Travel Nurse RN - Bone Marrow Transplant
Philadelphia, PA
Magnet Medical
3x12 hrs, Days

Patient Assessment and Care:

• Perform comprehensive assessments of patients before, during, and after their bone marrow transplant, including evaluating their overall health, lab results, vital signs, and organ function.
• Monitor for early signs of complications such as graft-versus-host disease (GVHD), infections, and organ rejection.
• Assess and document the patient’s condition, including any symptoms such as fever, pain, or weakness, and promptly notify the healthcare team of significant changes.
• Perform routine assessments to monitor blood counts, fluid status, and nutritional needs.

Bone Marrow Transplant Administration:

• Administer chemotherapy, immunosuppressive agents, and growth factors as part of the preparatory regimen for stem cell or bone marrow transplantation.
• Coordinate the infusion of the bone marrow or stem cells, ensuring the correct stem cell product, patient identification, and monitoring of infusion reactions.
• Manage the administration of blood products (e.g., red blood cells, platelets) as needed for patients with low blood counts after the transplant.

Management of Post-Transplant Care:

• Monitor and manage post-transplant complications, including infections, bleeding, and organ dysfunction.
• Administer medications to manage pain, nausea, infections, and other symptoms that may arise following transplant.
• Monitor for early signs of acute or chronic graft-versus-host disease (GVHD) and collaborate with the healthcare team for early intervention.
• Provide care for patients in the neutropenic phase, using strict infection control precautions to minimize the risk of infection.

Patient Education:

• Educate patients and their families about the transplant process, including the procedure itself, potential complications, recovery timeline, and post-transplant care.
• Teach patients how to recognize signs of infection, GVHD, and other complications, and instruct them on when to seek medical help.
• Provide guidance on managing medications, side effects, and symptoms such as pain and fatigue.
• Educate patients about the importance of nutritional support, fluid balance, and emotional well-being during the transplant process.

Collaboration and Care Coordination:

• Collaborate closely with hematologists, oncologists, transplant surgeons, social workers, dietitians, and other healthcare professionals to develop and implement individualized care plans.
• Coordinate care with the transplant team, ensuring timely administration of chemotherapy, stem cell infusions, and follow-up evaluations.
• Assist in the development of discharge plans, including follow-up care, outpatient appointments, and post-discharge instructions.

Psychosocial Support:

• Provide emotional support to patients and families, addressing concerns related to the transplant process, side effects, prognosis, and long-term recovery.
• Offer support during difficult decision-making moments, including discussions of treatment options, advanced directives, and palliative care if needed.
• Connect patients with support groups, counselors, and other resources to help them cope with the emotional impact of the transplant journey.

Infection Control and Safety:

• Follow strict infection control procedures, including the use of personal protective equipment (PPE), isolation precautions, and aseptic techniques.
• Monitor for signs of infection and initiate appropriate interventions, including blood cultures and broad-spectrum antibiotics, as per physician orders.
• Ensure that the patient’s environment is safe and conducive to healing, including minimizing exposure to sources of infection during the recovery period.

Documentation and Reporting:

• Maintain accurate and up-to-date documentation of patient assessments, treatments, medications, and progress in the medical record.
• Report any adverse events, side effects, or complications to the physician and other relevant members of the healthcare team.
• Ensure all documentation complies with legal and regulatory standards for bone marrow transplant care.

Professional Development and Quality Improvement:

• Participate in continuing education programs to stay updated on the latest advances in hematology, oncology, and bone marrow transplant care.
• Engage in clinical research and quality improvement initiatives aimed at improving patient outcomes and transplant procedures.
• Attend multidisciplinary meetings, case discussions, and rounds to review and enhance patient care.