RN - Pediatric Oncology/Hematology - Nights - $68/hr

RN - Pediatric Oncology/Hematology

 ABOUT FACILITY:

o   247 Licensed Beds

o   Level 1 Pediatric Trauma Center

o   Teaching Hospital

o   Chest Pain Center

o   Certified Stroke Center

o   Congenital Cardiology ranked #7 by USNWR

o   RADIUS RULE: Traveler’s permanent address must be 50 miles outside of home unit

●      DEPARTMENT INFORMATION:

o   Beds: 24

▪       16 beds for Hematology/Oncology 

▪       8 beds for Bone Marrow Transplant

▪       Avg daily census: 22

●      All same staff but BMT is positive pressure environment

●      All RNs work interchangeably throughout 24 beds

o   Required Experience: 2 years of Peds with strong Oncology/Hematology experience

▪       BMT experience is highly preferred

▪       Nurses are acutely in the middle of treatment, day 0, day 1 and during the sickest time – unless they are being intubated, they are on this unit

o   Will you accept a first-time traveler? Yes, if they are a strong BMT RN

●      PATIENT TYPES/COMMON DIAGNOSES:

o   AGES: Neonate (more rare) to adults (if patient had childhood cancer treatment here, they will come to unit, even as an adult)

o   “_ON-SERVICE_”: Solid tumor cancers, Leukemia, Sickle cell, Aplastic anemia

▪       Highly acute bone marrow transplant population – this experience and skillset is highly preferred – unit will receive patients s/p day 0, day 1 and 2

▪       If child does not require intubation, they will come to this unit

o   “_OFF SERVICE_”: Can take off service (non-Hem/Onc) but must be without communicable infections/precautions due to the neutropenic patient population

o   BEHAVIORAL HEALTH: unit will also commonly see BH Peds patients – diagnoses to include but not limited to: Pediatric behavioral/adjustment disorders, Suicidal Ideation, elopement, human trafficking

▪       Unit is equipped with cameras in care areas

▪       Psych Tech as available – will round a couple of times per shift and is always available if patient escalates

▪       Please request manager approval if traveler is not comfortable with this

●      PATIENT RATIOS:

o   RN: Same on both shifts – acuity dependent

▪       Hem/Onc – 1:3

▪       Observation/Off Service – 1:3-4

▪       Bone Marrow Transplant – 1:1-2, based on acuity

o   CNA: 1:12

●      REQUIRED LICENSE, NATIONAL CERTIFICATION, CERTS (BLS, ACLS, ETC.), OR OTHER POSITION SPECIFIC REQUIREMENTS SUCH AS DRIVER'S LICENSE AND/OR INSURANCE:

o   BLS, PALS

o   APHON provider card

▪       APHON is just a certificate (like NIHSS) – CPHON and BMTCN are not required

●      SKILLS REQUIRED:

o   REQUIRED:

▪       Port access experience is a MUST, chemo administration, Blood product transfusion, cardiac rhythm interpretation

▪       Comfortability with blood cultures/central line care; PCA pumps, Heparin gtts

o   PREFERRED:

▪       Bone marrow transplant experience with Day 0-2 is highly preferred

▪       End of Life care – Precedex gtt, Intransal Versed, Ketamine drips; chest tubes

●      SUPPORT WITHIN THE DEPARTMENT:

o   Charge RN/Supervisor – free floating

o   Unit Educator - Days – will serve as additional resource if needed

o   Task RN – 10am-1030p – will help with Admissions/Discharges/Tasks

o   Unit Secretary – until 9:30p

o   HCTs – 1:12 ratio

o   Cameras within unit

o   Rounding Psych Tech as available – will round a couple of times per shift

o   PICU consult team (all Ketamine drips, etc)

o   APP (on site during day)

o   Provider on call overnight

o   IV/VAT team

o   Phlebotomy – able to assist with morning labs/peripheral draws if needed

o   RT, 24/7 in house

o   Telemetry monitoring – bedside/nurses station monitoring – nurses are responsible

o   Security, 24/7

●      TECHNOLOGY/EQUIPMENT:

o   EMR: EPIC

o   IV Pumps: Alaris

o   Med Dispensing: Omnicell

●      ORIENTATION (facility and unit):

o   NEO

o   2 days departmental

●      OTHER NOTES:

o   Scrub Color: Navy Blue

o   Parking: Free

o   Department Culture: Must be a team player and take initiative