New Graduate Registered Nurse - THN

Fred Hutchinson Cancer Center•Seattle, WA
•Onsite

About The Position

This position is designed for a new graduate nurse committed to Fred Hutch’s mission and the care of cancer patients and their families, with ambulatory oncology nursing as the primary clinical practice. The Infusion RN administers chemotherapy, blood products, immunotherapy, and other treatment plans. Working with a trained preceptor, the resident nurse develops the skills to provide safe, accurate patient care, including assessment, treatment administration, and evaluation of patient responses. 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 cancer diagnoses and treatment plans and protocols, competency in administering chemotherapy and other prescribed supportive treatments, and evaluation of treatment responses. It also provides an in-depth understanding of the psychosocial needs of patients and families, including the stages of grief and issues related to 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 that mirror their preceptors’ schedules. The stated schedule is four 10-hour shifts per week, Monday through Friday.

Requirements

  • Graduate from an accredited school of nursing.
  • Hold a current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); an MSL with Washington as the primary state of residence must be obtained 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, including the ability to analyze, apply standards, discriminate, seek information, reason logically, predict, and transform 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 reflection, acknowledgment, summarization, empathy, and paraphrasing.
  • Provide information effectively by assessing what the person already knows, giving small amounts of information in clear terms, avoiding jargon and unnecessary detail, checking for understanding, and pausing for a response.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Certification in oncology or a specialty practice area.
  • Two years of RN oncology experience in an ambulatory infusion setting.
  • Applicants without previous oncology experience will be provided additional training and support.

Responsibilities

  • Assess patients’ physical, emotional, social, and spiritual needs and evaluate their adaptation to health changes.
  • Develop a plan of care based on patients’ disease, 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 plans 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 treatment and care plans; assess patient and caregiver learning needs and ensure patients know how to contact the clinic and when to call about symptoms after infusion therapy.
  • Communicate or escalate patient symptoms and concerns to providers as needed, and collaborate with the care team to deliver effective and efficient care.
  • Request consultation from social work, dietitians, spiritual care, and other supportive care teams when indicated.
  • Participate in continuing education, departmental projects, committee work, and quality improvement initiatives.

Benefits

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