JOB TITLE: Registered Nurse – Infusion Administration
REPORTS TO: Director of Treatment Services
JOB SUMMARY:
The Infusion Administration Nurse provides professional, coordinated care in the delivery of oncology treatments to patients in a clinic setting. This role also includes responsibilities for the safe and sterile preparation of chemotherapy and biotherapy agents in compliance with USP <797> and USP <800> standards. The nurse collaborates with providers and interdisciplinary teams to ensure safe medication preparation and administration, patient-centered care, and adherence to national safety and quality standards.
SCOPE OF ROLE:
The infusion administration nurse is responsible for:
- Administration of IV chemotherapy, biotherapy, supportive treatments, and injections.
- May be trained, educated, and required to prepare sterile hazardous and non-hazardous admixtures for infusion, based on operational needs.
- Maintaining central venous access devices and performing patient assessments.
- Ensuring compliance with clinical standards and regulatory guidelines (e.g., ONS, QOPI, ASCO, NIOSH, USP <797>/<800>).
- Guiding patients through the complexities of cancer treatment while demonstrating empathy, safety, and excellence.
*
PRINCIPAL DUTIES AND RESPONSIBILITIES:*
Infusion Administration Responsibilities
- Provide direct patient care in preparation for anticancer therapies.
- Safely administer chemotherapy and biotherapy in accordance with orders.
- Perform patient assessments before, during, and after treatment.
- Maintain and flush central venous access devices (e.g., ports, PICCs).
- Monitor patients for adverse reactions and intervene as needed.
- Proper assessment and management of extravasation and infiltration.
- Provide education to patients and families on treatment expectations, symptom evaluation, and self-care.
- Collaborate with physicians and team members to adjust care plans as needed.
- Document treatments, assessments, and communications accurately in the EMR.
- Support compliance with clinic standards, including ONS guidelines, ASCO-COA Oncology Medical Home Standards, and QOPI quality measures.
Admixture Responsibilities
- Prepare sterile parenteral admixtures (hazardous and non-hazardous) under USP <797>/<800> regulations.
- Sterile admixture of chemotherapy in an ISO Class 5 compliant BSC or CACI using aseptic techniques.
- Accurately calculate and verify drug dosages.
- Track medication inventory and monitor expiration dates.
- Handle and store hazardous medications according to safety protocols.
- Maintain a clean, organized, and compliant admixture workspace.
- Hazardous spill management
- Initial and annual fit test and training for N-95 and/or PAPR use
- Collaborate with the clinical team to verify and interpret admixture orders.
- Reviews new regimen orders and compares them to NCCN guidelines and/or other source documentation provided by the ordering physician; ensures that dosages, schedules and drugs match the indication, and that adequate supportive measures are in place before the final orders are saved by the physician.
- Participate in training and continuous education in chemotherapy agents, safety procedures, and EHR proficiency.
KNOWLEDGE, SKILLS, AND ABILITIES
- Strong knowledge of chemotherapy and biotherapy administration and protocols.
- Expertise in sterile admixture techniques and hazardous drug handling.
- Understanding central line management, oncology nursing assessments, and patient safety practices.
- Proficient in EMR documentation and medication ordering systems.
- Strong critical thinking, time management, and problem-solving abilities.
- Ability to educate patients using adaptive techniques and teach-back methods.
- Strong interpersonal and communication skills.
- Demonstrated ability to work effectively in a multidisciplinary team.
EDUCATION / LICENSURE / CERTIFICATIONS
- Graduate from an accredited nursing school.
- Current licensure as a Registered Nurse in the State of Nebraska (required).
- Basic Life Support (BLS/CPR) certification (required).
- Oncology Nursing Society (ONS) chemotherapy/biotherapy certification or willingness to obtain.
- Oncology Certified Nurse (OCN) certification encouraged when eligible.
- Sterile admixture training preferred for admixture duties.
EXPERIENCE
- A minimum of one year of nursing experience is required.
- Experience administering chemotherapy and working with oncology patients preferred.
- Prior sterile admixture experience is ideal but not required.
PHYSICAL REQUIREMENTS
- Medium work: exertion of 20–50 pounds occasionally, 10–25 pounds frequently, and up to 10 pounds consistently.
- Requires full range of motion, manual dexterity, standing/walking for long periods.
- Ability to assist patients with mobility and use of medical equipment.
- Exposure to blood, bodily fluids, communicable diseases, germicidal and sporicidal cleaning agents, and hazardous drugs.
- Must follow all safety procedures for handling cytotoxic and biohazardous materials.
- Initial and annual fit test of N-95 and/or PAPR
Any questions? Email [email protected] OR use the following link to apply!
https://recruiting.paylocity.com/recruiting/jobs/Apply/3383600/NEBRASKA-HEMATOLOGYONCOLOGY/Registered-Nurse-Infusion-Administration
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Work Location: In person
