The Oncology Nurse Navigator will work collaboratively with the Community Hem/Onc teams when a patient is referred to the department and throughout the cancer continuum.
This position also comes with great benefits! Some highlights include:
2 The RN Navigator collaborates with the Team Coordinators and Managed Care Coordinators to ensure that all appropriate business related information is gathered prior to the visit, authorizations have been obtained and pre-registration has taken place.
3 The RN Navigator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources.
4 The RN Navigator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions.
5 The RN Navigator ensures that Provider orders that result from the new patient visit are recorded and executed. S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed. S/he tracks the post visit flow information to ensure that plans of care are executed in a timely fashion.
6 The RN Navigator ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period. The RN Navigator is expected to troubleshoot any problems that patients and their families may encounter in preparing for or during their hospital stay.
General Clinical/Patient Care
1 Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment. Uses knowledge of the cognitive, physical, emotional and chronological maturation process. Incorporates assessment of pain, nutritional and functional need.
2 Triages and responds or refers inquiries appropriately. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to appropriate members of the health care team. Alerts Providers to unusual observations of patients to facilitate immediate attention e.g. respiratory distress.
3 Plans as appropriate for the needs of patients and uses knowledge of the cognitive, physical, emotional and chronological maturation process. Collaborates with Providers and other members of the clinical support team in planning for the needs of the patients.
4 Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients.
5 Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients and by relating to patients in an appropriate manner. Refers to appropriate members of the health team indicated.
6 Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods. Implements patient teaching utilizing all available resources.
7 Responds appropriately in emergencies. Is knowledgeable about the contents of the code cart and can initiate and assist CPR. Understands the procedures for medical emergencies, code blue and their emergency/disaster situations.
Inpatient Clinical Care
1 RN Navigator will coordinate appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes.
2 RN Navigator will work with the Practice Manager and the service chief in development of protocol and pathway driven care for most common malignancies treated on the Hem/Onc service as well as key measures of quality of care for the Med Onc Service, including adherence to pathways.
3 RN Navigator will work with the Practice Manager and Clinical Director to periodically review key quality indicators. On the basis of these reviews, RN Navigator will assist the Practice Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement
Outpatient Clinical Care
1 Assesses patient/family status and needs both actual and potential according to established standards.
2 Educates patient/family on chemotherapy and plan of treatment as established by the Physician.
3 Coordinates and implements initiation of treatment plan of care.
4 Monitors, maintains and modifies the plan of care based on patient/family response to interventions.
5 Assists with Provider phone calls and communication when necessary. Uses standing orders to manage patient care when appropriate triage.
6 Recognizes and effectively responds to emergencies. Speaks with Providers directly in all emergency situations.
7 Assists with appropriate program placement if needed.
8 Acts as a patient advocate, preserving basic patients and family rights. Provides support to patients and families during inpatient stays.
9 Demonstrates knowledge of practice specific standards of care in actual performance.
10 Clarifies and accurately executes provider orders, per established protocol.
11 Recognizes ethical issues and takes appropriate action in the provision of care.
12 Maintains current knowledge of pharmacology and competency in modes of administration.
Documentation
1 Provides documentation as required by established OHSU policies and procedures
2 Reviews and assures accuracy of transcribed orders for assigned patients.
3 Provides written documentation that is consistent with clinical observations and supports verbal reports.
Communication, Teamwork and Leadership
1 Seeks input and consultation from others. Serves as communication link to key providers.
2 Demonstrates communication skills, which convey a positive and supportive message.
3 Provides constructive feedback that is timely and appropriate.
4 Communicates patients status via the medical record, report and to colleagues as the need arises and as appropriate.
5 Reports incidents or errors in writing and verbally following established procedures. Brainstorms solutions for any problems that occur.
6 Incorporates conflict management skills in the resolution of issues.
7 Conveys a positive image of peers, colleagues and OHSU to patients, families, the public and other health care team members.
8 Demonstrates flexibility and creativity in response to unexpected changes in the work load and patient status.
9 Completes work assignments, project assignments and other commitments on time.
10 Ensures confidentiality is maintained in all forms of communication.
Teaching and Educations
1 Provides patient and family education that is appropriate to the health care setting and which facilitates recovery, health maintenance and health promotion.
Teaching methods incorporate:
· Patient and family needs assessment.
· Age and culturally appropriate language.
· Content and approach.
· Preferred learning methods and barriers to learning.
· Evaluation of the effectiveness of the teaching.
2 Participates in the education and evaluation of coworkers, students as required.
3 Provides outreach education in the community.
Professional Development and Knowledge Base Expectations
1 Meets and maintains minimum qualifications for the position.
2 Completes all mandatory education requirements within established timelines.
3 Maintains current knowledge base pertinent to area of practice, as evidenced by one or more of the following: attend an annual conference; review or publish an article; attend college level courses; maintain specialty certification; participation in professional organization; attend in service presentations.
4 Establishes yearly performance goals and demonstrates successful progression towards attainment of these goals.
Departmental Participation
1 Complies with current department policies, procedures and protocols.
2 Identifies clinical practice issues and uses appropriate systems for resolution.
3 Participates in Continuous Quality Improvement Activities, incorporating principles into practice.
4 Demonstrates ability to access departmental and organizational policies and procedures. Supports the mission of OHSU.
General Functions
1 Demonstrates strong customer service skills in all interactions with patients and families, including both telephone and face to face situations. Handles complaints and problems promptly and courteously.
2 Communicates with patients/families, other health care team members, in a time and cost efficient, courteous manner. Demonstrates active listening skills and supportive, professional behavior at all times, to patients, family and staff. Documents all care that was given, observations, and patients’ responses to care, accurately and legibly in English, in the medical record.
3 Maintains a clean, safe and orderly environment for the patients, family and Practice personnel. That includes, but is not limited to: maintaining supplies, equipment and forms. Notifying appropriate personnel when cleaning and repair of equipment is needed following infection control guidelines, maintaining knowledge of life safety, patient safety, fire and electrical safety and disaster plan.
4 Participates in ongoing professional development and competency assessment. This includes but is not limited to: attending educational classes appropriate to a job development, communicates additional training needs to direct supervisor, attends staff meetings and helps to orient new staff, cross trains for position in assigned or other areas.
5 Carries out job responsibilities in an ethical, effective and professional manner. Reports potential compliance problems using the reporting processes as outlined in the Code of Conduct. Models ethical appropriate behavior, professional standards, compliance and personal integrity. Participates in training programs. Understands and complies with the Code of Conduct, OHSU and departmental policies and procedures, applicable rules, regulations, etc.
Essential Nursing Practice Functions for OHSU Registered Nurses
The following provides a summary of the nursing practice essential functions for all RNs at OHSU:
·Develop, coordinate and supervise implementation of the nursing process.
· Demonstrates performance consistent with Departmental, Divisional and Organization expectations and core competencies.
· Assess potential or actual patient health problems.
· Prioritize patient care responsibilities and seek consultation, when indicated.
· Perform area specific skills and follow established protocols.
· Execute Provider orders, seeking clarification, when indicated.
· Recognize and respond to emergency situations.
· Document according to established policies and procedures.
· Coordinate care and/or services with other team members.
· Communicate in a respectful, caring and non-judgmental manner.
· Provide health teaching and counseling which is supportive and/or restorative to health.
·Demonstrates fiscal accountability and the effective use of resources.
·Assume responsibility for professional job-related development, knowledge of advances in technology, use of new equipment and appropriate application of hospital systems.
·Maintains knowledge base essential to the role of the professional nurse.
·Incorporates quality improvement practices into performance.
·Incorporates the principles of OHSU’s Mission Statement into performances.
·Participate in teaching and research missions of OHSU Healthcare.
·Support patient and family centered care across the continuum through service coordination.
·Perform staff member requirements as outlined in the Compliance Section of the Core Competencies.
·Adhere to the OHSU Code of Conduct.
·Identify and prioritize pain and comfort care and adhere to the OHSU policy for pain management.
Length of Orientation – Experienced Nurse
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