New Graduate Registered Nurse - Infusion - Evergreen Clinic

Infusion RN Residency Program

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

This position is designed for the new graduate nurse who demonstrates commitment to the vision and mission of Fred Hutch and to the care of cancer patients and their families. In addition, selects ambulatory oncology nursing as their primary clinical nursing practice.

This position is for an Infusion RN administering chemotherapy, blood products, immunotherapy and other treatment plans.

The resident nurse will work closely with a trained preceptor and master skills necessary to provide safe and accurate patient care which include, but not limited to, assessment, treatment administration and evaluation of patient response to treatment. Clinical practice as well as patient/caregiver education will be paramount to this role.

Primary focus during the residency program is to learn about the nursing care of oncology, immunotherapy and bone marrow transplant patients. Training will encompass the understanding of the various oncology diagnosis and treatments plan/protocols, competency in chemotherapy and other prescribed supportive treatments administration, and evaluation of patient's response to treatment. In addition, in depth understanding of patient and family psych-social needs and the various stages of grief and death and dying will be provided.

During the first 2 weeks of centralized onboarding, all RN residents will work Monday Friday, 8 a.m. 4:30 p.m. During the unit orientation, residents are paired with preceptors and will be assigned shifts to mirror their designated preceptors' schedules. Four 10 hour shifts per week, 7:30 a.m. - 6 p.m. Variable Days. This position is at the Evergreen Clinic in Kirkland, WA.

Responsibilities

• Assesses physical, emotional, social, and spiritual needs and evaluates patients' adaptation to health changes
• Develops a plan of care based on patients' disease, symptoms, and response to treatment
• Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management
• Coordinates with inter-disciplinary team to ensure continuity of care
• Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc.
• Implements, evaluates and modifies plan of care
• Integrates research and evidence based knowledge into clinical practice

In addition to primary responsibilities of the Registered Nurses (RN), the Infusion RN will have the following key responsibilities:

Nursing Care and Assessment

• Demonstrate knowledge of standard treatment and medication side effects
• Perform nursing assessment, review relevant lab results, assess pain and other symptoms
• Administer IV hydration, electrolyte replacement, chemotherapy/biotherapy, and blood products

Safe Handling of Hazardous Drugs

• Demonstrate an awareness of the potentially hazardous nature of many of the agents administered and uses correct precautions when handling them
• Follow all procedures regarding safe disposal of any materials used in the administration of chemotherapy or other hazardous agents and blood products

Patient and Family Education

• Provide patient and family education in coordination with treatment and care plan
• Conduct learning needs assessment for patient and caregiver(s)
• Ensure patients have clinic contact information and understand when to call if symptoms arise or persist post-infusion therapy

Communication and Teamwork

• Communicate or escalate patient symptoms and concerns to provider as needed
• Collaborate with the care team to provide effective and efficient patient care
• Request consultation from social work, dietitian, spiritual care, and or any other supportive care teams when patient's situation indicates

Professional Development and Clinic Engagement

• Participation in continuing education, departmental projects, committee work, and quality improvement initiatives

Qualifications

Required:

• Graduate from an accredited school of nursing
• Must have a current Washington State Registered Nurse Multistate License (MSL) or current MSL from another state; and ability to update to MSL with Primary State of Residence to WA within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval.
• Applicants that do not have previous oncology experience will be provided additional training and support
• Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years
• Additional certification may be required dependent upon department.
• ONS Chemotherapy Provider Card (required within 3 months of hire)
• Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge
• Ability to develop clinical judgment.
• Time Management skills; the ability to organize and manage time and tasks independently
• Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response.
• Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill.
• Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response.

Preferred:

• Bachelor of Science in Nursing
• Two years of nursing experience preferred
• Certification in oncology or specialty practice area
• 2 years of RN Oncology experience in an ambulatory infusion setting

The hourly pay range for this position is from $51.06 to $93.04, and pay offered will be based on experience and qualifications.??Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor, and certification.

Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.

This position may be eligible for relocation assistance.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

Additional Information

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/