Registered Nurse Day Hospital -Outpatient Oncology Clinic

SHIFT:

Rotating (United States of America)

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A Brief Overview

This RN position requires 12 months of previous RN work experience. It is 8a-4:30pm

The Oncology Clinic and Day Hospital is in the Buerger Center for Advanced Pediatric Care. Outpatient Oncology sees an average 100 patients per day, Monday-Friday 0730am-9pm. The clinic is closed on weekends and holidays however there is a phone triage nurse staffed every day, including holidays. Nurses partner with attending physicians, fellows and APPS to provide care to the patient population. Other areas within the clinic include, the general anesthesia procedure and recovery area, as well as day hospital infusion area. Bone marrow aspirates and lumbar punctures are performed daily therefore all nurses are PALS certified. The day hospital cares for both hematology and oncology patients, administering blood products and chemotherapy. Oncology clinic also functions as the ER for the oncology population daily until 6pm. All staff are proficient in PIV placement and central line care. This is a fast-paced dynamic area to work in with opportunities for growth and professional development.

The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care.

The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site.

What you will do

• Clinical Practice
• Follows the nursing process to deliver safe, compassionate, and culturally effective care.
• Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated.
• Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate.
• Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care.
• Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team.
• Care is coordinated across the continuum – understands and utilizes case management resources.
• Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.
• Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation.
• Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families.
• Evaluates and documents the care provided on each assigned shift.
• Accountable for the rapid adoption and implementation of clinical practice changes into own practice.
• Communication
• Documents the evaluation of nursi