Description
The Hematology/Oncology Care Unit (HCU) includes the inpatient and outpatient Hematology, Oncology, and Blood and Marrow Transplant patients. The 32-bed inpatient unit admits children of all ages with hematological and/or oncology, and blood and marrow transplant inpatient clinical needs. They work closely with the Center for Cancer and Blood Disorders Clinic and Infusion clinic to meet patients' needs.
Significant populations include:
- Newly diagnosed oncology diseases (leukemia/lymphoma, solid tumors, neuro oncology)
- Chemotherapy
- Sickle cell disease
- Pain crisis in hemoglobinopathy
- Fever/neutropenia
- Bacteremia
- Anemia/blood disorders
- Acute chest syndrome/pneumonia
- Thrombocytopenia
- Blood and marrow and hematopoietic stem cell transplantation
All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of RN relationships with the community, specifically those relationships associated with the health and well-being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area. He/She will provide comprehensive patient care to a variety of patients, incorporating all members of the health care team in the planning and delivery of patient care. The RN will deal successfully with complex clinical problems, conduct quick assessments of patients, and handle emergency situations appropriately. They will demonstrate evidence-based practice through participation in unit projects and activities.
Qualifications
Minimum EducationBachelor's Degree graduated from an approved school of nursing (Required)
BSN (Preferred)
Minimum Work ExperienceAt least 2 years of hematology/oncology/BMT experience (Required)
Required Licenses and CertificationsRegistered Nurse in District of Columbia (Required)
Basic Life Support for Healthcare Provider (BLS) (Required)
APHON Chemobiotherapy Provider (Required)
Functional AccountabilitiesChemo and Biotherapy Management- Administer chemo/biotherapy, independently and safely.
- Handle and dispose of hazardous drugs safely.
- Be aware of risk factors and make clear decisions based on risk.
- Communicate clearly with patients and families.
- Manage care of patients with multiple types of central lines (broviacs, port-a-cath, PICC lines, etc.), independently.
- Serve as a clinical resource for central lines and chemo/biotherapy to clinical areas of the hospital that do not routinely care for these.
- Contribute to Magnet re-designation as evidenced by independent updating of professional profile and initiation of council involvement, committees, task forces, and/or community outreach.
Internal Relations- Communicate to reflect the development of the plan of care and ability to advocate to meet patients' needs.
- Independently initiate escalation of issues utilizing the chain of command.
- Show proper use of the currently identified handoff processes.
- Show a collegial and respectful relationship with the healthcare team.
- Participate to implement change and support management decisions.
- Role model behavior that reflects empathy, concern, and a desire to help others.
Structural Empowerment- Maintain regulatory requirements (e.g., license, BLS) independently.
- Plan for attendance at mandatory education and professional activities to enhance nursing practice.
- Model professional review of peers through timely participation in evaluations.
- Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support advancement of education and certification as well.
- Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers.
- Utilize resources as needed and know when to escalate to the next level.
Professional Practice- Utilize assessment data gathered from patients and families to ensure completion of the database and plan of care within identified timeframes.
- Model clinical skills with complex patients that reflect analysis of patient status and appropriate interventions.
- Role model skill in prioritization and organization for complex patients with rapidly changing needs.
- Documentation exemplifies adherence to the highest standards of practice.
- Anticipate and proactively plan for educational needs verified with patients and families throughout the hospital/outpatient stay and prior to discharge.
- Role model organizational skills, adjust for changes, and complete assignments on time.
- Model caring in all encounters with patients and families as evidenced by feedback from parents and an increase in patient satisfaction scores.
Program Improvement- Identify ways to improve operations through quality improvement and assist in the implementation of solutions.
- Identify self-learning needs and take initiative to meet those needs.
- Ensure care is based on evidence with the literature and benchmarking.
Organizational Accountabilities- Anticipate and respond to customer needs; follow up until needs are met.
- Demonstrate collaborative and respectful behavior.
- Partner with all team members to achieve goals.
- Be receptive to others' ideas and opinions.
- Contribute to a positive work environment.
- Demonstrate flexibility and willingness to change.
- Identify opportunities to improve clinical and administrative processes.
- Make appropriate decisions using sound judgment.
- Use resources efficiently.
- Search for less costly ways of doing things.
#J-18808-Ljbffr
