Job Summary

Under direction of the Physician, the Oncology Nurse Practitioner performs a variety of tasks at St. Croix Cancer Center. In addition to being the trusted patient care partner of the Physician, there is also daily need for coordinating the delivery of oncology treatments, often in intensive care conditions, to assigned patients in a medical oncology facility, ensuring adherence to St. Croix Cancer Center policies, procedures, standards, and practices. The incumbent must work collaboratively with all Clinical services staff in support of direct patient services, exhibiting flexibility and a “can do” attitude. Patient services are the key priority in this position. The incumbent must exemplify the core values and mission of the practice, always exercising utmost discretion, diplomacy and tact in patient/staff interactions.

Essential Functions

• Mixes and administers chemotherapy.
• Provides direct care for specified patients, including appropriate supportive care and administration of chemotherapy, blood components, fluid and electrolyte replacements, and other oncology treatments as prescribed.
• Performs assessments and triage of patient care needs for new and ongoing patients.
• Provides education to patients, families, and significant others; acts as an information resource to students, health care professionals, patients, and the public.
• Provides family support as required, including applicable referrals and bereavement counseling.
• Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
• May train and guide other nursing and support staff engaged in clinical activities; may participate in research and related activities.
• Performs miscellaneous job-related duties as assigned.

Minimum Qualifications

• Ability to maintain quality, safety, and/or infection control standards.
• Knowledge of oncology treatment procedures, facilities and equipment.
• Knowledge of related accreditation and certification requirements.
• Ability to perform nursing assessments and patient triage.
• Knowledge of supportive care principles and techniques for oncology patients.
• Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment.
• Ability to maintain emotional stability to cope with human suffering, emergencies, and other stresses.
• Knowledge of the nature and treatments of oncological diseases and of reactions and side effects of related therapy methods.
• Patient assessment and referral skills.
• Knowledge of bereavement counseling techniques.
• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Associate's degree in Nursing; at least 2 years of experience that can be demonstrated to be applicable to the duties listed in the job description. OR Bachelor's degree in Nursing; US Virgin Islands Licensed Registered Nurse.
• Prior experience in oncology required.

Minimum Competencies

Quality/Compliance. Achieving a standard of excellence with our work processes and outcomes, honoring St. Croix Cancer Center policies and all regulatory requirements.

Customer focus. Striving for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the customers.

Communication. Balancing listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.

Collegiality. Being helpful, respectful, approachable, and team oriented, building strong working relationships and a positive work environment.

Initiative. Taking ownership of our work, doing what is needed without being asked, and following through.

Efficiency. Planning ahead, managing time well, being on time, being cost conscious, and thinking of better ways to do things.

Coachability. Being receptive to feedback, willing to learn, and embracing continuous improvement.

Work Environment

Supervision Work performed under light supervision with only occasional general supervisory review; employee plays a fairly large role in setting objectives and organizing work.

Complexity of job Work consists of somewhat complex tasks with several choices as to what procedure will be followed. Requires the use of moderate judgement in applying policies and adapting standards based on facts and conditions.

Working environment Work is normally performed in a typical interior work environment which does not subject the employee to any hazardous or unpleasant elements.

Physical demand Position requires light physical activity.

Customer interaction Requires moderate interpersonal and communication skills to ensure that customer requests or needs are met. Acknowledges and clarifies customer inquiries, requests, or complaints to ensure that needs are identified, documented, and addressed.

Internal contacts Some contact with others, including customers and employees outside of your immediate work area. Purpose of contacts is to provide explanation or interpretation of information. May handle confidential information and some complex matters requiring thought and judgment.

Supervision of others No responsibility for supervising others.

We are looking for creative, high energy, enthusiastic people with compassion for others and the desire to make a positive change in someone else's life. Those who are passionate about their work and passionate about our mission are encouraged to apply.

Here at AACRES...#Nice Matters!"

Registered Nurse

The Registered Nurse is a non- management position, under the direction of Program Administrator, which works with individuals with developmental disabilities within the setting of licensed residential homes

ESSENTIAL DUTIES AND FUNCTIONS: Include the following & other duties may be assigned.

Operational

• Provide assistance to individuals during emergencies and illness, and notify supervisors based on program procedures.

Health Services

• Provide general monitoring and assessing of individuals on an on-going basis and as needed.
• Provide nursing task(s) and monitoring to assigned individuals as prescribed by the primary health care professional.
• Administer medications following nursing practice and insure that the individuals' rights have been met.
• Provide tube feedings following standard nursing practice and provide adequate supervision as necessary.
• Follow proper infection control practices and standards for cleanliness in all activities.
• Obtain and maintain physician's orders for medications and treatments (both verbal and written), as necessary.
• Carry the nursing/delegation cell phone as assigned.
• Monitor medication records, medication supervision records, & medication storage on a random basis and as necessary for nurse delegation.

Delegation

• Perform assessments on individuals to determine if they are in need of nurse delegation and if so, that they fit the delegation criteria.
• Following the nurse delegation protocol, perform all aspects of delegation: assess, plan, implement, and evaluate (assessments, write instructions, train the nursing assistants, and supervise the delegation process).
• Authorize all changes for delegated task(s). Following up with the required paperwork in a timely manner.
• Tracking the number of preauthorized units each delegated person uses. Then requesting in advance additional units as necessary.
• Prepare the nurse delegation billing at the 1st of each month.
• Teach the nurse delegation for nursing assistant classes.
• Instruct new nursing staff in the healthcare needs of individuals served by SL Start.
• Provide training to Direct Support Professionals in follow-through techniques prescribed by the health care professional and other care consultants as necessary, and provide regular feedback to the supervisor as to the instruction's effectiveness.
• Follow established positive behavioral support strategies and programs.

Minimum Requirements

• Candidates must be at least 21 years of age
• Possess valid CA driver's license and a good driving record
• Effective communication skills both written and verbal
• Demonstrates effective critical thinking and problem solving skills
• Demonstrates the ability to establish a therapeutic rapport
• Registered Nurse Certification
• CPR/First Aid Certification
• Experience in supporting individuals with behavioral, developmental, and emotional difficulties
• Clean Criminal Background Check/Fingerprints
• TB TEST/Health Clearance
• Knowledge of regional community resources for persons with developmental disabilities/mental health
• Demonstrated ability to work successfully in multi-cultural settings with a diverse client population.
• Ability to work a non-standard work week, including weekends and evenings as needed

Positive Working Environment

• Respect and honor diversity (race, religion, marital status, age, sexual orientation, color, creed, national origin, and abilities).
• Treat all co-workers with respect and in a manner that will promote teamwork, productivity and a positive working environment.
• Work collaboratively with others to accomplish goals and/or assigned tasks.
• Interact positively with individuals served; family members, case managers, other agencies, neighbors, and the public to reflect quality programming.
• Meet expected outcomes or let supervisor know of any needed direction, support or resources to ensure attainment of expected outcomes.
• Participate fully, positively and productively in team meetings to assist in achieving the desired outcomes of the meeting.
• Inform team members of important information that will assist in providing quality supports to individuals.
• Follow scheduled work hours. Since we are responsible for individual’s safety, it is imperative to arrive on time and to delay departure as necessary until replacement staff arrives.
• Follow established routines for the scheduled work time, and respond to non-routine requirements.
• Notify supervisor as soon as possible of illness or emergencies that will cause missing work.
• Provide backup coverage as assigned (when and where needed) for vacations, illness, or other emergencies.
• Must be willing and able to adapt to schedule changes as needed including weekends and holidays.
• Follow dress code guidelines to provide an appropriate role model and to represent quality services.
• Act according to the guidelines of program and operations manual, program guidelines, company policies & procedures and the employee handbook. Maintain working knowledge of these documents by reviewing them at least once a year.

Growth & Development

• Complete Basic Orientation and attend other in-service training as recommended and/or required.
• Set and achieve performance and development goals as scheduled through the Annual Employee Assessment and Quarterly Review process.
• Complete and remain current in First Aid, CPR, Therapeutic Options, Infection Control and Bloodborne Pathogens Training.

Safety and Health

• Ensure each individuals living environment is safe and sanitary. Provide support services as needed to maintain clean, attractive homes.
• Ensure individuals are free from abuse, mistreatment and/or neglect and complete all necessary mandated reports.
• Respond effectively to emergencies and illnesses. Follow procedures and notify supervisor as required.
• Monitor health needs, including medications, special diets, and notify supervisor of any outstanding needs.
• Provide assistance to individuals to ensure they receive medications as prescribed, as required. Make consistent and accurate medication passes, following all policy and procedures for medication passes.
• Provide individuals with adequate supervision that is appropriate to their needs during work hours.
• Provide Lift and Transfer assistance (may include non-ambulatory individuals) requiring ability to bear and maneuver up to 50 or more pounds of unbalanced weight.
• Notify supervisor of any needed repairs or other concerns

SUPERVISORY RESPONSIBILITIES:

This position has no supervisory responsibilities.

PHYSICAL, SENSORY & ENVIRONMENTAL:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Frequently required to stand, walk, reach with arms and hands, climb/balance, stoop, kneel or crouch.
• Often required to sit for long periods of time, use hands and fingers to handle.
• Frequently required to talk and hear. Quiet to moderate noise level in work environment.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
• Must be able to lift and/or transfer a minimum of 50 pounds.

• Provides nurse delegation services according to Nursing WAC numbers 246-840-910 thru 970 WAC.
• Oversees/supervises nurse delegation ensuring all requirements are met, records are in order and ready for audit at any time.
• Ensures that the individuals' rights have been met.
• Ensures that nursing care services are non-intrusive and sensitive to the needs of individuals being     supported by SL Start.
• Provides assessment and medication management for supported individuals.
• Reviews physician's orders for medications and treatments as necessary.
• Reads and follows the all individual's Care Plans in order to understand how to best help the individuals that are supported by SL Start.
• Follows standard nursing practices, proper infection control practices and standards for cleanliness

• The ability and desire to teach tasks to unlicensed staff
• Ensure that delegated tasks promote the individuals retaining or gaining independence.
• Ensure that delegation training is geared toward staff experience and ability.
• Maintains close contact and informs supervisor of any issues impacting quality of services.
• Ensures that all interactions with individuals are positive and do not include negative reinforcement or punishment.
• Reviews the Employee Handbook, Operations manual(s), and Infection Control / Exposure Control manual at least yearly to ensure a working knowledge of SL Start operations and values.
• Tracks all support staff's licenses to ensure that they are current, active and in good standing.
• Completes and turns in mileage and expense reports within required timelines.
• Capture all billable and non-billable time worked.
• Completes all monthly billing within established timelines
• Carries the delegation cell phone on a rotational basis, responding as necessary.

• Respect and honor diversity (race, religion, marital status, age, sexual orientation, color, creed, national origin, and abilities).
• Maintain respectful relationships which recognize individual's rights as a citizen and promotes their dignity, well-being, personal choice, and self-esteem.
• Treat all co-workers with respect and in a manner that will promote teamwork, productivity and positive working environment.
• Work collaboratively with others to accomplish goals and/or assigned tasks.
• Meet expected outcomes or let supervisor know of any needed direction, support or resources to ensure attainment of expected outcomes.
• Inform team members of important information that will assist in providing quality support to the department.

• Follow dress code guidelines to provide an appropriate role model and to represent quality services.
• Act in a professional manner in accordance with company guidelines, policies & procedures and the employee handbook. Maintain working knowledge of these documents by reviewing them at least once yearly.
• Stay calm in challenging situations, maintain a positive attitude, and serve as a role model for individuals served and employees.
• Conduct self in a professional manner that leaves a positive impression with families, customers, and the community.
• Maintain regular and consistent attendance and punctuality; flexibility as needed for schedules.

• Attends continuing education classes so as to meet CEU's requirements.
• Sets and achieves performance and development goals as scheduled through the annual review process

• Maintains a safe working environment, follow safe work practices, and contribute to overall team safety as defined in the employment services manual.

• Frequently required to stand, walk, reach with arms and hands, climb/balance, stoop, kneel or crouch.
• Often required to sit for long periods of time, use hands and fingers to handle.
• Frequently required to talk and hear. Quiet to moderate noise level in work environment.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
• Must be able to lift and/or transfer a minimum of 50 pounds.

• Must be licensed as a Registered Nurse in the State of Washington, current, in good standing and without restrictions.
• Must have acceptable criminal background check.
• Must provide proof of current driver's license and insurance.
• Experience with individuals with developmental disabilities is preferred.
• Adult education experience is a plus.
• Must secure and maintain First aid and CPR certification within 30 days of hire.

Fort Washington Medical Center is looking for qualified, caring nurses who are clinically competent, registered, and professional  who demonstrates expertise in the following:

Peri-operative, Float-Pool, Emergency Room, House Supervisor, Med-surge, and OR.

Contact Human Resources at: HRResources@nexushealth.org for more information or go to WWW.FORTWASHINGTONMC.ORG

Immediate opening for a BILINGUAL Registered Practical Nurse FULL TIME

Support multiple areas within our busy family practice center:

-Family Practice

-Women's Health Clinic

-Vasectomy Clinic

-Walk In Medicine

• Completes requirements for patients and physicians including but not limited to:

IM injections/vaccines
Allergy injections
MOCA assessment tool
Ear Syringing
Wound Assessment/dressing changes
Suture and Staple removing
BP Tru and BP spot checks
Liquid Nitrogen treatments
On-going education as appropriate

• Completes preliminary patient work ups as required including but not limited to:

Height/weight/Vitals
Diabetes Management
Well Baby
Annual Health Exams

• Assist Physicians with procedures as required (IUD insertion, PAP tests, minor surgical procedures)
• Process all specimens with appropriate paperwork and in timely manner
• Prepare/disinfect exam rooms for patients and procedures and ensure rooms are prepped for cleaners at the end of the day
• Respond to patient telephone inquiries and follow up with patients regarding test results/changes
• Sterilize and wraps instruments as required and maintains all appropriate documentation required and related to autoclaving

Cleans and maintains autoclave equipment and manages documentation as per protocol

• Manages drug samples and coordinates with drug reps
• Participate in Preventative Care Management as directed by Management
• Maintains EMERGENCY KIT to ensure adequate supplies on hand to deal with anaphylaxis as per MOH requirements
• Assist in the training and development of all new staff

• RN or LPN Licensed in Maryland
• Experienced and trained in IV's
• Extremely good with people
• Interested in Learning 
• Technology Savvy

• Provide care to campers and staff in accordance with required treatment Procedures. - Review camper health histories with an emphasis on current illnesses and allergies.
• Communicating health needs of students to instructors and administration as needed.
• Administration of doctor prescribed and current prescription and over the counter medication.
• Providing first aid for minor injuries and illnesses.
• Referring more serious issues to the appropriate medical personnel.  
• Maintaining accurate health logs and incident report logs.
• Communicate with parents in regards to health concerns.
• Maintain a clean, healthy and warm environment in the infirmary.
• Keep clean and prepped sick beds.
• Monitor and distribute medications.
• Stay up to date on staff personnel medical information and histories.
• Box and organize all camper health forms for storage. 
• Administer prescriptions/medications.
• Manage health kits for instructor field use.