Registered Nurse - Blood Cancer Treatment Room Procedural Durham, NC

Registered Nurse - Blood Cancer Treatment Room Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Unit Summary:

The Duke Blood Cancer Center is a unique clinic caring for adult Hematology-Oncology and Bone Marrow/Stem cell transplant/ CAR-T therapy patients.

The Day Hospital or Treatment Room is open 365 days/year and consists of 56 treatment spaces treating 60-100 patients/daily M-F and 15-30 patients/daily Sa/Sun/holidays.

The Day Hospital is a fast-paced treatment area with complex, high-acuity patients.

Treatments administered include, but are not limited to:

• Active stem cell/bone marrow transplant patients (autologous, allogeneic, cord blood)
• CAR-T therapy patients (chimeric antigen receptor therapy), both prior to and after cell reinfusion
• Standard, high-dose, and investigational chemotherapies for the treatment of Multiple Myeloma, Leukemias, Lymphomas, scleroderma, among others
• Supportive care including, but not limited to: blood product transfusions, symptom management, hydration, electrolyte supplementation, non-oncology medication administration, therapeutic phlebotomy

Procedures performed:

• Apheresis cell collection using the Spectra Optia machine, including but not limited to: autologous and donor Peripheral blood stem cells (PBSC) both related and national marrow donor program donors, Car-T, donor lymphocytes.
• Extracorporeal Photopheresis using the Cellex machine treatment of graft vs. host disease, solid organ transplant rejection, cutaneous T-cell lymphoma/mycosis fungoides/sezary syndrome

Highly qualified applicants will be familiar with either or both the Spectra Optia and Cellex machines and associated procedures. A working knowledge of FACT (Foundation for the Accreditation of Cellular Therapy) requirements/regulations is highly desirable.

Required certifications:

• BLS, ACLS (preferred)
• ONS Chemotherapy/Immunotherapy certification (within 3 months)
• Oncology Certified Nurse (OCN) (within 2 years)

Occ Summary:

Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Work Performed:

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Act as preceptor and support the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities:

Knowledge of scope of the registered nurse and appropriate application of the nursing process. Knowledge of professional theory, practice and procedure. Ability to assess nursing needs of acute and chronically ill patients and their families. Ability to independently seek out resources and work collaboratively. Ability to establish and maintain effective working relationships. Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. Ability to teach patients and families in accordance with the nursing plan of care. Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up. Ability to use fine motor skills. Competent in BLS and/or other specialized life support requirements designated by work area. Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status. Ability to use computer and learn new software programs. Able to document and communicate pertinent information using computer and/or paper documentation tools. Ability to navigate the entity to provide clinical care for patients. Ability to withstand prolonged standing and walking. Ability to remain focused and organized. Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. Working knowledge of infection control procedures and safety precautions. Working knowledge and completion of appropriate JCAHO and other regulatory requirements. Pre-employment Physical Capacity Testing Required.

Level Characteristics:

N/A

Minimum Qualifications:

Education: Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

Experience: Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.