RN, Pediatric Hematology Oncology

Oregon Health & Science University • Portland, OR

18h

About The Position

The Pediatric Hematology/Oncology/Infusion Registered Nurse provides specialized ambulatory nursing care to pediatric and adolescent patients with hematologic disorders, cancer diagnoses, and complex infusion therapy needs. The clinic and infusion center serve patients from newborn through age 21; some cancer survivors may receive care through age 29, and certain pediatric oncology populations may be followed through age 25. The RN provides evidence-based care, coordinates multidisciplinary services, administers infusion therapies, and advocates for patients and families throughout their care. The RN works closely with physicians, advanced practice providers, pharmacists, social workers, and other team members to support safe, high-quality, family-centered care.

The position supports clinic and infusion operations during Monday–Saturday service hours and participates in rotating schedules to meet patient access needs. Duties include assessment and treatment of patients with hematologic and oncologic conditions; administration and monitoring of infusion therapies; ambulatory triage and care coordination; patient and family education; infusion center operations; interdisciplinary collaboration; and participation in quality, safety, and professional practice activities.

The Doernbecher Pediatric Hematology/Oncology clinic and Infusion Center also care for pediatric Transplantation and Cellular Therapy patients and pediatric specialty infusion patients up to age 21. Orientation for experienced external nurses includes OHSU and Nursing New Employee Orientation for about a week, followed by care-area orientation lasting 3 days to 26 weeks, depending on the care area.

Requirements

• Minimum two years of pediatric nursing experience with acutely ill patients.
• Previous pediatric hematology/oncology experience, including administration of chemotherapy and blood products.
• BSN graduates must have a baccalaureate degree in nursing from a CCNE-, ACEN-, or CNEA-accredited program 30 days before the start date.
• ADN graduates must have an associate degree in nursing from an accredited program 30 days before the start date.
• Associate degree nurses must enroll in a BSN program within three years of hire and complete it within five years of hire.
• Current, unencumbered Oregon State Registered Nurse License.
• American Heart Association BLS required; new hires will be enrolled and required to complete it during orientation.
• Ability to perform the essential functions of the position with or without accommodation.
• Knowledge of pediatric hematologic and oncologic disorders and chemotherapy administration and infusion therapy principles.
• Proficiency in central line management and vascular access care.
• Ability to recognize and respond to oncologic emergencies and infusion reactions.
• Strong patient education and family engagement skills.
• Effective interdisciplinary collaboration and care coordination abilities.
• Ability to prioritize competing clinical demands while maintaining patient safety.

Nice To Haves

• APHON Chemotherapy and Biotherapy Provider Specialty Certification, including CPHON or TCTCN.
• American Heart Association Pediatric Advanced Life Support (PALS).
• Current CPHON or TCTCN certification, or completion of 18 cancer-related continuing education nursing contact hours each accreditation cycle (every three years), per Commission on Cancer requirement.

Responsibilities

• Perform comprehensive nursing assessments and ongoing evaluations of pediatric patients with hematologic, oncologic, and infusion-related conditions.
• Administer chemotherapy, biologic therapies, blood products, immunotherapy, IV hydration, iron infusions, immunoglobulins, and other infusion treatments according to protocols and safety standards.
• Monitor patients for adverse reactions and complications during and after infusion therapy.
• Assess and manage implanted ports, PICC lines, tunneled central lines, and peripheral IV access.
• Provide symptom management and triage for pain, nausea, fever, infection risk, treatment side effects, and disease-related complications.
• Collaborate with providers about treatment plans, changes in patient condition, and urgent clinical concerns.
• Follow pediatric oncology safety standards, hazardous drug handling requirements, and infection prevention practices.
• Conduct telephone and electronic-message triage using established clinical protocols.
• Evaluate urgent concerns and facilitate same-day care, emergency department referrals, or direct admissions as appropriate.
• Coordinate care across inpatient, outpatient, infusion, procedural, and specialty services; facilitate referrals, diagnostic testing, and follow-up appointments.
• Help patients and families navigate treatment plans and healthcare systems.
• Educate patients and families about diagnoses, medications, chemotherapy regimens, infusion therapies, symptom management, and home care; tailor education to developmental and family needs.
• Reinforce treatment adherence and safety precautions and document patient and caregiver understanding and educational outcomes.
• Verify treatment plans, laboratory results, and medication orders before infusion administration; perform independent double-checks and medication verification according to policy.
• Coordinate patient flow and ensure supplies, equipment, and emergency preparedness resources are available.
• Participate in team huddles, case conferences, and care coordination meetings; collaborate with pharmacy, laboratory, radiology, social work, nutrition, and child life services.
• Serve as a clinical resource for nursing colleagues and support staff.
• Maintain competency in pediatric hematology/oncology nursing and infusion therapy; participate in performance improvement, patient safety, regulatory compliance, evidence-based practice, and quality initiatives.
• Maintain accurate and timely documentation in the electronic medical record.

Benefits

• Comprehensive health care plans; coverage is 100% of the cost for full-time employees and 88% for dependents.
• $50,000 of term life insurance provided at no cost to the employee.
• Two above-market pension plans to choose from.
• Vacation of 192 to 288 hours per year depending on length of service, prorated for part-time employees.
• Up to 64 holiday hours per calendar year, with accrual included in vacation accruals.
• 96 hours of sick leave per year, prorated for part-time employees.
• Substantial public transportation discounts for Tri-Met and C-Tran.
• Tuition reimbursement.
• Innovative Employee Assistance Program, including extensive wellness resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree