New Graduate Registered Nurse – Infusion

Fred Hutchinson Cancer Center•Seattle, WA

1d•Onsite

About The Position

This position is designed for a new graduate nurse committed to Fred Hutch’s mission and to caring for cancer patients and their families, with ambulatory oncology nursing as the primary clinical practice. The Infusion RN administers chemotherapy, blood products, immunotherapy, and other treatments. Working with a trained preceptor, the resident nurse develops the skills needed to provide safe, accurate care, including assessment, treatment administration, and evaluation of patient response. Clinical practice and patient and caregiver education are central to the role. The residency focuses on nursing care for oncology, immunotherapy, and bone marrow transplant patients. Training covers oncology diagnoses and treatment plans and protocols, chemotherapy and supportive-treatment administration, evaluation of treatment response, and the psychosocial needs of patients and families, including grief, death, and dying. During the first two weeks of centralized onboarding, RN residents work Monday through Friday, 8 a.m. to 4:30 p.m. During unit orientation, residents are paired with preceptors and assigned shifts to mirror their preceptors’ schedules. This includes two 8-hour shifts and two 10-hour shifts per week; some weeks include weekend and evening shifts.

Requirements

Graduate from an accredited school of nursing.
Hold a current Washington State Registered Nurse Multistate License (MSL), or a current MSL from another state and the ability to update it to an MSL with Washington as the primary state of residence within 60 days of hire. This requirement may be waived in specific circumstances, subject to approval.
Hold a current BLS AHA Health Provider Card or equivalent course, such as one from the American Red Cross; renewal is required every two years.
Obtain an ONS Chemotherapy Provider Card within three months of hire.
Demonstrate critical thinking skills, including analyzing, applying standards, discriminating, seeking information, logical reasoning, predicting, and transforming knowledge.
Ability to develop clinical judgment.
Demonstrate time-management skills and the ability to organize and manage time and tasks independently.
Communicate effectively by observing and listening for cues, asking open-ended questions, exploring cues, using pauses, screening and clarifying responses.
Listen effectively using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skills.
Provide information effectively by assessing what the person already knows, giving small amounts of information in clear terms, avoiding jargon and unrequested detail, checking understanding, and pausing for a response.
Additional certification may be required depending on the department.

Nice To Haves

Bachelor of Science in Nursing.
Two years of nursing experience.
Certification in oncology or a specialty practice area.
Two years of RN oncology experience in an ambulatory infusion setting.

Responsibilities

Assess patients’ physical, emotional, social, and spiritual needs and evaluate their adaptation to health changes.
Develop a plan of care based on patients’ diseases, symptoms, and responses to treatment.
Educate patients, families, and caregivers about disease processes, treatment, side effects, and symptom management.
Coordinate with the interdisciplinary team to ensure continuity of care.
Refer patients, families, and caregivers to appropriate clinical resources and professionals, such as social work, home health care, and clinical nutrition.
Implement, evaluate, and modify the plan of care.
Integrate research and evidence-based knowledge into clinical practice.
Demonstrate knowledge of standard treatments and medication side effects.
Perform nursing assessments, review relevant laboratory results, and assess pain and other symptoms.
Administer IV hydration, electrolyte replacement, chemotherapy or biotherapy, and blood products.
Use appropriate precautions when handling potentially hazardous agents and follow procedures for safe disposal of materials used in administering chemotherapy, other hazardous agents, and blood products.
Provide patient and family education in coordination with the treatment and care plan.
Assess the learning needs of patients and caregivers, and ensure patients have clinic contact information and know when to call about symptoms after infusion therapy.
Communicate or escalate patient symptoms and concerns to a provider as needed.
Collaborate with the care team to provide effective and efficient patient care.
Request consultation from social work, dietitians, spiritual care, or other supportive care teams when indicated.
Participate in continuing education, departmental projects, committee work, and quality improvement initiatives.

Benefits

Medical and vision coverage.
Dental coverage.
Flexible spending accounts.
Life insurance.
Disability coverage.
Retirement benefits.
Family life support.
Employee assistance program.
Onsite health clinic.
Tuition reimbursement.
Paid vacation of 12–22 days per year.
Paid sick leave of 12–25 days per year.
13 paid holidays per year.
Paid parental leave of up to four weeks.
Possible relocation assistance.
Shift differentials and other pay premiums, including for advanced degrees, precepting, and certification.