New Graduate Registered Nurse - Infusion - Evergreen Clinic

Fred Hutchinson Cancer Center•Kirkland, WA

1d•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 their primary clinical practice. The Infusion RN administers chemotherapy, blood products, immunotherapy, and other prescribed treatments. Working with a trained preceptor, the resident nurse develops skills to provide safe, accurate patient 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 protocols, safe administration of chemotherapy and supportive treatments, and evaluation of patient response. It also addresses the psychosocial needs of patients and families, including the stages of grief and end-of-life care. During the first two weeks of centralized onboarding, RN residents work Monday through Friday, 8:00 a.m. to 4:30 p.m. During unit orientation, residents work shifts that mirror their preceptors’ schedules. The regular schedule is four 10-hour shifts per week, 7:30 a.m. to 6:00 p.m., on variable days. The position is based at the Evergreen Clinic in Kirkland, Washington.

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 American Red Cross training; 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 independently organize and manage time and tasks.
Communicate effectively by observing and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying responses.
Listen effectively using reflection, acknowledgment, summarization, empathy, and paraphrasing.
Provide information effectively by checking what the person already knows, sharing small amounts at a time, using clear language and avoiding jargon, avoiding unrequested detail, checking for understanding, and pausing for a response.

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 response 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 clinical resources and professionals, such as social work, home health care, and clinical nutrition, as appropriate.
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 learning needs of patients and caregivers.
Ensure patients have clinic contact information and understand when to call about symptoms that arise or persist after infusion therapy.
Communicate or escalate patient symptoms and concerns to providers 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 by a patient’s situation.
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 eligibility for relocation assistance
Shift differentials and other pay premiums, including advanced degree, preceptor, and certification premiums