The RN, Stem Cell Transplant II will: Provide the Mother Standard of nursing care to oncology patients across the adult and geriatric spectrum in both the inpatient and outpatient settings. Demonstrate a high level of competency across the continuum of malignant hematology and stem cell transplantation. Deliver exceptional care across all domains of practice when caring for patients receiving cellular therapies. Develop and implement an individualized plan of utilizing the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. Be responsible for inspiring and guiding other qualified patient care team members to ensure enhanced patient outcomes through effective communication, collaboration, preceptorship, mentorship, and effective delegation in the exercise of his/her independent judgment. Address physical, spiritual, emotional, and educational needs of the patient and caregiver in the delivery of nursing care. Coordinate the plan of care with other healthcare professionals, support persons, and all members of the healthcare team.

JOB RESPONSIBLITIES

• Assesses, plans, implements, evaluates, and documents the care of patients across the continuum of malignant hematology and stem cell transplantation. Assists with special procedures. Directs the care delivered by Patient Care Technicians and other members of the healthcare team.
• Adheres to the hospital and department infection control policies including but not limited to hand hygiene, asepsis, isolation practice, and employee health practice.
• Effectively communicates with peers to resolve conflict.
• Assists in the on-boarding of new stakeholders.
• Protects the patient’s dignity, rights, and privacy.
• Assesses the knowledge level of the patient or designated support person.
• Delegate tasks according to the Arizona Nurse Practice Act and job descriptions.
• Document nursing care, implants, and specimens accurately, completely, and legibly.
• Collaborate with other disciplines as applicable.
• Maintain required competencies.
• Pursue professional growth and keep current with technology.
• Completes additional duties as assigned.

Collaborates with physicians and other health care providers to provide direct and indirect care to patients across the continuum of malignant hematology and stem cell transplantation. Provides critical staffing to multiple patient care areas including the Cellular Therapy Inpatient Unit and Specialty Clinic

• Formally trained in the understanding of hematopoietic stem cell transplant and other cellular therapies, including disease states, transplant immunology, sources and procurement of stem cells, components of patient evaluation, education, conditioning regimens, stem cell reinfusion, engraftment and recovery, acute effects of transplant, discharge, and follow-up care.
• Highly experienced in the administration of cellular therapy products, including hematopoietic stem cells, immune effector cells, and other cellular therapies.
• Highly experienced in the safe administration of high dose chemotherapy, innovative cellular therapies, stem cell reinfusions, immunotherapies, blood products, growth factors, hydration, and associated medications.
• Experienced and able to assist in or perform special procedures such as bone marrow biopsy or donor apheresis stem cell mobilization and collection.
• Highly experienced in providing care for immunocompromised patients with complex needs.
• Highly experienced in monitoring and care related to the administration of cellular therapy products and signs of emergency and higher-level care needed.
• Highly experienced in the delivery of effective nursing care to prevent, detect, and manage early and late effects associated with cellular therapies.
• Conducts and reinforces patient education, including treatment plan/regimen, symptom management, side effects, patient family responsibilities related to self-care, and available resources at home or at facility.
• Ability to collect blood specimens and blood cultures. Assists with coordination of specialty lab and diagnostic testing, pharmacokinetics, disease staging, and research based clinical trials.
• Demonstrates a high level of competence in chemotherapy administration through ONS.
• Administer medications via all routes, using the 6 rights, medication bar scanner and monitoring patient for side effects.
• Care for, assess and monitor patients with Patient Controlled Analgesia (PCA) and epidural catheters.
• Highly experienced in providing care for patients with IV lines, central lines and ports.
• Completion of Basic Electrocardiogram (ECG) course in online learning management system.
• Ability to read, interpret, and operate cardiac and other invasive and noninvasive monitors, recognize normal/abnormal rhythms/trends, and institute appropriate interventions within 6 months of hire.
• Demonstrates effective communication skills to manage complex patient and family needs.
• Demonstrates skills to assess and intervene in life-threatening situations.
• Ability to care for patients who are aggressive, agitated, in seclusion or restrained.

JOB QUALIFICATIONS

Experience: 5 years of experience in Cellular Therapy (Stem Cell Transplant and/or Immune Effector Cell), or as deemed qualified by Cellular Therapy Leadership.

Education: Associate Degree in Nursing or equivalent; Bachelor of Science in Nursing (BSN) preferred

Licensure: Arizona Registered Nurse License or a Registered Nurse License form a Compact State

Certifications: Basic Life Support (BLS) Certification- an approved American Heart Association (AHA) training site, American Safety & Health Institute, or Red Cross BLS certification is required upon hire.

• If their current certification does not meet the guidelines, stakeholders will have (30) days from the date of hire to attend an onsite initial BLS course and will be required to renew every two years.

Advanced Cardiovascular Life Support (ACLS) Certification

• Stakeholders will have thirty (30) days from the date of hire to acquire American Heart Association (AHA) ACLS certification and will need to be renewed every two years. Will not be allowed to provide ACLS for patients independently until AHA ACLS cards are obtained

Oncology Nursing Society (ONS) Fundamentals of Chemotherapy Immunotherapy/Biotherapy Provider Certificate is preferred upon hire, required before completion of nursing orientation, with renewal every two years.
Oncology Nursing Society (ONS) Hematopoietic Stem Cell Transplantation course within 30 days of hire. Exempt with proof of previous ONS equivalent course or Blood & Marrow Transplant Certified Nurse (BMTCN) certification.