Domain Expert – Nursing (UpToDate Lexidrug)

To qualify you must use UpToDate Lexidrug (or Lexicomp) regularly - weekly or more - as a working part of your job, with 2+ years of professional nursing experience.

Lexidrug knowledge we require

Core (required of all candidates)

• Knows how to check a patient's full active medication list before administering a new drug — not just the drug in hand against the one most recently given

• Knows how to recognize when a finding means "hold the dose and escalate" versus "safe to proceed" — nursing scope is catching and escalating, not resolving the clinical question independently

• Knows how to reconcile medications across a transition of care (admission, transfer, discharge) — catching discrepancies between home meds, brought-from-home bottles, and current orders

• Knows how to monitor for and recognize an adverse reaction or interaction after administration, tied to the actual administration timeline (what was given, when, in what order)

• Knows how to document and communicate an escalation clearly — what was found, what was held, who was notified — not just note a concern and move on

Specialized depth (strong working knowledge in at least 2–3 of the following)

• Trissel's IV Compatibility — Y-site/syringe compatibility and line management for patients on multiple simultaneous infusions

• High-alert medication administration protocols (insulin, anticoagulants, opioids, chemotherapy, sedation)

• Pediatric/weight-based dosing and administration

• Geriatric-specific administration precautions (fall risk, sedation, Beers Criteria-relevant drugs)

• Patient/caregiver discharge education, including multi-language teaching materials

• Drug I.D. for medication reconciliation (verifying an unlabeled or brought-from-home medication)

What you'll do

• Confirm a medication is safe to administer against the patient's full active med list and administration history — not just the one drug named in the question

• Catch a medication reconciliation gap, a missed IV compatibility issue, or an adverse-reaction pattern that requires tracing the actual administration timeline

• Judge completeness: was the full clinical picture (all active meds, administration timing, transition-of-care history) accounted for, or was the question scoped too narrowly

• Distinguish "within nursing scope to resolve" from "needs escalation to pharmacy or the prescriber" — correctly routing rather than either overreaching or under-escalating

• Verify that a correct nursing finding is actually carried through — dose held, right person notified, chart documented — not just noticed and left there

Requirements

• Frequent Lexidrug (or Lexicomp) use - weekly or more - in your current or recent role

• 2+ years of professional nursing experience, inpatient/acute care setting strongly preferred

• Reflexive use of Interactions and Trissel's at the point of administration; can spot a missed interaction, a reconciliation gap, or a symptom-onset red flag on sight

• RN license in good standing; BSN or higher preferred

• Strong working knowledge in at least 2–3 specialized areas above, tied to your practice setting (e.g., ICU, oncology, pediatrics, geriatrics)

• Comfort judging whether a correct nursing finding was properly escalated and documented, not just identified

• Prior data annotation, labeling, or AI evaluation experience is a plus

We consider all qualified applicants without regard to legally protected characteristics and provide reasonable accommodations upon request.

Contract and Payment Terms

• You will be engaged as an independent contractor.
• This is a fully remote role that can be completed on your own schedule.
• Projects can be extended, shortened, or concluded early depending on needs and performance.
• Your work at Mercor will not involve access to confidential or proprietary information from any employer, client, or institution.
• Payments are weekly on Stripe or Wise based on services rendered.
• Please note: We are unable to support H1-B or STEM OPT candidates at this time.

About Mercor

Mercor partners with leading AI labs and enterprises to train frontier models using human expertise. You will work on projects that focus on training and enhancing AI systems. You will be paid competitively, collaborate with leading researchers, and help shape the next generation of AI systems in your area of expertise.