RN- Hematology/Oncology

2 weeks ago

Miami, United States Nicklaus Children's Health System Full time

Job Summary

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.

Job Specific Duties

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

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