New Vacancies at Cancercare SA

Interpersonal factor

• As a professional all services delivered needs to be in line with the Cancercare values, of CARE. Each task needs to be consistently executed whilst at all times displaying a positive influence on all stakeholders and within the general working environment. It is expected from the employee to deliver all tasks reflecting a willingness to operate outside the scope of the job description as per operational requirements. The factors below cannot therefore be reviewed in isolation.
• To display the company values: C - Compassion, A - Accountability, R – Respect, E – Ethics (CARE) 

Preparation for study

• Meeting with sponsor delegate to discuss all aspects of the site and requirements to run the study and tour of facility.
• Required to travel for investigator meetings.  Ensuring you have a valid passport.
• Organize with Principal and sub-investigators for protocol overview and site initiation meeting. Review of study files with the sponsor delegate.
• Drawing up and designing templates for the source documents used by the investigators according to specific protocol requirements.
• Site must at all times meet all the required international standards to run an oncology study
• Ensuring coordinator is extensively trained on the study protocol. 
• To ensure that everything is in place to start recruiting patients for the study
• To ensure that the correct data is collected and all special investigations are done for specific visits according to the study protocol.

Data collection and reporting, paper and electronic format

• Intensive online training on the use of electronic CRFs.
• Enter study specific data onto source documents and paper case report forms or electronic case report forms. Data entering and clarifications to be done within the sponsor specified timelines.
• Gather the required data to report SAE’s, complete the necessary SAE forms and send through to Sponsor/ Drug Safety within 24 hours.
• To ensure proper use of eCRFs for clinical data capture
• To ensure that all data is entered and corrected within study specific timelines and ready for Clinical Research Associates to monitor and be ready for data base locks etc.
• To ensure that Drug Safety Department is alerted to Serious Adverse Events.  This ensures that other participating sites are alerted.

Clinical Trial Co-ordination and management

• Ensuring that the latest versions of protocols and ICFs are used.
• Shipping or uploading of radiology imaging, ECG’s etc. to the central reviewers and biological samples to central laboratories.
• Phone IVRS/IXRS to alert sponsor about, screenings, end of treatment, dose adjustments, dispensing, etc. and to randomize patients to treatment arms.
• Filing regulatory and other essential documents in the investigator site files according to sponsor guidelines as well as those of GCP
• Responsible for electronic parallel system filing of all confidentiality agreements, study feasibilities and study protocols
• Preparing and reviewing all clinical source data (patient files, regulatory documents) for international or local (MCC, ethics committee) audits
• Send weekly emails to Financial administrator in order to complete orders of work done
• Prepare billing instructions
• Regularly do stock check of blood kits, dipsticks for expiry dates and additional kits needed. 
• Also check stock of blood pressure machines, electronic diaries or other trial specific apparatus.
• Ensure valid calibration certificates for all medical devices needed
• Have good communication to the study team and knowing who to contact when necessary.
• Ensuring that new amendments relating to protocols and ICFs are used. This is important for patient safety and protocol requirements.
• To ensure that IVRS/IXRS calls are made timeously according to sponsor requirements.
• To ensure that these files are up to date and complete in the case of clinical audits.
• Reducing possible audit findings. To adhere to GCP. Ensuring the integrity, reliability and quality of study data from our study site.
• Ensuring up to date information regarding financial impact of work done

Presentations and attending of academic meetings

• Giving presentations both for the clinical research unit and  practice on relevant clinical study topics
• To educate and give training on clinical study topics to ensure better understanding of the importance of clinical research

Patient management

• Collecting and review of all patient medical history for reviewing by investigator before patient is enrolled into screening
• Preparing patient files for visits according to protocol specific requirement for the visits.
• Arrange radiology, cardiology or other special investigations on the correct time points as specified by the study protocol.
• Perform and document the patient’s vital signs, weight, urinalysis and ECG on scheduled and unscheduled visit days,
• follow-up on blood results and adverse events
• Take telephone calls from patients re AE’s etc.
• Collecting, centrifuging (spinning-off) and handling (packaging) of blood samples in preparation for lab analysis.
• Explaining and having patient’s complete quality of life questionnaires at the correct time points in the correct manner.
• To ensure patient’s eligibility before enrolment
• Ensuring that new amendments relating to protocols and ICFs are used. This is important for patient safety and protocol requirements.
• To ensure that all radiology, cardiology and other special investigations are done at the correct time points according to study protocol.
• To ensure patient safety on treatment days
• Ensuring that quality of life questionnaires are completed correctly and completely according to protocol guidelines.

Requirements

Required minimum education:

• Registered Nurse (Degree or diploma in Nursing)
• SANC registered
• Current passport 

Required minimum experience and other information:

• 2 year Nursing and Clinical research experience
• Oncology experience will be advantageous
• Computer literacy (MS Word, Excel, outlook)

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Description

• To provide holistic patient centered nursing care to oncology patients under the direct or indirect supervision of a registered nurse or Doctor in order to build capacity for the oncologist.  
• To assess, develop, implement and evaluate and record patient care under guidance of the registered nurse and doctor.
• To perform history taking and a physical assessments of oncology patients that are accurate, complete, concise, relevant and appropriate for the clinical problem the patient presents with.
• To work with members of inter professional team to ensure quality of care for patients are maintained and that the patients’ needs are met.
• To conform to the Health and Safety regulations
• To provide evidence based clinical advice, education and support to patients and relatives in person or telephonically.
• To comply with relevant policies, procedures, guidelines, protocols and codes of conduct of Cancercare and the bodies that accredit our company and profession.

Interpersonal factor

• As a professional all services delivered needs to be in line with the Cancercare Values, of CARE. Each task needs to be consistently executed whilst at all times displaying a positive influence on all stakeholders and within the general working environment. It is expected from the employee to deliver all the tasks reflecting a willingness to operate outside the scope of the job description as per operational requirements. The factors below cannot therefore be reviewed and assesed in isolation.
• To display the company values: C - Compassion, A - Accountability, R - Respect, E - Ethics (CARE)

Nursing Care

• Utilize the nursing process in assessing, planning, implementing evaluating and recording the plan of care for oncology patients with acute, chronic and/or potential health problems within the scope of practice of an enrolled nurse.
• Perform history taking and a physical assessments of oncology patients that are accurate, complete, concise, relevant and appropriate for the clinical problem the patient presents with using the templates in EMR as guideline.
• Identify and report abnormal blood results and other investigations to the registered nurse/doctor and inform patient inconsultion with a register nurse or doctor
• Request appropriate investigations in consultation with the doctor
• Monitor, interpret and record patient’s vital data, including height and weight, reporting abnormalities to the registered nurse or doctor.
• Monitor the side effects of patients receiving treatment for their cancer and report any symptoms presented by patients, including pain to the doctor
• Provide telephone support for the management of symptoms related to cancer and cancer treatment in consultation with the relevant  registered nurse and doctor.
• Arranges for the patient to be seen by the doctor according to dr`s instructions
• Coordinate with dr`s regarding scripts needed to be faxed
• Demonstrate knowledge and competence in CVAD access and maintenance.
• Perform nursing procedures as prescribed by the dr, e.g. wound care, administration of injections, including assisting drs with procedures..
• To assist admin staff in obtaining relevant historical clinical info of new patients from the referring practice
• Attend ward rounds (if applicable)
• Educate patients and families on treatment plans.
• Record information and activities undertaken with patients and family in an accurate and timely fashion.
• Co-ordinate follow up of treatment plans by scheduling patients correctly.
• Following up of patients on completion of treatment.(  e.g. Prostate)
• Co-ordinate new patient bookings as well as  follow up of treatment plans by scheduling patients correctly including the correct booking of chemotherapy patients from the recall list
• Provide applicable discharge instructions and health education to patients and significant others.
• Collaborate with members of the inter professional team and service providers to ensure optimal patient care.
• Provide emotional support for patient and family during treatment and refer to Oncology Social Worker as necessary.
• Maintains accurate, complete, concise and timely documentation in the electronic medical record.
• To ensure scientific nursing practice within the legal framework of nursing.
• To promptly react and report any abnormal blood results
• To identify and assess patient's condition.
• Effective patient manangement.
• Clinically prepared patient for consult
• Effective patient management.
• To ensure patency of the port
• To ensure continued care and correct scheduling of all patients
• To ensure updated communication of patient’s information to all healthcare providers involved in the patients care
• To ensure that the emotional needs and health education needs of the patient is met
• Ensure up to date records

Quality Assurance

• Actively support and participate in ongoing Continuous Quality Improvement activities.
• Adhere to patient satisfaction program as per institutional program and protocol.
• Maintain patient confidentiality at all times.
• Refer patient complaints to the registered nurse/ubm/doctor.
• Replenish Doctors consultation rooms with the necessary equipment and consumables need.
• To ensure quality care rendered.

Safety Awareness and risk management.

• Practice the principle of infection prevention and control and adhere to all standard precautions inclusive of PPE’s as per institutional policy.
• Adhere to the Sharps protocol.
• Maintain a therapeutic , clean and safe working environment in accordance with the Occupational Health and Safety Act.
• Ensure effective risk prevention and report and act upon potential/actual risk identified
• Apply Cardio Pulmonary Resuscitation as necessary.
• Correctly use clean and store equipment as per institutional policy.
• Report equipment needing repair or replacement to the registered nurse/UBM.
• Adhere to the Medical  Waste management principles
• Check emergency trolley/oxygen cylinders
• Prevent and educate patients on the risk of falling as applicable
• To minimize the risk of infections
• To prevent sharps injuries.
• Compliance and adherence to legislation and policies
• To ensure staff and patient safety
• Ensure appropriate resources present to avoid treatment delay.
• To be Prepared for Medical emergency

Continued Professional Development

• Keep up to date with Cancer care’s policies and procedures.
• Assume responsibility for own personal and professional development.
• Ensure personal competence in BLS.
• Participate in unit academics
• Personal and Professional development
• To enhance effectiveness

Billing/Stock control.

• Correct capturing of patient procedures e.g administration of neupogen.
• Understanding of billing codes
• Ordering of Consumables as necessary
• Confirm correct medical aid authorization of treatment.
• To ensure correct billing of patients.
• Fully equipped consulting rooms

Requirements

Required minimum education:

• Registered Enrolled Nurse

Required minimum experience:

• Registered with SANC
• 3-5 years recent nursing experience
• Oncology and/or ICU experience will be advantageous
• Computer literacy (MS Word, excel, outlook)
• Can function well under work pressure and can work independently