Clinical Nurse Specialist (CNS) - Oncology
Company: Cleveland Clinic
Posted on: May 14, 2022
- Must be able to work with collaborating physician.
- Performs and interprets, at least to the point of recognizing
deviations from normal, common laboratory, radiologic,
cardiographic and other routine diagnostic procedures used to
identify pathophysiologic processes as privileged by CCF
- Performs routine procedures such as injections, immunizations,
suturing and wound care, managing simple conditions produced by
infection or trauma, assisting in the management of more complex
illness and injury which may include assisting surgeons in
conducting operations and taking initiative in performing
evaluation and therapeutic procedures in response to life-
threatening situations, as privileged by CCF Credentialing
- May prescribe and monitor medications as allowed by
prescriptive authority through applicable state Board of
Nursing/Medicine and CCF policy
- Performs specialized procedures, including bone marrow
aspirations, biopsies and harvest, blood draws, designated IV
starts, spinal taps, thoracentesis and paracentesis as well as
other specific procedures as directed by the physician, following
approval by CCF Credentialing Board.
- Provides information and answers routine questions of patients
regarding their disease, including preventive health maintenance
topics such as diet, weight, smoking and topics related to medical
specialty, with basic recommendations.
- Educates patients regarding their disease, treatments, related
drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing,
medical and other healthcare team members regularly to ensure
quality patient care
- Refers patients to specialists as appropriate for consultation
or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between
patient and other members of the multi-disciplinary care team or
with other specialty areas as necessary.
- Performs research follow-up studies.
- Assists in data analysis.
- Participates in quality monitoring thru the review of records
and treatment plans for patient outcomes on a periodic basis to
assure quality care.
- Facilitates appropriate length of stay, discharge planning and
compliance with regulatory standards for inpatient management.
- May serve as clinical preceptor for PA/APRN students and other
- May serve as Faculty for onboarding new employees.
- Other duties as assigned.Education:
- APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire
or within 3 years of hire for external hires and internal hires
moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited ARPN graduate program.Certifications:
- APRN: Currently licensed as a Registered Nurse and Advanced
Practice Registered Nurse in applicable state.
- National certification as Advanced Practice Registered Nurse by
nationally accredited organization recognized by state Board of
Nursing, current licensure by applicable state Board of Nursing,
(including certificate to prescribe if applicable).
- Basic Life Support (BLS) through the American Heart Association
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life
Support (PALS) through the American Heart Association (AHA); or
Neonatal Resuscitation Program (NRP) through the American Academy
of Pediatrics (AAP) may be required based upon work setting.
- Oncology certification preferred
- Complexity of Work:
- APRN: Excellent analytical and decision making skills are
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced
assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical
- Demonstrates a high standard of moral and ethical
- Demonstrates compassion and professionalism and a commitment to
excellent patient care.
- Requires critical thinking skills, decisive judgement and the
ability to work with minimal supervision.
- Must be able to work in a stressful environment and take
- Depending on practice, surgical fields may require surgical
- APRN: Two years clinical nursing experience preferred.Physical
- APRN/PA: Typical physical demands include the ability to walk
and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to
perform physical examinations.
- Requires corrected vision and hearing to a normal range.
- Occasionally lifts and carries items weighing up to 50
- May require exposure to communicable diseases and/or body
fluids.Personal Protective Equipment:
- Follows standard precautions using personal protective
equipment as required.Cleveland Clinic Akron General is looking for
knowledgeable Clinical Nurse Specialist with a background in
oncology to support patients in the hospital setting. The CNS will
help support patient care, provide education to bedside nurses and
residents as well as ensure practice protocols and support/promote
evidence-based practice and safety. Monday through Friday, 8-hour
day shifts: 8am -5pm (based off departmental needs). Ideal
applicants will have clinical experience within Oncology. Expected
Job Duties: 1. Chemotherapy education for both patients/families
and nurses (inpatient). 2. Facilitate new nurse oncology
orientation, including ensuring completion of Cancer Basics and
Fundamentals of Chemotherapy/Immunotherapy Administration. 3.
Oversee chemotherapy practicum for inpatient nurses to ensure
timely completion. 4. Oversee yearly oncology competency. Work with
inpatient, CTC/infusion, radiation oncology, breast health center,
navigators to ensure all staff complete competency. Track on
spreadsheet for reporting. 5. Review inpatient chemotherapy orders
to ensure all elements are correct and review orders/processes with
RNs. 6. If a patient has received chemotherapy, is in need of
ongoing monitoring related to chemo, and is not on the oncology
floor the CNS will work with 5400 staff and staff on the other unit
to ensure issues are addressed. Most commonly this has been with
patients in ICU that have received high-dose Methotrexate and need
ongoing lab monitoring and adjustment to therapy. Orders for
nursing exist in Beacon; however, other units either can't see
these or don't know to look for them and things get missed. 7.
Educate non-oncology nurses on safe handling, including waste
disposal, when needed for patients off 5400. 8. Look at developing
a standard outpatient orientation and checklist. 9. Help with any
nurse-sensitive indicators on the oncology scorecard (inpatient and
outpatient). 10. Responsible for Commission on Cancer (CoC)
standard 4.2 for nursing and tracking CE. Provide educational
resources to the nurses to help meet the standard. 11. CoC QI and
other needed QI projects. 12. Can help with SOPs although probably
cannot "own" every oncology one. That's too much for one person. I
probably own around 10 now. Now that I've become much more
efficient at the process, I could see adding a few more. The
biggest thing is trying to get them on varying renewal schedules so
they aren't all due at the same time. Would make it more manageable
to have 1-2/month. 13. Assist with community outreach education.
14. Participate on oncology-related committees, including: Cancer
Committee, Breast Program Leadership, Cancer Coordinators
Committee, Cancer QI Committee, Cancer Operations Committee, CLABSI
Steering Committee, Enterprise-wide Oncology Affinity Group APRN:
Nationally certified licensed healthcare provider who provides
primary and/or specialty nursing and/or medical care in a variety
of healthcare settings. Functions in collaboration with a physician
according to a standard care arrangement and specialty
certification. Practice emphasizes health promotion, disease
prevention and the diagnosis and treatment of acute and chronic
health problems. PA: Nationally certified licensed healthcare
provider who provides primary and or specialty medical care (the
practice of medicine) in a variety of healthcare settings.
Functions the collaboration agreement of a Physician, (as per
O.R.C. 4730) performs complete histories and physicals on patients
of all ages to establish and record patient's current health status
and to develop a working diagnosis and treatment plan to provide
continuing medical care, including daily examinations, writing
orders, chart notes, discharging patients and completing discharge
summaries. This medical care may be in a variety of clinical
settings. PA's are privileged by the Board of Governors. PA's in
the Hospital care role provide outpatient and/or hospital based
care to patients (more than 50% of their time) with complex, acute,
and chronic health conditions. Outpatient/Hospital care PA's
practice in a setting that requires the performance of diagnostic
and therapeutic interventions to manage acute and chronic health
problems. Must have the ability to work with multi-disciplinary
Keywords: Cleveland Clinic, Akron , Clinical Nurse Specialist (CNS) - Oncology, Healthcare , Akron, Ohio
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