The Registered Nurse is a member of an interdisciplinary care team. This role provides patient centric care and is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation.

Registered Nurse Primary Responsibilities:

• Assesses physical, emotional, social, and spiritual needs and evaluates patients’ adaptation to health changes
• Develops a plan of care based on patients’ disease, symptoms, and response to treatment
• Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management
• Coordinates with inter-disciplinary team to ensure continuity of care
• Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc.
• Implements, evaluates and modifies plan of care
• Integrates research and evidence based knowledge into clinical practice

Care Coordination:

• Performs comprehensive initial assessment of patient, family and caregiver
• Performs ongoing assessment of patient, family and caregiver as patient progresses through Transplant process
• Monitors patient response to therapies, including lab values and symptom assessment, in collaboration with the medical, nutrition and pharmacy staff
• Provides psychosocial support to patients and families
• Functions as resource for rotating physician staff regarding standard practice and operations in the clinic
• Reviews all orders written by the medical staff
• Communicates hospital admissions to the Charge RN
• Coordinate home infusions provided by outside Home Infusion agencies after initial referral by Transition RNs
• Provide continuity of nursing care by communicating effectively with Charge, Evening, Weekend, Infusion
• Room, Procedure, Triage, and Inpatient RN’s
• Documents all assessments, teaching, response to therapies and plans of care in a timely manner
• Keeps patient Kardex up to date
• Functions as primary telephone contact for patients and their caregivers
• Participates with all disciplines in daily rounds to plan and coordinate patient care

Patient and Caregiver Teaching:

• Provides initial education and Clinic orientation. Reviews Patient Resource Manual with patient and family at arrival visit
• Assumes primary responsibility for chemotherapy teaching with patients and caregivers
• Assumes primary responsibility for patient education regarding medications and therapies, including home infusions
• Assumes primary responsibility for patient education regarding symptom management
• Assumes primary responsibility for departure teaching when patient is leaving the Acute Transplant Program

Support for Research:

• Acts as patient advocate in coordination of research consent forms
• Assists in obtaining research data in conjunction with patient care data
• Maintains a working knowledge of current protocols related to the patient population with whom they work. Knows research resources and how to access

Communication and Teamwork:

• Participates in Committees and Task Forces to review and improve current standards
• Serves as a resource to other nurses caring for patients undergoing BMT transplant
• Flexible in incorporating patient care outside own team assignment to assist with patient care needs in other areas of clinic
• Informs Nurse Manager of high-risk patient situations or operational issues
• Communicates in a respectful and effective manner with other staff
• Demonstrates appropriate problem solving when working with other departments

Maintaining And Developing Own Skills:

• Participates in continuing education programs
• Keeps current in area of expertise through journals, books, and conferences
• Regular attendance and punctuality are essential functions of this job in order to carry out the primary responsibilities.

Required:

• Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and MSL primary state of residence must be updated to WA within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval.
• Applicants that do not have previous oncology experience will be provided additional training and support.
• Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years.
• Additional certification may be required dependent upon department.
• Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge.
• Ability to develop clinical judgment.
• Time Management skills; the ability to organize and manage time and tasks independently.
• Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying responses.
• Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skills.
• Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response.

Preferred:

• Bachelor of Science in Nursing.
• Two years of nursing experience.

The hourly pay range for this position is from $47.64 to $88.19 and pay offered will be based on experience and qualifications. Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification.Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks). Paid time off is prorated for part-time positions.