RN- Hematology/ Oncology (Full Time, Nights)

Nicklaus Children's Hospital•Miami, FL

About The Position

Responsible for planning and delivering compassionate, family-centered care to Hematology/Oncology patients using nursing processes, including assessment, implementation, and evaluation. Oversees plans of care, applies effective problem-solving strategies and evidence-based practice, and supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and demonstrates a passion for learning. The RN provides care to pediatric Hematology/Oncology patients, including immunocompromised patients, and collaborates with other disciplines and services to ensure safe, efficient care. The role includes administering chemotherapy and medications, monitoring central lines and IV sites, performing lab draws and monitoring results, and carrying out interventions such as electrolyte infusions, sepsis monitoring, and blood product transfusions. The RN also educates and communicates with patients and families, documents care in the electronic health record, and contributes to unit and nursing governance activities.

Requirements

Active, good-standing Registered Nurse (RN) licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
American Heart Association BLS CPR for Healthcare Providers certification, maintained active and in good standing throughout employment.
American Heart Association PALS certification, maintained active and in good standing within one year.
CHEMO/APHO Aphon Pediatric Chemotherapy and Biotherapy Provider Course, maintained active and in good standing 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 principles, analytical thinking, and service excellence in practice.
Ability to float to various nursing units and provide coverage for on-call assignments.

Nice To Haves

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

Responsibilities

Complete patient admission histories and accurately complete discharge planning according to department and hospital policies and procedures.
Plan, implement, and document plans of care in collaboration with other disciplines and services.
Follow physician orders; administer chemotherapy and 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 a multidisciplinary team in daily care planning as appropriate, fostering a family-centered care environment.
Use electronic innovations to provide efficient care and respond to patient call lights in a manner that promotes safety.
Verify patient roadmaps, protocols, and orders for correctness and accuracy upon admission.
Administer analgesics and narcotics safely, with monitoring and reassessment in accordance with hospital policy and procedure.
Complete nursing multisystem assessments, including head-to-toe assessments, vital signs, dressing changes, suctioning, feeding, bathing, and repositioning.
Ensure appropriate restraint orders, documentation, and monitoring in accordance with sedation policy and procedure.
Provide safe wound care according to wound care policy and procedures.
Access the electronic health record independently and complete accurate, timely documentation according to hospital policy.
Inform patients and families about additional resources available to them.
Review plans of care with patients and families, solicit their input, and communicate their concerns to physicians.
Educate families about new diagnoses and treatment plans.
Promote an error-free work environment by consistently providing high-quality, safe care.
Assess all body systems and provide safe, efficient care while preventing medication errors, falls, central line infections, and procedural pain, and reducing pain.
Provide patient information and complete handoffs at shift changes and patient reassignments.
Demonstrate proper indications for and use of personal protective equipment.
Participate actively in the nursing governance council and unit-based activities.
Meet or exceed unit standards for achieving a 95% CEI, complete documentation in a timely manner, and meet regulatory requirements of DNV, CMS, DOH, FACT, COG, and COC.
Dispose of chemotherapy products according to the Disposal Waste Policy.
Float to various nursing units while maintaining clinical excellence and high-quality service.
Provide coverage for on-call assignments according to departmental and hospital policy.