Registered Nurse - Adult/Pediatric Blood and Marrow Transplant - 0.71 FTE

• Relocation - Generous relocation package available
• Time Off - 10 paid holidays plus 2 personal days, paid vacation, and paid sick time
• Employee Health Clinic - Onsite employee health clinic services are free for employees enrolled in a Kaiser or Premera Blue Cross plan 
• Retirement - 403(b) defined contribution plan with a 7% employer contribution after 1 year and 1000 hours of service
• Bright Horizons Care Advantage  
• Hutch Kids Child Care Center 
• Employee Assistance Program 
• Tuition Reimbursement Program  
• Subsidized ORCA card and tax-advantaged transportation options 

Responsibilities

• 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

• 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

• 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

• 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

• 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

Qualifications

• Nursing degree
• Current Washington State nursing license.
• 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 response
• Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill
• 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

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

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