The nurse in this position will provide comprehensive care to home infusion patients in an outpatient setting, including, but not limited to, the administration of antibiotics, immunologics, TPN, chemotherapy, and supportive care. The RN will be required to travel to the patient’s home and provide infusion therapy for patients.  The nurse will be assigned to coordinate care and ensure the patient and family are receiving OHSU’s highest quality of nursing care. This nurse should be available to work Monday through Friday and be available to be on call.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   The nurse in this position will provide comprehensive care to home infusion patients in an outpatient setting, including, but not limited to, the administration of antibiotics, immunologics, TPN, chemotherapy, and supportive care. The RN will be required to travel to the patient’s home and provide infusion therapy for patients. The nurse will be assigned to coordinate care and ensure the patient and family are receiving OHSU’s highest quality of nursing care. This nurse should be available to work Monday through Friday and be available to be on call.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   Scientist - Evaluates knowledge of self and others: - Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. - Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships - Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. - Evaluates patient outcomes against quality goals or benchmarks. Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.  Leader - Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: - Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) - The interdisciplinary plan of care - Documenting decision making in the patient’s plan of care and hand-off communication - Protects and advocates for patient safety, health and wellbeing: - Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). - Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. - Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: - Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. - Allocates resources based on identified patient and family needs - Speaks up immediately about concerns regarding assigned responsibilities Practitioner - Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care. Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. - Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. - Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. - Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice. Knowledge Transfer - Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care. Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. - Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. - Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs). Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.   I.  Scientist a.  Evaluates knowledge of self and others: i.  Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. ii.  Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships b.  Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. c.  Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.    II. Leader a.  Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: i.  Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) ii.  The interdisciplinary plan of care iii.  Documenting decision making in the patient’s plan of care and hand-off  communication b.  Protects and advocates for patient safety, health and wellbeing: i.  Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). ii.  Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. c.  Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: i.  Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. ii.  Allocates resources based on identified patient and family needs iii.  Speaks up immediately about concerns regarding assigned responsibilities   III.  Practitioner a.  Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. b.  Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. c.  Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. d.  Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.   IV.  Knowledge Transfer a.  Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. b.  Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. c.  Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Hiring Bonus and Relocation Package Available   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy, and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology. The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture   Department Specific Responsibilities - The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. - The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care 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. - The RN Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families. (Cellular Therapy program, Intervention Radiology, Apheresis, Research etc.) - The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. - The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. - The RN Coordinator 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. - The RN Coordinator 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 Coordinator 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 - 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. - 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. - 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. - Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients. - Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   Refers to appropriate members of the health team indicated. - Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods.  Implements patient teaching utilizing all available resources. Inpatient Clinical Care - RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. - RN Coordinator will work with the Nursing 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. - RN Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement. Outpatient Clinical Care - Assesses patient/family status and needs both actual and potential according to established standards - Educates patient/family on chemotherapy and plan of treatment as established by the Physician. - Coordinates and implements initiation of treatment plan of care. - Monitors, maintains and modifies the plan of care based on patient/family response to interventions. - Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with communication when necessary.  Uses standing orders to manage patient care when appropriate triage. - Recognizes and effectively responds to emergencies.  Speaks with Providers directly in all emergency situations. - Assists with appropriate program placement if needed.  - Acts as a patient advocate, preserving basic patients and family rights.  Provides support to patients and families. - Demonstrates knowledge of practice specific standards of care in actual performance. - Clarifies and accurately executes provider orders, per established protocol. - Recognizes ethical issues and takes appropriate action in the provision of care. - Maintains current knowledge of pharmacology and competency in modes of administration. - Collaborates with support services based on patient and family needs (genetic counseling, social worker, nutrition, etc.)

Hiring Bonus and Relocation Package Available   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy, and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   Scientist - Evaluates knowledge of self and others: - Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. - Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships - Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. - Evaluates patient outcomes against quality goals or benchmarks. Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.  Leader - Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: - Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) - The interdisciplinary plan of care - Documenting decision making in the patient’s plan of care and hand-off communication - Protects and advocates for patient safety, health and wellbeing: - Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). - Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. - Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: - Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. - Allocates resources based on identified patient and family needs - Speaks up immediately about concerns regarding assigned responsibilities Practitioner - Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care. Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. - Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. - Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. - Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice. Knowledge Transfer - Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care. Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. - Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. - Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs). Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Hiring Bonus and Relocation Package Available   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   Department Specific Responsibilities   1. The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. 2. The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care 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 Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families. 4. The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. 5. The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. 6. The RN Coordinator 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. 7. The RN Coordinator 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 Coordinator 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.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   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.    Inpatient Clinical Care   1. RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. 2. RN Coordinator will work with the Nursing 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 Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing 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. Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with 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. 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.  13. Collaborates with the support services based on patient and family needs (genetic counseling, social work, nutrition, ect.)

Key Responsibilities & Performance Standards   Description of work: Responsible for the delivery of appropriate, timely and beneficial care for patients which promotes quality and cost-effective health care outcomes working within established standards for case management practice, and Advance Access principles. Provides standard nursing care for patients throughout the age continuum. Responsible for active management of patients. Maintains compliance with applicable laws such as client confidentiality, Americans with Disabilities Act, Workers’ Compensation, abuse reporting, principles of consent, and advanced medical directives. Advocates for the client/family at the service-delivery level and at the policy-making level fostering the client/family’s decision-making, independence, and growth and development. Integrates factors related to quality, safety, efficiency, and cost effectiveness in planning, delivering, monitoring and evaluating client care promoting the most effective and efficient use of human and financial resources. Functions as the liaison between referral providers and SCP providers. Participates in clinic, department, OHSU campus, teams and committees. Assist in the implementation of nursing system that supports the mission of the American Academy of Ambulatory Care Nursing. (AAACN).   Clinical Skills and Duties:                     RN  Role: - - Phone Triage - Actively coordinates care for patient care as needed. - Reviews the visit schedule to anticipate healthcare needs of patient panel.  - Responsible for handling urgent/emergent calls and walk-ins per clinic approved advice protocols.  - Manages nurse visit schedule which includes but is not limited to: B/P checks, wound care, suture removal, education/teaching, INR testing, prenatal intakes. - Clinical skills to include but are not limited to; INR testing, IV placement/infusion, Bladder catheterization, suture removal, immunizations/injections, POCT - Uses EMR to assist with patient care.  - Provides team leadership. - Cross coverage of all clinical teams as needed, including being the back up for MAT (Medication Assistance Treatment) - Follows standing orders/protocols in assisting with patient care. - Perform hospital follow up calls.   Expected abilities of the RN : Ability to perform duties using theory-based nursing practice model, evidenced-based practices, and shared governance in a multidisciplinary team model. Ability to participate in a multidisciplinary clinical team. Knowledge of clinical quality improvement models and process. Knowledge of scope of patient care services provided by other clinical service lines and the referral process. Knowledge of effective teaching processes and principles in planning, providing and evaluating optimum health care. Knowledge of quality management and improvement processes to comply with internal and external standards, i.e., DNV. Knowledge of general medical procedures and the ability to anticipate complications and the indicated therapeutic interventions. Knowledge of clinic practices and ability to act as a resource for clinic personnel and assist the providers as necessary.  Proficiency in the use of appropriate EMR, computer based software and office equipment.  Ability to maintain quality safety and infection control standards. RN must possess the ability to apply the operational principles of the SCPFM care model. Knowledge and ability to apply primary care best practices. Ability to mentor and orient new staff members.   Accountability:  Provides accurate and timely documentation of care of patients in the patient record - EMR.  Assure proper transfer of patient care and coverage of duties when leaving the clinic.  Initiate appropriate interactions with patient’s, providers and other staff regarding any relevant patient care or operational issues.   Policies and Procedures: Implement agreed upon changes in function, policies and procedures.  Establish appropriate patient/clinic flow priorities and follow through to completion.  Participate in the formation, development, implementation, and evaluation of health care plans for patients.  Other duties/projects which are assigned by supervisor and/or Lead Nurse are to be followed through to completion.    Meetings:      Attend and participate in relevant departmental, clinic, nursing, and patient care    meetings.  Assist and actively participate in the ongoing improvement of the       clinic.

Hiring Bonus and Relocation Package Available! Amazing benefits include: - Paid time off: 208 hours per year, and we want you to take it! - Flexible schedules are available. - Two separate above market pension plans to choose from. - Comprehensive health care plans covered 100% for full-time employees and 88% for dependents. - $25K of term life insurance provided at no cost to the employee. - Extended illness bank: 64 hours per year. - 9 paid holidays per year. - Three weeks of paid parental leave. - Adoption assistance program (up to 5k). - Substantial Tri-met and C-Tran discounts. - Tuition Reimbursement. - Innovative Employee Assistance Program (EAP).   The Specialty Practice Leader (SPL) is a Professional Practice Leader (PPL) who is the identified clinical role model and content expert for a program or defined area of nursing practice. They provide leadership in the integration of new knowledge and innovation within a specialty area(s) and they facilitate excellence in the provision of nursing care through the implementation of evidence-based standards of care and the Professional Practice model. The SPL demonstrates a strong knowledge base in specialty practices and systems theory and they utilize their specialized knowledge and skill to positively influence outcomes within the following spheres: individual patients and populations, nurses and other multidisciplinary team members and the organization/system. They lead programs and initiatives that are congruent with OHSU and Patient Care Services strategic plan and they contribute to the advancement of nursing practice at the unit/system, regional and national levels. The SPL partners with the Assistant Nurse Managers, Managers, Professional Practice Leaders and the interdisciplinary care team to ensure the delivery of safe, quality patient care and compliance with administrative and clinical policies and procedures. They adhere to regulatory standards, bargaining unit agreements, hospital and clinical standards of performance, and human resource management. The SPL implements quality and safety initiatives, engages in process improvement and conducts patient care consultation while role modeling transformational leadership behaviors. The SPL ensures a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff. The SPLs decisions and actions are based on ethical principles as outlined by the American Nurses Association. The SPL practices in adherence with the American Nurses Association’s (ANA) Nursing Administration: Scope and Standards of Practice for Nurse Administrators, the ANA Code of Ethics, the Oregon State Board of Nursing’s Practice Act, and within the context of the Nurse Executive Competencies developed by the American Organization of Nurse Executives (AONE). The SPL exemplifies the principles of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   Scientist - Evaluates knowledge of self and others: - Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. - Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships - Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. - Evaluates patient outcomes against quality goals or benchmarks. Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.  Leader - Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: - Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) - The interdisciplinary plan of care - Documenting decision making in the patient’s plan of care and hand-off communication - Protects and advocates for patient safety, health and wellbeing: - Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). - Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. - Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: - Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. - Allocates resources based on identified patient and family needs - Speaks up immediately about concerns regarding assigned responsibilities Practitioner - Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care. Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. - Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. - Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. - Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice. Knowledge Transfer - Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care. Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. - Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. - Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs). Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

The OHSU registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics and meets the standards/expectations of a Professional Practice Model. In that model, the RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor.  Professional accountability enriches the RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The nurse in this position will provide comprehensive care to home infusion patients in an outpatient setting, including, but not limited to, the administration of antibiotics, immunologics, TPN, chemotherapy, and supportive care. The RN will be required to travel to the patient’s home and provide infusion therapy for patients.  The nurse will be assigned to coordinate care and ensure the patient and family are receiving OHSU’s highest quality of nursing care. This nurse should be available to work Monday through Friday and be available to be on call.

The PHOT provides Intermediate Level of Care to patients ages 0-18. Pediatric patients less than 18 with a new Hem/Onc/BMT diagnosis are case by case. Patients with specific pediatric oncology diagnosis may be followed until the age of 25 years. Presenting diagnosis may include leukemia, brain tumors, bone tumors, sarcoma, lymphomas, blood diseases, immunological diseases, storage diseases, Bone Marrow Transplants and Graft vs Host Disease patients. Nurses on this unit also provide support to Hem/Onc/BMT patients on other units, to include but not limited to chemotherapy support, expertise with BMT patients and central lines.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture

Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

The PICU is a regional referral center for all critically ill and injured children that operates 24/7. We provide optimal state of the art critical care nursing to any infant, child or adolescent who presents with a serious injury and/or illness. Care is provided for patients from birth to 18 years of age.   Here are some reasons to be excited about the PICU program at OHSU:   - This is a Level 1 trauma unit with 20 beds. - OHSU is a Magnet designated hospital. - There is 24x7 Attending coverage so you will have the support you need at all times. - We have our own Pediatric and Neonatal Transport team. The DCH PANDA (Pediatric And Neonatal Doernbecher Ambulance) Team transports critically ill children by ambulance, helicopter, or fixed wing aircraft from hospitals all across the Pacific Northwest to Doernbecher Children's Hospital located in Portland, OR.  PANDA is the largest and longest running pediatric and neonatal intensive care transport program in Oregon. - OHSU is a member of Extracorporeal Life Support Organization. If ECMO support is required for Fetal Therapy, it is delivered on this unit. - The Heart Center does congenital defect work here and conduct intrauterine surgeries and therapies. - Our PICU RN’s support Renal Transplants. - The state of Oregon is among the top 10 across the country in terms of RN pay.  - This is a night shift only position. There are no rotations between night and day shift. Here are some reasons to be excited about living in Portland:   - The Pacific Northwest is an outdoor enthusiast’s playground! We have extraordinary beaches to the West and the wild, scenic, and fun Columbia River Gorge to the East. National forests are everywhere. You can be skiing, beach combing or deep in a forest in 2 hours. - Portland is quirky, independent, fiercely intelligent, intensively livable and totally down to earth: Just the kind of place you'd like to live. - It's a great walking and biking city, with plenty of public transportation, a beautiful airport with non-stop flights to loads of international destinations, a population that celebrates the arts, a culture of great food, artisan coffee and neighborhoods full of shops selling handmade clothes, crafts and furniture. - Take a look at more information about Portland here: https://www.travelportland.com/ Hiring Bonus and Relocation Package Available. This position also comes with great benefits! Some highlights include: - Comprehensive health care plans  - $25K of term life insurance provided at no cost to the employee - Two separate above market pension plans to choose from - Vacation: 192 to 288 hours per year depending on length of service - Sick Leave: 96 hours per year for full time - Holidays: 8 paid holidays per year - Substantial public transportation discounts - Tuition Reimbursement program - Innovative Employee Assistance Program (EAP)

Here are some reasons to be excited about the Hematology, Oncology & Bone Marrow Transplant unit at OHSU: - OHSU is the only hospital in Oregon that performs Chimeric Antigen Receptor T-Cell Therapy (CAR-T) and Bone Marrow Transplants. - OHSU is a Magnet designated hospital. - The OHSU Nursing shared governance structure is designed to support nurses’ engagement, decision making and service. As a result, you’ll have the opportunity to participate in unit-based committees and councils that bring nurses from different areas together. You have a seat at the table to make impactful decisions. - OHSU nurses are represented by the Oregon Nurse Association union. - Attending providers are available 24x7 so you always have backup when you need it. - OHSU works collaboratively with other hospitals in the region as they refer patients for specialized care.  Here are some reasons to be excited about living in Portland: - The Pacific Northwest is an outdoor enthusiast’s playground! We have extraordinary beaches to the West and the wild, scenic, and fun Columbia River Gorge to the East. National forests are everywhere. You can be skiing, beach combing or deep in a forest in 2 hours. - Portland is quirky, independent, fiercely intelligent, intensively livable and totally down to earth: Just the kind of place you'd like to live. - It's a great walking and biking city, with plenty of public transportation, a beautiful airport with non-stop flights to loads of international destinations, a population that celebrates the arts, a culture of great food, artisan coffee and neighborhoods full of shops selling handmade clothes, crafts and furniture. - Take a look at more information about Portland here: https://www.travelportland.com/ Hiring Bonus and Relocation Package Available regardless of experience! This position also comes with great benefits. Some highlights include: - Comprehensive health care plans covered 100% for full-time employees and 88% for dependents - $25K of term life insurance provided at no cost to the employee - Two separate above market pension plans to choose from - Vacation: 192 to 288 hours per year depending on length of service, prorated for part-time - Sick Leave: 96 hours per year for full time, prorated for part-time - Holidays: up to 8 paid holidays per year for full-time - Substantial public transportation discounts - Tuition Reimbursement program - Earn extra income once you obtain an CPHON or BMTCN Certificate. OHSU pays for the certification exam. - Innovative Employee Assistance Program (EAP)

Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   The Registered Nurse assumes primary responsibility as the nurse coordinator of the Neuro-Oncology patients, provides direct and indirect professional nursing care.  The Registered Nurse assesses patients'  needs, develops the plan of care, implements and evaluates nursing care; provides education and consultation to staff, students, patients and the community.  The Registered Nurse identifies patient requirements relative to age-specific needs for infants, toddler, pre-school, school age, adolescent, adult and geriatric patients.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available Cohorts for this position are expected to start July, 2023   Doernbecher Children’s Hospital, which is associated with a three-time Magnet designated hospital, Oregon Health & Science University’s (OHSU), is a regional referral center in Portland Oregon, for acute and critically ill children, At Doernbecher,Pediatric Float Pool nurses provide state-of-the-art, high-quality, innovative, and compassionate family-centered nursing care. Pediatric Float Pool (PFP) nurses support pediatric Acute and Critical Care units as well as the Neonatal Intensive Care Unit.   Here are some reasons to be excited about the Pediatric Float Pool (PFP) at Doernbecher: - You become an expert in pediatric nursing – as there is a separate float pool for adult care areas. - PFP RNs provide seamless care for patients across the continuum of care, from the NICU, to the PICU, to acute care, and upon discharge. - PFP RNs float to 6 different Pediatric units including: Medical, Surgical, Intermediate, Hematology/Oncology, Pediatric ICU and NICU. - Surgical services include Ortho, General Surgical, Cardiac, ENT, Plastics, Urology - OHSU/Doernbecher is nationally recognized Level 1 Trauma Organization. - The state of Oregon is ranked very high for RN pay as compared to the rest of the country.  - Your professional development is supported by our staff educator and orientation coordinator, as well as our team’s robust Shared Governance. - This job posting is a night shift only position, meaning there is no required rotations between night and day shift. Opportunities to switch to day shift arise when there are open day shift positions to transfer into. - Once orientation is complete, you earn an $8/hour float differential, on top of your base pay. There are also additional differentials such as night shift and weekend.  Here are some reasons to be excited about living in Portland:   - The Pacific Northwest is an outdoor enthusiast’s playground! We have extraordinary beaches to the West and the wild, scenic, and fun Columbia River Gorge to the East. National forests are everywhere. You can be skiing, beach combing or deep in a forest within a 1-2 hour drive from Portland. - Portland is quirky, independent, fiercely intelligent, intensively livable and totally down to earth:  - It's a great walking and biking city, with plenty of public transportation, a beautiful airport with non-stop flights to loads of international destinations, a population that celebrates the arts, a culture of great food, artisan coffee, and neighborhoods full of shops selling handmade clothes, crafts and furniture. - Take a look at more information about Portland here: https://www.travelportland.com/ This position also comes with great benefits! Some highlights include: - Comprehensive health care plans paid 100% for employees. - $25K of term life insurance provided at no cost to the employee. - Two separate above market pension plans to choose from. - Vacation: 192 to 288 hours per year depending on length of service. - Sick Leave: up to 96 hours per year for full time. - Holidays: accrue up to 64 holiday hours per year. - Substantial public transportation discounts. - Tuition Reimbursement program. - Innovative Employee Assistance Program (EAP).

- Demonstrates competency in administration of chemotherapy and non- chemotherapy infusions, chemo Intravenous (IV) push and oral chemo. Wears appropriate protective equipment while administering chemotherapy. - Interprets chemotherapy road map in order to verify MD orders for chemotherapy and procedures. - Responds to acute illness using assessment skills and technical skills and immediately activating medical support as needed. - Documents in Epic all care provided, phone advice given, teaching provided. - Thoroughly documents all nursing activities according to compliance guidelines and on the same day that care is provided.  Records medication start and stop times to ensure appropriate billing. Documents clearly and thoroughly so knowledge of patient’s condition and any psychosocial factors are clear to the next care provider. - Navigates Epic Beacon and Infusion Plan applications proficiently, releasing chemo and lab orders appropriately and timely.  - Coordinates care during the assigned day with all members of care team including teachers, social workers, physicians, nurse practitioners, Care Management RN (discharge planner), Palliative Care, Hospice RNs, Child Life, PT/OT, and all Hem/Onc and other pediatric subspecialists who refer patients to the infusion room. - Demonstrates competency in central line care and blood draws from central lines, following policy. - Anticipates the needs of patients and families. Conducts anticipatory guidance teaching about behavioral and symptom management, medication management, grief, ect. Assesses psychosocial and physical needs of the patient during all interactions. Engages appropriate team members to support the family throughout their experience. - Takes an active role in planning the workflow of clinic and in a way that maximizes use of rooms and staff and values the patient’s time. Proactively plan follow up visits, look ahead to schedules to help maintain the balance of patients to resources. Actively participates in quality improvement activities.