Licensed Practical Nurse - Pediatric

Pediatric Hematology/Oncology Unit Nurse

Beds: 24 (16 for Hematology/Oncology, 8 for Bone Marrow Transplant). Average daily census: 22. All same staff, BMT is positive pressure environment. All RNs work interchangeably throughout 24 beds.

Required Experience:

2 years Peds with strong Onc/Hem/BMT experience. Nurses are acutely in the middle of tx, day 0, day 1 and during the sickest time – unless they are being intubated they are on this unit.

Will you accept a first-time traveler? Yes if they are a strong BMT RN.

Patient Types/Common Diagnoses:

• Ages:
  Neonate (more rare) to adults (if patient had childhood cancer treatment here, they will come to unit, even as an adult)
• "On-Service":
  Solid tumor cancers, Leukemia, Sickle cell, Aplastic anemia. Highly acute bone marrow transplant population – this experience and skillset is a MUST – will receive patients s/p day 0, day 1 and 2. If child does not require intubation, they will come to this unit.
• "Off Service":
  Can take off service (non-Hem/Onc) but must be without communicable infections/precautions due to the neutropenic patient population
• 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.

Patient Ratios:

• 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
• CNA: 1:12

Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

• BLS, PALS
• APHON provider card

Skills required:

• Required:
  
  Port access experience is a MUST, Bone marrow transplant experience with Day 0-2 is a MUST, Chemo administration, Blood product transfusion, cardiac rhythm interpretation. Comfortability with blood cultures/central line care; PCA pumps, Heparin gtts
• Preferred:
  End of Life care – Precedex gtt, Intransal Versed, Ketamine drips; chest tubes

Support within the Department:

• Charge RN/Supervisor – free floating
• Unit Educator - Days – will serve as additional resource if needed
• Task RN – 10am-1030p – will help with Admissions/Discharges/Tasks
• Security – until 9:30p
• HCTs – 1:12 ratio
• Cameras within unit
• Rounding Psych Tech as available – will round a couple of times per shift
• PICU consult team (all Ketamine drips, etc)
• APP (on site during day)
• Provider on call overnight
• IV/VAT team
• Phlebotomy – able to assist with morning labs/peripheral draws if needed
• RT, 24/7 in house
• Telemetry monitoring – bedside/nurses station monitoring – nurses are responsible

Technology/Equipment:

• EMR: EPIC
• IV Pumps:
  Alaris
• Med Dispensing:
  Omnicell

Floating:
If yes, where? General Pediatric Medical units – will be based on skillset and needs. Ortho/Trauma, Gen Peds, Observation, ED Holds (admitted pts). No floating to Main ER/PICU/NICU