About City of Hope
City of Hope, an innovative biomedical research, treatment and educational institution with over 6,000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.
Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers that develops and institutes standards of care for cancer treatment.Position Summary and Key Responsibilities:
The Precision Medicine Modality Clinical Research Nurse (PM CRN) is a member of the Duarte Precision Medicine Team and will work under the supervision of the clinical Precision Medicine Team Leads, Executive Director for Clinical Research Care Coordination or Vice President of Clinical Research. The PM CRN will collaborate with all the multidisciplinary clinical research Physicians, Clinical Research Coordinators (CRC), and clinic staff to provide care and assistance to potential and enrolled patients for the Precision Medicine program studies. The PM CRN assists in the assessment, management, coordination of care and any required procedures by the research protocol across the continuum of care (outpatient, inpatient and home) including triage of phone calls and proactive patient communication. The PM CRN serves to educate patients and families on precision medicine and any studies associated with precision medicine and required testing. The PM CRN is responsible for ensuring that the documentation for any precision medicine clinical research is complete and accurate. The PM CRN actively participates in planning and evaluation processes to improve and advance clinical research within the precision medicine initiative and the organization. The PM CRN fulfills the role in congruence with Oncology Nursing Society (ONS) Competency Guidelines for Clinical Research Nurses.Key Responsibilities:
- Utilizes the COH nursing process in clinical practice.
- Provides direct patient care for research related procedures for research patients, such as phlebotomy, including central lines, nursing assessments, and triage for research patients.
- Collaborates with the investigator to ascertain study patient eligibility for Precision Medicine studies, including documentation of criteria specified in the protocol.
- Assesses, identifies and prioritizes clinical information with the Physician, Nurse Practitioner (NP), Physician Assistant (PA) and other clinicians for patients who are being evaluated or who are enrolled into IRB approved clinical studies.
- Manages patient/family phone calls – collaborating with MD, NP and/or PA, as needed, to obtain orders for the management of the patient.
- Ensure updates to CTMS to ensure that the EMR places the clinical research flag on the patient’s record and all study related visits and/or procedures are associated with the study. Ensure flag is removed when it is no longer applicable and necessary for billing purposes.
- Collaborates with the physician and research team to ensure orders for the research study are written per protocol and at the protocol required intervals. Enters protocol-related laboratory or other orders into the EMR and releases them according to institutional policy.
- Ensures all documentation and required protocol documents are complete, legible and submitted according to established timelines.
- Collaborates with members of the interdisciplinary team to develop and implement the plan of care for the patient.
- Collects information from patient medical record, patient interviews, and diagnostic tests to determine eligibility of patient to be enrolled in Precision Medicine research.
- Notifies the treating physician of patient participation on a Precision Medicine protocol. The CRN is responsible for final determination of eligibility for Precision Medicine studies. They should follow institutional policy for review of clinical specimen study eligibility.
- Provides and documents education of patient and/or family regarding disease, the clinical research study and follow up in the medical record.
- Ensures patients are tracked in the clinical study using Clinical Trials Management System (CTMS) and/or other institutional software applications.
- Documents time and effort for research activities into Time Tracking software to assist in the development of realistic protocol budgets in the future.
- Participates in team meetings and any Sponsor teleconferences as applicable.
- Understands and applies the COH Code of Conduct, Code of Organizational Ethics, policies, procedures, performance and promotion of a culture of service excellence, attendance, safety, environmental and infection control guidelines. Maintains integrity and confidentiality.
Informed Consent Process
Provide research patients with information associated with participation in a clinical research study: this includes both verbally and visually (paper or e-consent).
- Ensures the participant has adequate time to review the consent and ask questions.
- Responds to any inquiries about the study by the participant or family members.
- Alerts principal investigator of any concerns raised by the patient during the informed consent process.
- Ensure participant understands full the research project and able to freely give consent.
- Ensure all COH, federal and state regulations are followed for consenting non-English speaking patients or those whom cannot read, either English or their native language.
- Documents the consenting process in the electronic medical record (EMR).
- Conducts the consent process in compliance with any additional institutional, FDA, IRB, clinical trial sponsor and other applicable regulations.
- Ensures that a copy of the signed consent is given to the patient and that it is scanned timely into the medical record.
- Ensures patients are appropriately scheduled, registered; maintains documentation of patient registration.
Precision Medicine Study Procedures
- Collects specimens for participation in PM protocols, which may include blood draws, either peripherally or from a central venous access devices (CVAD).
- Coordinates specimen delivery by established procedure (i.e. courier) for analysis, using appropriate or specified equipment for collecting and handling specimens; ensures proper labeling and obtains pertinent clinical and protocol information on request forms; develops and maintains knowledge of various aspects of processing specimens, paying particular attention to safety practices
- Responds to inquiries by patients and family members regarding precision medicine results, as applicable.
- Works to refer patient to genetic counselor(s), physicians and/or psychosocial, as needed and based upon results.
- Works with the CRC and Precision Medicine teams for outside specimen requests for patients, including tissue and/or blood.
- In collaboration with the multi-disciplinary precision medicine team, and/or principal investigators, assist with standard research order development precision medicine studies.
- Promotes patient compliance with protocol procedures and processes as outlined in the clinical study.
- Complies with the International Air Transport Association (IATA) and institutional policies for shipping and receiving of biological specimens, experimental agents and devices.
- Provides education to nursing staff, as applicable, regarding precision medicine and associated studies.
- Collaborates with the CRC and scheduling staff to assure that future appointments for the patients (follow up visits and testing) are scheduled correctly and timely.
- Follows all COH procedures related to specimen collection and maintains competencies necessary to perform duties.
- Occasionally subjected to irregular hours and/or flexible work schedule, for continuity of patient care, and team meetings
- Delivers population specific care taking into consideration issues related to age, culture and other social issues.
- Ensures work environment is organized and functions efficiently.
- Participates in a collaborative, positive work environment as demonstrated through teamwork.
- Demonstrates a level of professional practice that supports the delivery of appropriate care and positive working relationship within the Modality team and through the medical center.
- Performs other related duties as assigned or requested.
- Maintains current knowledge, awareness of and practices organizational and regulatory standards, policies and procedures and ensures all regulatory documents are processed and maintained per institution, IRB, and GCP regulations.
- Is self-motivated in organizing and follows through on assigned projects.
- Acts as a preceptor/mentor for new staff members and/or nursing students as applicable.
- Complies with Good Clinical Practice expectations.
- Practices a high level of integrity and honesty in maintaining confidentiality.
- Attends and actively participates in Study teleconferences, Precision Medicine Team Meetings, and other Research Team Meetings as requested.
- Collaborates with the Research Team in the auditing and monitoring process.
- Participates in process improvement activities.
- Identifies and follows institutional procedures to report any falsification of data or scientific misconduct.
- Internal Contacts:
- Modality Team Program Lead Physician(s), APPs, CRCs, infusion nurses, and other health care professionals who may be involved in the care of assigned patients.
QualificationsMinimum Education and Skills Required for Consideration:
- Outside MD and/or community resources as applicable.
- Budget/Financial Administration: Assists in the coverage analysis and budget development processes as needed and confers with the principal investigator, other members of the Research Team and research administration when protocol revisions will affect the study budget.
- Professional Development: Participates in educational opportunities to increase knowledge about clinical trials, regulations and guidance, and the role of the Clinical Research Nurse.
- Bachelor’s Degree in Nursing (BSN) required
- 2 or more years of experience in oncology or genetic testing/research or related fields, if applicable. For areas outside of these fields, 2 or more years of experience required in the practice area.
Current California RN License, American Heart Association BLS Certification requiredPreferred education, experience and skills:
- Nursing with previous oncology (if applicable) or clinical trial experience.
- OCN Preferred for Clinical Research Nurses in Oncology.
- Status: Full Time
- Shift: Days
- Department: Clinical Research
- Please download a current resume, RN license, BLS Card, and any additional certifications under the "attachments tab" on the application.
- Certification pay may apply
- This position is represented by a collective bargaining agreement
City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.