Primary Duties and Responsibilities:

A. Collaboration: Has direct involvement in patient care, and practice issues, involves/recruits? diverse resources when appropriate to optimize patient outcome. Recognizes the limits to clinical judgment and seeks multidisciplinary collaboration and consultation with dynamic situations.
1. With the Nursing Director, Sr. Nursing Director or Associate Chief Nurse, maintains administrative and clinical continuity within ambulatory services.
2. Participates as an active member or substitute member for committees within the Department of Nursing and Patient Care Services requested by the Associate Chief Nurse, Nursing Director or Senior Nursing Director.
3. In collaboration with Clinical Specialist assures staff compliance with required competencies and annual requirements, ensures compliance with regulatory agency requirements.
4. Demonstrates knowledge of computer systems in use at the Institute.
5. In conjunction with Nurse Director provides input into the annual budgetary process.

B.  Systems Thinking: In collaboration with the Nurse Director develops, integrates and applies a variety of strategies that are driven by needs and strengths of the patient/family unit, disease center, and institute.  Negotiates and navigates systems for both clients and employees. Demonstrates leadership by directing patient flow, staff allocation, and assessing system issues.
1. Develops daily staffing assignments for all clinic staff in collaboration with practice manager.
2. Supports and/or provides patient care activities as needed based on competency of role.
3. Supports and provides patient and family education.
4. Responsible for patient flow, and coordination of care with the assistance of the charge nurse.
5. Collaborates with Practice Director to ensure compliance with unit policies and procedures.
6. Assesses and intervenes to meet the needs of the patient population served.
7. Monitors the environment of care with attention to patient safety.
8. Utilizes process improvement to maintain efficient workflows.

C.  Personnel Management (Advocacy): Supports care of patient, family and community by careful attention to include the DFCI mission in all decision making and reflect mutually and competent patient/professional relationships.
1. Supervises RN?s, clinic assistants and phlebotomists as direct reports.
a. Number of supervision responsibilities dependent on unit and clinical oversight responsibilities; determined in conjunction with the Nurse Director, Sr. Nurse Director and Associate Chief Nurse as applicable.
2. In conjunction with the ND oversees the hiring, orientation, evaluation, coaching and mentoring of staff in accordance with Human Resource policies and the MNA collective barging agreement.
3. In collaboration with Clinical Specialists, provides unit based training/education/in-services/orientation.
4. Promotes and encourages professional growth and leadership potential of staff.

D.  Clinical Inquiry: Improves or individualizes standards and guidelines for person or population, with attention to current practice, review of literature, research, and education, with acquired knowledge and skills needed to address questions arising in practice and improve patient care.
1. Assists with development, implementation and monitoring of unit-based quality improvement, safety and patient satisfaction activities that are consistent with the goals of the Department of Nursing and Patient Care Services.
2. Facilitates continuous quality improvement in processes and services as directed.

E. Clinical Judgment: Synthesizes and interprets multiple, sometimes conflicting sources of data, can make judgment based on immediate understanding of situation, patient experience.
 1.   Serves as unit based clinical expert.
2.   Coordinates and participates in unit based audits and monitoring of nursing quality indicators.
3.   Participates in the development of professional nursing practice and standards.
4.   Maintains practice that is evidence-based and consistent with nursing policies, procedures, and
       standards.
 5.   Fosters a systematic awareness of the diversity that exists within the organization including but 
       not limited to culture, ethnicity, gender, and age, and promotes an environment that is sensitive to
       the needs of diverse patient populations.
       6. Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role.

F. Facilitator of Learning: Seeks opportunities to teach, coach, and mentor, and to be taught, coached and mentored. Adapts educational objectives to both the patient population and the staff that serve them. Creatively modifies an individual?s need, to create an environment of success.
1. Participates in professional organizations and community activities.
2. Participates in continuing education and role development:
a. Demonstrates an understanding of the clinical research process.
b. Identifies personal goals in professional and educational activities that promote self-development.
3. Functions in the leadership role:
a. Works collaboratively with all members of the floor leadership multidisciplinary team.
b. Serves as a role model for effective communication, problem solving, and conflict resolution for members of the team.
c. Supports the research and evidence- based practice activities of Nursing and Patient Care Services.

Knowledge, Skills and Abilities:

1. Critical thinking, collaboration and excellent communication skills.
2. Clinical resource regarding the administration of chemotherapy and blood products.
3. Demonstrates understanding of special needs and behaviors of age groups of the population served:  young adult to geriatric.

Minimum Job Qualifications:

Baccalaureate degree required; Baccalaureate degree in nursing preferred.
Master?s degree required or intent to enroll into program within 6 months of hire. 
3 years of oncology experience required; leadership or charge nurse experience preferred. 

License/Certification/Registration Required:

Licensed as a Registered Nurse in the Commonwealth of Massachusetts. 

Certification in Oncology Nursing, OCN, ACON, or CPON strongly preferred.

Supervisory Responsibilities:

Yes, provides direct supervision to RN?s, Clinic Assistants, and other support personnel.  Number and role supervised may vary. 

Patient Contact:

Yes