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