Senior Nurse Clinician

Senior Nurse Clinician - CancerCare**Job Code**:
30001713

**Basic Function**:
Provides wide range of direct and complex nursing care to Cancercare patients requiring advanced nursing skills. Functions as a preceptor and role model for new hires and other identified staff. Provides clinical assistance to staff nurses, practical nurses, patient care assistants and nursing interns in the execution of their responsibilities and gives clinical resource support to the charge nurse. Acts as back up charge nurse when oriented.

Functions using the Nursing Process with emphasis on direct patient care and related activities and referring to the Lippincott Manual and Mosby Competencies.

**Scope**:
Working within Johns Hopkins Aramco Healthcare Nursing & Clinical Services Department in Dhahran, Al Hasa,Udhailiyah, Ras Tanura, and Abqaiq.

The Sr. Nurse Clinician provides complex professional nursing care to the patient using independent nursing judgment within defined programs, protocols, policies, procedures and standing orders. Receives supervision and direction from the Charge Nurse and Supervisor. Work is performed on any shift, as required, in the Cancercare Service Line of the Johns Hopkins Aramco Healthcare (JHAH) facilities.

Work hours are assigned to meet operational needs. Hours may include on call and scheduled overtime.

Direction is through the unit manager.

**Principal Contacts**:
Ongoing with patients and their families home caregivers for assessing, planning, implementing and evaluating the nursing plan of care; with new hire and newly assigned nursing staff for orientation and integration into the nursing unit; routinely with clinicians for carrying out clinician orders, assisting with medical procedures, and reporting changes in the patient's condition and/or needs, ongoing with Charge Nurse for collaborating and reporting.

Occasional public and community contact through communicating policy changes, revisions, and/or introduction of new work rules.

Occasional with other JHAH and outside services.

**Principal Duties**:
1) ASSESSMENT:

- Acts as resource to other staff members during the assessment of complex patient/family needs.
- Assists other staff members in improving their knowledge and skills, giving input when needs are identified.
- Assesses the need for suitable staff development program/s in the assigned clinical area to ensure effective patient care.

2) PLANNING:

- A. Serves as direct care clinical resource in developing, coordinating, and reviewing the patient’s plan of care.

3) IMPLEMENTATION/INTERVENTIONS:

- Provides total, direct nursing care to patients requiring advanced, skilled or complex care.
- Completes specific competencies as identified by supervisor
- Administers intravenous chemotherapy treatments in the general wards/EMS and critical care units as needed.
- Administers chemotherapy and other treatments as directed by the oncologist and hematologist.
- Assists clinician with procedures such as bone marrow biopsy and aspiration, paracentesis and hypersensitivity.
- Monitors patients for changes in status and indications of conditions and initiates interventions for hypersensitivity reactions.
- Initiates management interventions for chemotherapy extravasation
- Teaches Patients and Families regarding treatment expectations
- Precepts new hires and nursing interns and mentors nursing staff with identified needs.
- Assists clinicians with the more complex diagnostic and therapeutic procedures.
- Performs procedures requiring advanced competency skills or training in the expanded nursing roles.

4) EVALUATION:

- Acts as resource to other staff members during the evaluation of complex patient care.
- Evaluates the progress of new hires, nursing interns, and other identified staff and gives input to the charge nurse, supervisor, and/or nursing intern coordinator.

**Principal Duties (cont'd)**:
5) PROFESSIONAL EXPECTATIONS:

- Participates in the planning, implementing and evaluating patient care conferences and unit in-services.
- Evaluates patient care supplies/equipment and gives input to the charge nurse/supervisor.
- Serves as direct clinical resource in the development, review, revision, and implementation of nursing policies, and procedures, standards of care, and applicable medical organization policies.
- Represents unit or department on committees, special interest groups, and task forces.
- Treats customers (guests, patients, nurses, physicians and other employees) with courtesy, respect and caring behaviors.
- Always answers a patient’s call light/bell even if it is not an assigned patient and always takes the initiative to assist the patient.
- Presents a positive image of JHAH through professional appearance and behavior.
- Maintains confidentiality by choosing the appropriate persons, time and place for patient related discussions.
- Immediately brings abnormal findings to the attention of the Charge Nurse.
- Supports unit culture of quality and safet