RN - Pediatric Oncology/Hematology - 71.40/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

Please make a note to Client Relationship team if travelers does not have experience with Bone Marrow Transplant patients, so the manager is aware for her final interview

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

Floating: If yes, where?

o General Pediatric Medial units will be based on skillset and needs

Ortho/Trauma, Gen Peds, Observation, ED Holds (admitted pts)

No floating to Main ER/PICU/NICU

Orientation (facility and unit):

o NEO

o 2 days departmental

Scheduling:

o Weekend rotation: every other

Modified self-scheduling requests may not be accommodated

o No call

o Holiday Expectations: Travelers will work 75% of holidays

o RTO: Manager approval

o Shift times: ;

o Schedule cycle: every 6 weeks

Other notes:

o Scrub Color: Navy Blue

o Parking: Free

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

You'll never receive recurrent notifications, aggressive phone calls, or overbearing messages from us. Just support A US based healthcare staffing firm, Lamb Company has been serving healthcare workers so that healthcare workers may serve their patients since 2019. Our team consists of individuals with likeminded goals to have a heart for providing quality care for patients that without our help, may not receive any. Our job is to find a site that matches well with you and develop a plan to safely and effectively get you implemented into that system. As a small company with owners that are healthcare workers themselves, we understand the difficulty of starting new and finding a home where you are appreciated. We are always available and aim to find you the employment of your dreams. Please reach out with any questions which you may have