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