Registered Nurse - Infusion - Issaquah Clinic - Per Diem

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states.

About the role

The Registered Nurse is a member of an interdisciplinary care team, providing patient-centric care. This role is primarily responsible for nursing assessment and diagnosis, planning, implementation, and evaluation. This position is Per Diem with variable shift times, located at the Issaquah Clinic.

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.

In addition to the primary responsibilities of the Registered Nurse (RN), the Infusion RN will have the following key responsibilities:

Nursing Care and Assessment

• Demonstrate knowledge of standard treatment and medication side effects.
• Perform nursing assessment, review relevant lab results, assess pain and other symptoms.
• Administer IV hydration, electrolyte replacement, chemotherapy/biotherapy, and blood products.

Safe Handling of Hazardous Drugs

• Demonstrate an awareness of the potentially hazardous nature of many of the agents administered and uses correct precautions when handling them.
• Follow all procedures regarding safe disposal of any materials used in the administration of chemotherapy or other hazardous agents and blood products.

Patient and Family Education

• Provide patient and family education in coordination with treatment and care plan.
• Conduct learning needs assessment for patient and caregiver(s).
• Ensure patients have clinic contact information and understand when to call if symptoms arise or persist post-infusion therapy.

Communication and Teamwork

• Communicate or escalate patient symptoms and concerns to provider as needed.
• Collaborate with the care team to provide effective and efficient patient care.
• Request consultation from social work, dietician, spiritual care, and/or any other supportive care teams when the patient's situation indicates.

Professional Development and Clinic Engagement

• Participation in continuing education, departmental projects, committee work, and quality improvement initiatives.

Requirements

• Graduate from an accredited school of nursing.
• 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.
• ONS Chemotherapy Provider Card (required within 3 months of hire). 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.

Skills

• 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 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 Qualifications

• Bachelor of Science in Nursing.
• Two years of nursing experience.
• Certification in oncology or specialty practice area.
• 2 years of RN Oncology experience in an ambulatory infusion setting.

Pay

The hourly pay range for this position is from $54.78 to $101.42, which includes the per diem differential. 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.

Benefits

• Access to a retirement savings plan.
• Employee assistance program.
• Paid sick leave (1 hour for every 30 hours worked).