The Department of Medicine, Division of Gastroenterology is seeking an Infusion Clinical Nurse. The Clinical Nurse will be responsible for making decisions regarding patient care; serves as patient advocate; demonstrates responsibility and accountability with patients, family members, other providers and support personnel regarding care for Infusion Patients. Exercises independent, professional judgment and decision making on a consistent basis. Adapts to changes in technology and software to ensure efficient office practice.
Applicant will attend our didactic curriculum includes weekly conferences, monthly grand rounds, monthly journal club, and monthly M&M conferences.
Duties and Responsibilities:
Transcribe/scan lab work from providers into EPIC. Ensure labs are routed to the correct lab per patient insurance
Ensure that all patient orders are up to date and notify provider to obtain new orders prior to scanning
Scan all provided orders into EPIC
Change provider for each patient to infusion nurse to allow each encounter to be closed
Retrieve/print lab slips for order review
Document patient visit on progress notes, visit navigator, doc flowsheets, care teams and communication section of EPIC
Enter charges for each patient
Ongoing troubleshooting to identify ways to document better and or more efficiently
Ensure timely admission with name band, and 2 patient identifiers
Assess and record vital signs, weight, and height
Review history and screen for infections. Alert and discuss with primary provider
Review current medications
Review orders and administer any premedication ordered. Ensure patient has taken any pre medications at home if prescribed
Insert IV and draw labs if ordered. Label labs immediately and print appropriate requisitions form EPIC
Reconstitute Remicade/Entyvio/Etc. in GSS lab per provider order
Hang medication to infuse over time period dictated by orders
Ongoing patient assessment during infusion. Adjust Remicade/Entyvio/Etc. as ordered.
Ongoing assessment of vital signs per protocol and as needed based on patient presentation
Ongoing evaluation for expected outcomes
Assess infusion site for signs and symptoms of infiltration
Monitor for potential patient infusion reactions or side effects
If infusion reaction occurs, nurse remains calm to ensure minimal disruption to other patients and notify provider immediately. Follows infusion reaction protocol and educates patient about treatment changes and re-infusion.
Ensure patient is stable prior to discharge
Ongoing documentation of above in EPIC
Flexible scheduling with patients and tracking patient appointments and scheduling at correct intervals
Triage phone calls from patients, notify providers about patient issues, i.e. sick, appointment changes, etc.
Address patient questions and concerns in a warm and receptive manner
Handle dissatisfied customers, both patients and providers. Attempt to make the infusion experience as positive as possible to ensure patients return.
Communicate with referring providers regarding any issue that may require referral changes, etc.
Communicate with referring providers regarding any changes in patient status
Communicate any changes during/after infusions
Provide a post infusion note to the providers via in basket
SIBPQ via providers in basket
Communicate with the Clinic Supervisor, Ambulatory Services Manager, other infusion nurses and infusion center staff regarding scheduling and patient needs
Follow up with no shows or sick patients. Communicate with providers as needed.
Pregnancy/pre-pregnancy weight and schedule
Importance of adhering to scheduled regimen
Discuss possible need for pre medications
Discuss disease process
Discuss what to expect with Remicade/Entyvio/Etc.
Discuss signs and symptoms of infections and importance of making provider aware
Discuss and keep sign up regarding the contraindication of live vaccines
Flu shot reminders discussed and posted
Infusing after an reaction
Infusion Room Maintenance
Update order sheet protocol as needed
Track and order supplies
Track and order emergency medications
Track and order Remicade/Entyvio/Etc.
Track and order tubing
Emergency check list
Order supplies like AED battery as needed
Emergency drug box; request replacement as needed
Ensure equipment in working order
Individual must be a registered nurse, licensed in the State of Maryland or state where practicing. Bachelor's degree in nursing or related discipline preferred. Current American Heart Association or American Red Cross CPR certification required. Must maintain current licensure and certification during duration of employment. Acceptable completion of the JHH credentialing process is required within two weeks of start date.
Preferred Qualifications: BSN degree
Additional Knowledge, Skills, and Abilities/Competencies:
Demonstrated problem solving skills required.
Demonstrated ability for self-direction and initiation required.
Demonstrated ability to function as a leader and team player required.
Extraordinary customer service skills required. Basic computer skills required.
Knowledge of Microsoft Office applications required
Knowledge of EPIC and ORMIS scheduling systems preferred; knowledge of IDX
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
This description is a general statement of required duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
Classified Title: Clinical Nurse Working Title: Infusion Clinical Nurse Role/Level/Range: ACRP/03/ME Starting Salary Range: $60,945.00 - $83,865.00;Commensurate with experience Employee Group: Full Time Schedule: Monday - Friday, 8:30am-5:00pm Exempt Status: Exempt Location: Columbia Clinic: 5450 Knoll North Drive Department Name: School of Medicine, Division of Gastroenterology Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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