RN- Hematology/ Oncology (Full Time, Nights)

Nicklaus Children's•Miami, FL

About The Position

The Registered Nurse provides compassionate, family-centered hematology/oncology care to pediatric patients. Working under the supervision of the Nursing Manager/Director, the nurse plans and delivers care through assessment, implementation, and evaluation; oversees the plan of care; uses effective problem-solving strategies and evidence-based practice; and supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. The role requires a passion for learning and the ability to float to various nursing units while maintaining clinical excellence and high-quality service. The nurse also provides coverage for on-call assignments in accordance with departmental and hospital policy.

Requirements

  • Active, in-good-standing Registered Nurse licensure in Florida or a multistate Enhanced Nurse Licensure Compact (eNLC) license, maintained throughout employment.
  • American Heart Association BLS CPR: American Heart Healthcare Provider certification, active and in good standing throughout employment.
  • American Heart Association PALS certification, maintained in good standing and obtained within one year.
  • Pediatric Chemotherapy and Biotherapy Provider Course (CHEMO/APHO Aphon) certification, maintained in good standing and obtained within one year.
  • BSN degree or current enrollment in a BSN program.
  • Ability to analyze and interpret data and use it to make patient-care judgments.
  • Effective verbal and written communication skills.
  • Ability to positively influence others and hold oneself and others accountable.
  • Ability to work effectively in a collaborative environment.
  • Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
  • Ability to float to various nursing units while maintaining clinical excellence and high-quality service.
  • Ability to provide coverage for on-call assignments according to departmental and hospital policy.

Nice To Haves

  • At least one year of RN experience in a pediatric hematology/oncology setting.
  • Proficiency with computers and electronic medical records (EMR).
  • National certification as a Certified Pediatric Nurse, such as CPHON or CPON, or BMTCN, preferably within five years of hire.

Responsibilities

  • Complete patient admission histories and accurately carry out discharge planning according to department and hospital policies and procedures.
  • Plan, implement, and document the plan of care in collaboration with other disciplines and services to ensure safe and efficient care.
  • Follow physician orders; administer chemotherapy and other medications; reconstitute medications when needed; and follow the six rights of medication administration.
  • Provide nursing care to immunocompromised patients, including central-line and IV-site monitoring, lab draws, and monitoring lab results.
  • Perform interventions including electrolyte infusions, sepsis monitoring, and blood-product transfusions.
  • Collaborate and round with the multidisciplinary team during daily care-planning rounds as appropriate, fostering a family-centered care environment.
  • Use electronic innovations to provide efficient patient care and respond to patient call lights in a manner that promotes safety.
  • Verify the patient roadmap, protocol, and orders for correctness and accuracy upon admission.
  • Administer analgesics and narcotics safely and complete monitoring and reassessment according to pain-management policy and procedures.
  • Complete multisystem nursing assessments, including head-to-toe assessments, vital signs, dressing changes, suctioning, feeding, bathing, and repositioning.
  • Ensure appropriate restraint orders, documentation, and monitoring as required by sedation policy and procedures.
  • Provide safe wound care according to wound-care policies and procedures.
  • Access the electronic health record independently according to hospital policy and complete accurate, timely documentation.
  • Inform patients and families about additional resources available to them.
  • Review the plan of care with patients and families, solicit their input, communicate concerns to physicians, and educate families about new diagnoses and treatment plans.
  • Promote an error-free environment through high-quality, safe care, including preventing medication errors, falls, and central-line infections and reducing procedural and other pain.
  • Provide patient information and complete effective handoffs at shift changes and patient reassignments.
  • Use personal protective equipment appropriately.
  • Participate in the nursing governance council and unit-based activities.
  • Meet or exceed unit standards, including achieving a 95% CEI and completing documentation on time; remain accountable to applicable DNV, CMS, DOH, FACT, COG, and COC requirements.
  • Dispose of chemotherapy products according to the Disposal Waste Policy.
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