This position is responsible for the nursing management of patients undergoing marrow transplant or related therapies. The nurse accomplishes this through the provision of direct patient care, involvement in research protocols, phone consultation, maintaining clinical standards and involvement in education activities. The nurse is part of a team, which consists of a primary medical provider (PA, Fellow, Visiting MD), a social worker, a nutritionist, a Team Coordinator, and attending physician.
A. 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 and designates routing in writing to the Team Coordinators.
- Able to complete all lab requisitions correctly if needed.
- Communicates hospital admissions to the Charge RN in a timely manner.
- Coordinate home infusions dispensed from UWHMC Pharmacy.
- Coordinate home infusions provided by outside Home Infusion agencies after initial referral by Transition RN's.
- 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
- Keeps yellow medication lists current in the medical record.
- Functions as primary telephone contact for patients and their caregivers.
- Participates with all disciplines in daily rounds to plan and coordinate patient care.
B. 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 Center.
C Support for Research
- Coordinates consent forms and enters into the consent form log.
- 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 accesD. - 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 HSCT 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.
E. Maintaining And Developing Own Skills:
- Participates in continuing education programs.
- Keeps current in area of expertise through journals, books, and conferences.
- WA state RN licnese
- 3-5 years of Bone Marrow Transplant Experience required
- Willing to work flexible schedule and various roles in the transplant Clinic.
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