Registered Nurse--Hematology/Oncology (casual)

Nemours Children's Health•Wilmington, DE
•Onsite

About The Position

The Registered Nurse works in the Outpatient Hematology/Oncology Clinic and Day Therapy area of the Nemours Center for Cancer and Blood Disorders in Wilmington, Delaware. The clinic provides outpatient services to children and families with hematological and oncological diagnoses. Services include diagnostic workups, examinations, peripheral IV insertion, central-line access and care, medication, chemotherapy and blood-product administration, emergency care, lumbar punctures, pheresis and apheresis services, care of pre- and post-bone-marrow-transplant patients, and initiation of hospital admissions. Nurses work collaboratively with providers and the interdisciplinary team to assess, plan, initiate, coordinate and evaluate care for patients and families. Assignments vary by day and are guided by the Synergy model, matching patient needs with nurse competencies. Nurses may provide phone triage and education to patients and families, and deliver care in both the clinic and infusion center. Day Therapy is staffed by at least two nurses at a time. The clinic is staffed on weekdays. Its operating hours are 6:45 a.m.–5:00 p.m. Mondays and Thursdays, and 8:00 a.m.–5:00 p.m. Tuesdays, Wednesdays and Fridays. Nursing shifts vary, and late shifts are assigned to meet patient needs. This is a 0.01 FTE casual position, scheduled for 48 hours in a six-week period. Experienced applicants may be considered for a full-time FTE split between the inpatient 5 West hematology/oncology/BBMT unit and the outpatient clinic. Nurses are expected to maintain competency in chemotherapy and biotherapy care and in the care of pre- and post-bone-marrow-transplant patients. Competency is supported through internal and external education, including lectures, interdisciplinary forums, conferences, seminars, journal reviews, product in-services, disease-specific lectures and patient-specific team meetings. Clinic nurses must successfully complete the National APHON Chemotherapy/Biotherapy Provider Course, the APHON BBMT Core Curriculum and PALS certification.

Requirements

  • Active registered nurse licensure for the state appropriate to the practice location.
  • Current AHA Healthcare Provider (HCP) certification.
  • Bachelor of Science in Nursing (BSN).
  • Previous experience in pediatric hematology/oncology.
  • PALS certification, or ability to obtain it within 3–4 months of hire.
  • Successful completion of the National APHON Chemotherapy/Biotherapy Provider Course, the APHON BBMT Core Curriculum and PALS certification is required for nurses in the clinic.

Nice To Haves

  • Specialty certification in pediatric hematology/oncology nursing (CPON/CPHON).
  • APHON chemotherapy/biotherapy provider certification.

Responsibilities

  • Assess patients and families and plan, initiate, coordinate and evaluate care in accordance with departmental policies, procedures and multidisciplinary plans of care.
  • Collaborate with providers and the interdisciplinary team to address each patient's needs during clinic visits.
  • Provide nursing care to patients with hematological and oncological diagnoses in the clinic and infusion center.
  • Provide diagnostic and treatment-related services, including IV insertion, central-line access and care, medication, chemotherapy and blood-product administration, emergency care, lumbar punctures, pheresis services and support for apheresis.
  • Care for pre- and post-bone-marrow-transplant patients and help initiate hospital admissions when needed.
  • Take assigned nursing roles, including phone triage; answer patient and family calls about treatment, medications and side effects, and provide education and anticipatory guidance.
  • Maintain competency in chemotherapy, biotherapy and bone-marrow-transplant care through required education and certification.
  • Work within the Synergy model to match patient needs with nurse competencies and support safe patient outcomes.
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