Registered Nurse (RN) - Hematology / Oncology
Nicklaus Children's Hospital
Miami, FL

RN- Hematology/Oncology (Full Time, Night shift)

Job Summary Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation and evaluation. Oversees the plan of care, utilizes effective problem solving strategies and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning. Provides compassionate and family centered care Hematology/Oncology for patients. Job Specific Duties * Ensures completion of patient admission history & prepares and accurately completes the discharge planning process as per department and hospital policies and procedures. * Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. F: Daily/ T: 10 hours R: * Follows physician's orders, administers chemotherapy & patient medications & reconstitutes meds when needed. Adheres to six rights of medication administration per medication administration policy. * Provides nursing to immuno-compromised patients including: central line monitoring, IV site monitoring, lab draws and monitoring of lab results. * Performs interventions which include electrolyte infusions, sepsis monitoring, and transfusions with blood products. * Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment. * Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety as per hospital policy. * Upon admission, verifies patient roadmap, protocol and orders for correctness and accuracy. * Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management Policy and procedure. * Completes all nursing multi-system assessments that includes head to toe, vitals, dressing changes, suction, feeding, bathing and repositioning. * Ensures appropriate restraint orders use and documentation and monitoring, as required by Sedation Policy and procedure. * Ensures proper and safe wound care as required by Wound Care Policy and procedures. * Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. * Communicates with patient and family on additional resources available to the patient. * Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician. * Educates families regarding new diagnosis and provides treatment plan. * Promotes an "error-free" working environment by consistently providing high-quality & safe care as prompted. * Assesses all body systems, ensures safe, efficient care, while ensuring no medication errors, avoidance of falls, prevention of central line infections, ouch-free procedural pain & pain reduction. * Provides patient information and effectively completes the hand off process at shift change and patient reassignments. * Demonstrates proper personal protective equipment (PPE) indication and use. * Actively participates in the nursing governance council and unit based activities. * Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH, FACT, COG, COC. * Ensures proper disposal of chemotherapy products per the Disposal Waste Policy. Minimum Job Requirements * Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment * American Heart Association BLS CPR: American Heart Healthcare Provider - must maintain active and in good standing throughout employment * American Heart Association PALS Must maintain active and in good standing throughout employment within 1 year * CHEMO/APHO Aphon - Pediatric Chemotherapy and Biotherapy Provider Course- must maintain active and in good standing throughout employment within 1 year Knowledge, Skills, and Abilities * BSN degree or currently enrolled in BSN program * A minimum of 1 year experience as an RN in Pediatric in Hematology/Oncology setting preferred * Possesses proficiency in computers and Electronic Medical Record (EMR) preferred * Career Development: National certification Certified Pediatric Nurse i.e. (CPHON) or (CPON) or BMTCN preferably within 5 years of hire * Able to analyze and interpret data and utilize the information to make judgments regarding patient care * Effective verbal and written communication skills * Ability to positively influence, hold self and others accountable * Able to work effectively in collaborative environment * Ability to apply principles of evidence-based practice, analytical thinking and service excellence in practice * Able to float to various nursing units while maintaining the delivery of clinical excellence and high quality service * Able to provide coverage for on-call assignments per departmental and hospital policy