Registered Nurse Day Hospital -Outpatient Oncology Clinic

Children's Hospital of Philadelphia•Worcester, MA

6d•$48 - $58•Onsite

About The Position

The Clinical Nurse provides outpatient oncology and hematology care in the Oncology Clinic and Day Hospital at the Buerger Center for Advanced Pediatric Care. The clinic sees approximately 100 patients per day and operates Monday through Friday from 7:30 a.m. to 9:00 p.m. The position is described as 8:00 a.m. to 4:30 p.m. The clinic is closed on weekends and holidays, though a phone triage nurse is staffed daily, including holidays. The oncology clinic also serves as an emergency department for its oncology population until 6:00 p.m. Nurses partner with attending physicians, fellows, and advanced practice providers. Clinic areas include a general anesthesia procedure and recovery area and a day hospital infusion area. Bone marrow aspirates and lumbar punctures are performed daily. The day hospital cares for hematology and oncology patients, including administering blood products and chemotherapy. Nurses are expected to be proficient in peripheral IV placement and central line care. The position offers opportunities for growth and professional development in a fast-paced, dynamic environment. The Clinical Nurse practices in accordance with CHOP’s Nursing Professional Practice Model and applicable professional, organizational, and state practice standards. The nurse provides age- and developmentally appropriate, family-centered care; demonstrates competence across a range of patient complexity and acuity; and provides RN leadership for patient care. Responsibilities include delivering safe, compassionate, culturally effective care; coordinating care with patients, families, and the multidisciplinary team; documenting and evaluating care; communicating effectively; supporting patient and family education and self-advocacy; and participating in professional development and quality improvement.

Requirements

At least one year of RN experience; the overview specifies 12 months of previous RN work experience.
Technical Diploma in Nursing.
Current Pennsylvania or New Jersey Registered Nurse license, or the applicable state Nursing Temporary Practice Permit, upon hire.
CPR certification upon hire from an organization requiring hands-on instructor-led psychomotor skills verification.
Computer competency, including basic computer and Microsoft Office use, web browsing, intranet and shared network file access, patient-facing technology, and clinical communication systems.
Information literacy, including identifying information needs, accessing and evaluating clinical information, incorporating it into practice, and evaluating outcomes.
Information management literacy, including navigating the electronic health record and clinical information systems, using clinical decision support tools, following confidentiality and privacy requirements, and collecting clinical data using quality improvement tools.

Nice To Haves

Bachelor’s Degree in Nursing.
Prior experience in pediatrics or the relevant specialty area.

Responsibilities

Use the nursing process to provide safe, compassionate, culturally effective, and age- and developmentally appropriate care.
Assess and synthesize patient and family information to develop care plans, share relevant information with the care team, and determine tasks to delegate.
Recognize clinical changes and signs of patient deterioration, seek appropriate resources, and use the CAT team when appropriate.
Collaborate with patients, families, and multidisciplinary colleagues to coordinate care across the continuum.
Develop, implement, and revise outcome-focused plans of care in partnership with patients, families, and the interdisciplinary team.
Follow evidence-based practice bundles, nursing standards, and procedures to prevent patient harm and promote positive outcomes.
Recognize and address ethical dilemmas and moral distress, seeking resources when needed.
Teach patients and families and evaluate and document care provided during each assigned shift.
Adopt and implement changes in clinical practice.
Document nursing interventions and outcomes, follow safe hand-off practices, and use safety behaviors to identify and communicate potential safety concerns.
Communicate empathetically with patients, families, and colleagues; encourage patient and family self-advocacy.
Participate in interdisciplinary rounds and meetings, contribute nursing recommendations, and revise care plans based on care decisions.
Incorporate evidence-based practice into clinical care and work effectively with multidisciplinary and ancillary staff, including delegating tasks appropriately.
Maintain therapeutic, professional relationships with patients and families and act in their best interests.
Participate in shared governance, Magnet activities, patient experience initiatives, quality improvement, and activities to improve community health, as appropriate.
Practice fiscal stewardship by managing time and resources effectively and identifying opportunities for cost savings.
Identify and meet learning needs, attend required programs, maintain continuing education units and required competencies, and develop clinical judgment and critical thinking.
Use healthcare information systems and technology to manage patient care and outcome data, and apply clinical information appropriately.
Contribute to nursing evidence and inquiry through relevant reading, literature reviews, clinical questions, evidence-based practice, and participation in research projects.