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Clinical Nurse Specialist (CNS) - Oncology

Company: Cleveland Clinic
Location: Akron
Posted on: May 14, 2022

Job Description:


  • 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 Credentialing Board.
  • 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 Board.
  • 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 health professionals.
  • 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 (AHA) required.
      • 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 required.
      • 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 record.
      • Demonstrates a high standard of moral and ethical behavior.
      • 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 appropriate action.
      • Depending on practice, surgical fields may require surgical experience.Work Experience:
        • APRN: Two years clinical nursing experience preferred.Physical Requirements:
          • 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 pounds.
          • 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 teams.

Keywords: Cleveland Clinic, Akron , Clinical Nurse Specialist (CNS) - Oncology, Healthcare , Akron, Ohio

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