RN- Hematology/Oncology - Nicklaus Children's Health System

Job Summary

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. 

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