Registered Nurse - Transplant Clinic

Registered Nurse

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.

The Registered Nurse is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation.

This position is 0.95 FTE, 36 hours/week.

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

Care Coordination:

• Performs comprehensive initial assessment of patient, family and caregiver
• Performs ongoing assessment of patient, family and caregiver as patient progresses through Transplant process
• Monitors patient response to therapies, including lab values and symptom assessment, in collaboration with the medical, nutrition and pharmacy staff
• Provides psychosocial support to patients and families
• Functions as resource for rotating physician staff regarding standard practice and operations in the clinic
• Reviews all orders written by the medical staff
• Communicates hospital admissions to the Charge RN
• Coordinate home infusions provided by outside Home Infusion agencies after initial referral by Transition RNs
• Provide continuity of nursing care by communicating effectively with Charge, Evening, Weekend, Infusion
• Room, Procedure, Triage, and Inpatient RN's
• Documents all assessments, teaching, response to therapies and plans of care in a timely manner
• Keeps patient Kardex up to date
• Functions as primary telephone contact for patients and their caregivers
• Participates with all disciplines in daily rounds to plan and coordinate patient care

Patient and Caregiver Teaching:

• Provides initial education and Clinic orientation. Reviews Patient Resource Manual with patient and family at arrival visit
• Assumes primary responsibility for chemotherapy teaching with patients and caregivers
• Assumes primary responsibility for patient education regarding medications and therapies, including home infusions
• Assumes primary responsibility for patient education regarding symptom management
• Assumes primary responsibility for departure teaching when patient is leaving the Acute Transplant Program

Support for Research:

• Acts as patient advocate in coordination of research consent forms
• Assists in obtaining research data in conjunction with patient care data
• Maintains a working knowledge of current protocols related to the patient population with whom they work. Knows research resources and how to access

Communication and Teamwork:

• Participates in Committees and Task Forces to review and improve current standards
• Serves as a resource to other nurses caring for patients undergoing BMT transplant
• Flexible in incorporating patient care outside own team assignment to assist with patient care needs in other areas of clinic
• Informs Nurse Manager of high-risk patient situations or operational issues
• Communicates in a respectful and effective manner with other staff
• Demonstrates appropriate problem solving when working with other departments

Maintaining And Developing Own Skills:

• Participates in continuing education programs
• Keeps current in area of expertise through journals, books, and conferences
• Regular attendance and punctuality are essential functions of this job in order to carry out the primary responsibilities.

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.
• 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.

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.  This position may be eligible for relocation assistance.This position is 0.95 FTE, 36 hours/week. 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. 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). Paid time off is prorated for part-time positions.

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