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RN - Hema/Oncology

Nicklaus Children's Health System

Job Description

Job Summary

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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.

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Job Specific Duties

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  • Ensures completion of patient admission history & prepares and accurately completes the discharge planning process as per department and hospital policies and procedures.
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  • 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:
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  • Follows physician’s orders, administers chemotherapy & patient medications & reconstitutes meds when needed. Adheres to six rights of medication administration per medication administration policy.
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  • Provides nursing to immuno-compromised patients including: central line monitoring, IV site monitoring, lab draws and monitoring of lab results.
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  • Performs interventions which include electrolyte infusions, sepsis monitoring, and transfusions with blood products.
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  • Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment.
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  • 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.
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  • Upon admission, verifies patient roadmap, protocol and orders for correctness and accuracy.
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  • Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management Policy and procedure.
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  • Completes all nursing multi-system assessments that includes head to toe, vitals, dressing changes, suction, feeding, bathing and repositioning.
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  • Ensures appropriate restraint orders use and documentation and monitoring, as required by Sedation Policy and procedure.
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  • Ensures proper and safe wound care as required by Wound Care Policy and procedures.
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  • Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient’s electronic health record.
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  • Communicates with patient and family on additional resources available to the patient.
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  • Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician.
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  • Educates families regarding new diagnosis and provides treatment plan.
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  • Promotes an “error-free” working environment by consistently providing high-quality & safe care as prompted.
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  • 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.
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  • Provides patient information and effectively completes the hand off process at shift change and patient reassignments.
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  • Demonstrates proper personal protective equipment (PPE) indication and use.
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  • Actively participates in the nursing governance council and unit based activities.
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  • 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.
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  • Ensures proper disposal of chemotherapy products per the Disposal Waste Policy.
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Qualifications

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Minimum Job Requirements

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  • 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
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  • American Heart Association BLS CPR: American Heart Healthcare Provider – must maintain active and in good standing throughout employment
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  • American Heart Association PALS Must maintain active and in good standing throughout employment within 1 year
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  • CHEMO/APHO Aphon - Pediatric Chemotherapy and Biotherapy Provider Course– must maintain active and in good standing throughout employment within 1 year
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Knowledge, Skills, and Abilities

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  • BSN degree or currently enrolled in BSN program
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  • A minimum of 1 year experience as an RN in Pediatric in Hematology/Oncology setting preferred
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  • Possesses proficiency in computers and Electronic Medical Record (EMR) preferred
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  • Career Development: National certification Certified Pediatric Nurse i.e. (CPHON) or (CPON) or BMTCN preferably within 5 years of hire
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  • Able to analyze and interpret data and utilize the information to make judgments regarding patient care
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  • Effective verbal and written communication skills
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  • Ability to positively influence, hold self and others accountable
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  • Able to work effectively in collaborative environment
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  • Ability to apply principles of evidence-based practice, analytical thinking and service excellence in practice
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  • Able to float to various nursing units while maintaining the delivery of clinical excellence and high quality service
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  • Able to provide coverage for on-call assignments per departmental and hospital policy
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