • Consider the patient's culture, age, and developmental level when developing care plans.
  • Use research and knowledge as the basis for assessment techniques and initiate and interpret relevant diagnostic tests and procedures in conjunction with attending physicians.
  • Determine diagnoses and critically analyze assessment data obtained during interviews, physical examinations, diagnostic tests, and/or diagnostic procedures.
  • Derive and prioritize diagnoses using clinical reasoning and support the physician's plan of care.
  • Identify expected outcomes and individualize identified outcomes derived from assessment data and diagnoses.
  • Communicate care interventions to physicians and nursing staff and identify appropriate quality indicators to support care of each patient.
  • Develop comprehensive plans for care, design plans describing assessment/diagnostic strategies and interventions that address the promotion/restoration of health and the prevention of illness/disease.
  • Apply current healthcare knowledge, research, and practice and demonstrate independent clinical decision-making.
  • Document plans in accordance with hospital policies/procedures and collaborate with attending physicians and other disciplines in development of plans as appropriate.
  • Implement interventions and treatments in conjunction with collaborating physicians and provide direct supervision of patients receiving treatments in outpatient infusion care settings.
  • Perform interventions and treatments within the scope of advanced practice registered nursing defined by ANA standards, Kentucky Nurse Practice Act, and Collaborative Practice Agreement.
  • Document patient assessments and responses to therapy in the medical record and consider patient complex needs and desired outcomes to provide clinical coordination of care.
  • Monitor accuracy and completeness of patient care provided by other team members and provide theory-based consultation to influence the plan of care and enhance the abilities of others according to evidence-based practice.
  • Involves patients and families in decision-making and identifies educational needs of patients related to prioritized diagnoses.
  • Employs appropriate teaching strategies based on assessment of risks, learning theory, epidemiological principles, and the client's health beliefs, health practices, developmental level, learning needs, readiness, and ability to learn and culture.
  • Uses prescriptive authority, procedures, and treatments in accordance with the Kentucky Nurse Practice Act and hospital policies/procedures with Collaborative Practice Agreement on file.
  • Monitors effects of pharmacologic, non-pharmacologic, and other interventions and initiates interventions in response to changes in patient conditions related to infusions and medication administrations.
  • Communicates changes in condition and relevant patient information to attending physicians and makes referrals for additional care as needed.
  • Implements recommendations from referring sources as indicated and evaluates patient progress by assessing diagnoses and effectiveness of interventions toward the plan of care.
  • Revises diagnoses, expected outcomes, and plan of care based on advanced knowledge, practice, and research and assures compliance of recommended standards of care.
  • Commitment to professional role by assuming a leadership role in establishing standards of practice and plan of care to improve patient care.
  • Acquires and maintains knowledge and skills appropriate to oncology practice specialty and utilizes research to evaluate knowledge and develop creative approaches to care.
  • Disseminates relevant research findings through practice, education, and/or consultation and maintains professional certification in area of expertise.
  • Evaluates to improve own performance according to standards of practice and patient outcomes and seeks feedback regarding own role performance from peers, colleagues, patients, and others.
  • Serves as a role model for the professional development of peers, colleagues, and others and fosters a learning environment when mentoring staff and students.
  • Participates in professional activities both inside the facility and in the community and informs the patient and documents the risks, benefits, and outcomes of healthcare regimens.
  • Works collaboratively with other disciplines to enhance patient care and demonstrates support of unit/house-wide shared governance activities.
  • Promotes a positive group dynamic and healing environment through actions and attitude and demonstrates recognition of integration of mind, body, and spirit of each patient.
  • Assures practice excellence in accordance with accepted standards, current research findings, and nursing services' caring philosophy and minimizes costs and unnecessary duplication of testing or other diagnostic activities.
  • Uses performance improvement data and national care standards to initiate changes in plan of care as appropriate and uses a caring perspective in regard to patient care interventions.
  • Displays respect, compassion, empathy, and trust in relation to others and ensures positive customer relations through caring behaviors.
  • Uses sensitivity in managing difficult or emotional situations and responds promptly and courteously to patient requests.
  • Promotes trust by meeting commitments and excellent communication.
Qualifications
  • MSN required.
  • Current Ky License as an Advanced Practice Registered Nurse (APRN) required.
  • OCN or AOCN preferred.
  • 3-5 years of oncology experience required.
  • Demonstrated ability in educational activities, clinical practice, and consultation required.
  • Considerable knowledge of computers/word processing and standard office equipment required.