RN - Hema/Oncology

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation and evaluation. Oversees the plan of care, utilizes effective problem solving strategies and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning. Provides compassionate and family centered care Hematology/Oncology for patients.

Job Specific Duties

Ensures completion of patient admission history & prepares and accurately completes the discharge planning process as per department and hospital policies and procedures. Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. F: Daily/ T: 10 hours R: Follows physician’s orders, administers chemotherapy & patient medications & reconstitutes meds when needed.

Adheres to six rights of medication administration per medication administration policy. Provides nursing to immuno-compromised patients including: central line monitoring, IV site monitoring, lab draws and monitoring of lab results. Performs interventions which include electrolyte infusions, sepsis monitoring, and transfusions with blood products.

Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment. Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety as per hospital policy. Upon admission, verifies patient roadmap, protocol and orders for correctness and accuracy.

Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management Policy and procedure. Completes all nursing multi-system assessments that includes head to toe, vitals, dressing changes, suction, feeding, bathing and repositioning. Ensures appropriate restraint orders use and documentation and monitoring, as required by Sedation Policy and procedure.

Ensures proper and safe wound care as required by Wound Care Policy and procedures. Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient’s electronic health record. Communicates with patient and family on additional resources available to the patient.

Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician. Educates families regarding new diagnosis and provides treatment plan. Promotes an “error-free” working environment by consistently providing high-quality & safe care as prompted.

Assesses all body systems, ensures safe, efficient care, while ensuring no medication errors, avoidance of falls, prevention of central line infections, ouch-free procedural pain & pain reduction. Provides patient information and effectively completes the hand off process at shift change and patient reassignments. Demonstrates proper personal protective equipment (PPE) indication and use.

Actively participates in the nursing governance council and unit based activities. Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH, FACT, COG, COC. Ensures proper disposal of chemotherapy products per the Disposal Waste Policy.

Qualifications

Minimum Job Requirements

Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment American Heart Association BLS CPR: American Heart Healthcare Provider – must maintain active and in good standing throughout employment American Heart Association PALS Must maintain active and in good standing throughout employment within 1 year CHEMO/APHO Aphon - Pediatric Chemotherapy and Biotherapy Provider Course– must maintain active and in good standing throughout employment within 1 year Knowledge, Skills, and Abilities BSN degree or currently enrolled in BSN program A minimum of 1 year experience as an RN in Pediatric in Hematology/Oncology setting preferred Possesses proficiency in computers and Electronic Medical Record (EMR) preferred Career Development: National certification Certified Pediatric Nurse i.e. (CPHON) or (CPON) or BMTCN preferably within 5 years of hire Able to analyze and interpret data and utilize the information to make judgments regarding patient care Effective verbal and written communication skills Ability to positively influence, hold self and others accountable Able to work effectively in collaborative environment Ability to apply principles of evidence-based practice, analytical thinking and service excellence in practice Able to float to various nursing units while maintaining the delivery of clinical excellence and high quality service Able to provide coverage for on-call assignments per departmental and hospital policy