Oncology RN
Grass Valley, California
Sierra Nevada Memorial Hospital

Oncology/Infusion RN

Location: Grass Valley, California Specialty: Infusion & Ambulatory Treatment Center Unit: Ambulatory Treatment Center/Infusion Center (13 infusion chairs) Contract Length: 13 weeks Shift: Days, 8 hours per day, 40 hours per week

Required Qualifications

• Active California RN license
• Active BLS certification
• ONS/ONCC chemo/immunotherapy provider card
• 2 years of experience
• 2 supervisor references (at least one from a Charge role) from the last 12 months worked, required at time of submittal
• Recent or active chemotherapy administration skills
• Vascular access skills: peripheral IVs, port access, Hickman/PICC maintenance
• Strong pharmacologic knowledge
• Strong ability to manage hypersensitivity reactions
• Strong skills in lab evaluations and their relationship to oncology treatments

Patient Population

• Oncology patients: all oncology diagnoses, with emphasis on long, complicated cases on Cisplatin, FOLFOX, and FOLFIRI regimens; frequent hypersensitivity reactions; Zometa, Reclast, or zoledronic acid; hydration; blood transfusions; various injections
• Community patients: iron, Reclast, albumin, blood transfusions, hydration, Prolia injections, rabies series injections, and short- or long-term antibiotics

Clinical Duties and Environment

• Titrate drips: RNs are required to titrate drips
• Titratable drips: IVIG, rituximab, Remicade, IV Darzalex, Ocrevus, blood transfusions
• Ratios: not applicable in an outpatient setting, but the unit aims to limit patients to 4 active infusions at a time
• Telemetry: none on this unit
• Monitor tech: none
• RNs read strips: no
• Respiratory equipment: basic oxygen
• Most patients are ambulatory and independent with ADLs
• Nurse aides: none dedicated; a scheduler and manager step in when needed
• Charge coverage: relief charge nurses take an assignment; a house supervisor operates from shift to shift
• Call or standby: not required at this time

Scheduling

• Self-scheduling with balanced schedules; travelers are first to be adjusted if needed
• One weekend day per 4-week schedule
• Holidays: largely governed by the union contract; the manager did not have to mandate anyone for holidays last year, and patient load is typically very light on these days

Float Scope

• First to float to inpatient units to provide inpatient chemotherapy

Orientation and Dress Code

• Off-site orientation: 2-3 days
• On-site orientation with the education department: 1 day
• Department orientation: 2-3 days, including competency completion
• Scrubs: navy blue