Staff Nurse II - Hem-Onc Apheresis Cancer Center | Hem-Onc Apheresis Cancer Ctr

Wake Forest Baptist Health
Job Title: Staff Nurse II - Hem-Onc Apheresis Cancer Center
Job ID: 7901
Full/Part Time: Full-Time
Regular/Temporary: Regular
Job Category: Nursing-Clinical
Winston-Salem, NCNursing-Clinical, Medical, Healthcare8/22/2014Staff Nurse II (Hematology and Oncology Apheresis Unit) FUNCTION OF JOB Under general supervision, participates in implementation of apheresis procedures according to unit specific policies/procedures; provides specialized nursing care; provides supervision to other licensed and unlicensed...

Job Description


Staff Nurse II (Hematology and Oncology Apheresis Unit)

FUNCTION OF JOB

Under general supervision, participates in implementation of apheresis procedures according to unit specific policies/procedures; provides specialized nursing care; provides supervision to other licensed and unlicensed employees in this unit; provides evaluation, review, and revision of apheresis related protocols and budgets; coordinates plans for professional staff development within the unit, the Medical Center, and the Community.

CHARACTERISTIC WORK

THE CHARACTERISTIC WORK LISTED BELOW MAY BE INDICATIVE OF RESEARCH OR CLINICAL ACTIVITIES AND IN SOME INSTANCES A COMBINED FUNCTION.

1. Performs therapeutic and donor apheresis procedures according to physician instruction and established policies/procedures which may include, but are not limited to:

  1. Establishing large bore IV access
  2. Accessing Central Venous Catheters (CVCs)
  3. Knowledge of CVCs, sizes, lengths, catheter duration/viability
  4. Knowledge of specialized ports, i.e. pediatric Vortex ports, power ports, etc.
  5. Knowledge of AV fistulas (inserviced by Hemodialysis, assessment, fistula maturation, maintenance guidelines per HD standards of practice, ability to trouble shoot possible events involving an AV fistula
  6. Administration of IV fluids, blood components, and/or other pharmaceutical regimens (includes knowledge of medications affected by Apheresis procedure)
  7. Knowledge of blood bank issues including ABO compatibility and antibody screens (for utilization of multiple units of plasma and/or RBCs)
  8. Provides general nursing care (including nursing assessment, evaluation, judgment, and documentation as well as specialized Apheresis care)
  9. Have knowledge of multiple services and disease processes including labs related to the disease. Services include Neurology, Trauma/Burns/Sepsis (knowledge of ECMO circuit in collaboration with Respiratory Therapists), Pediatrics/PICU/PIMC/NICU (requires annual review of pediatric SOPs and medication guidelines as pertinent to Apheresis treatments), Cardiac Transplant, Nephrology, Renal Transplant, Rheumatology, Infectious Diseases, Endocrinology, Hematology and Oncology, Orthopedic Research, Regenerative Medicine, Department of Defense
  10. Provides patient and staff education relative to apheresis procedures.
  11. Ability to provide extensive expertise of Apheresis to guide physicians in treatment modalities.
  12. Participate in clinical research protocols which may include, but is not limited to:
    1. Protocol data collection, testing, evaluation, and analysis
    2. Patient billing files relative to special grants
    3. CITI certified
  13. Must be able to work autonomously with the ability to react and intervene as per SOPs in a critical or emergent situation
  14. Must be a team player within the small group of nurses in the unit
  15. Accessible to take high volume rotating call including nights, holidays, and weekends
  16. Performs other responsibilities incidental to the work described herein.


SUPERVISION RECEIVED AND GIVEN

Oral and/or written instructions are received from preceptor and/or supervisor. Training requires a 6 month orientation period, knowledge of the Spectra Blood Cell Separator, as well as the mechanics of the Spectra, includes ability to trouble shoot alarms. Provide guidance and direction to support personnel.

MINIMUM ACCEPTABLE QUALIFICATIONS

1. Graduation from an accredited School of Nursing.
2. Holder of a North Carolina license as a Registered Nurse.
3. Two years of applicable nursing experience in an acute care setting or the equivalent of one year Oncology In-Service training

  1. Current CPR certification


ADDITIONAL DESIRABLE QUALIFICATIONS

1. Bachelor's or Master's degree in Nursing.
2. Documented education and training in a specialized nursing area.

3. Hemapheresis Practitioner certification (when made available)

Job Summary: Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). The staff nurse directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice.
Education / Experience: Graduation from accredited school of nursing. BSN preferred.
Licensure, Certification and / or Registration: RN licensure in NC. Basic Cardiac Life Support (BCLS) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required within one year in select areas. ?Performs and maintains competency for point-of-care testing as assigned; waived and or non-waived, ensuring compliance with WFBH policies and with applicable state and federal regulations.?

Essential Functions:
1. Utilizes the nursing process to provide patient/family centered care focusing on the physical, emotional, spiritual, cultural, religious, and environmental needs. This includes providing for the assessment, development of nursing diagnoses, outcome identification, planning, implementation of interventions, coordination of care, health teaching and promotion and evaluation of goals and interventions consistent with the policies of WFBMC.
2. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Utilizes and promotes the use of technology and equipment to enhance the safety of patients and staff.
3. Communicates effectively to promote sharing of information throughout the continuum of care and as an effective member of the healthcare team.
4. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. This includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking.
5. Acts as a patient advocate throughout the continuum of care including all patient settings and in the community.
6. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and initiates action to improve patient outcomes.
7. Demonstrates ability to function in a professional practice model through active participation in shared governance, promotion of a healthy work environment and acceptance of personal responsibility for professional growth.

Skills and Qualifications:
Ability to provide direct and indirect patient care
Verbal and written communication skills
Ability to work collaboratively

Physical Requirements:
Amount of time spent performing the following activities
0% 35% 65%
to to to
35% 65% 100% N/A Activity
X Standing
X Walking
X Sitting
X Bending
X Reaching with arms
X Finger and hand dexterity
X Talking
X Hearing
X Seeing
Lifting, carrying, pushing and or pulling:
X 20 lbs. maximum
X 50 lbs. maximum
X 100 lbs. maximum

Work Environment:
Subject to highly stressful and crowded conditions
Moderate noise environment
Required to wear PPE
Handles emergency or crisis situations
Subject to many interruptions
Handles absentee replacement on short notice

Staff Nurse II ? Primary Care
FLSA: Non-Exempt
Original Date: February 1992
Last Revision: October 2012

Job Summary: Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). The staff nurse directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice.

Education / Experience: Graduation from accredited school of nursing. BSN preferred.

Licensure, Certification and / or Registration: RN licensure in NC. Basic Cardiac Life Support (BCLS) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required within one year in select areas

Essential Functions:

1. Utilizes the nursing process to provide patient/family centered care focusing on the physical, emotional, spiritual, cultural, religious, and environmental needs. This includes providing for the assessment, development of nursing diagnoses, outcome identification, planning, implementation of interventions, coordination of care, health teaching and promotion and evaluation of goals and interventions consistent with the policies of WFBMC.

2. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Utilizes and promotes the use of technology and equipment to enhance the safety of patients and staff.

3. Communicates effectively to promote sharing of information throughout the continuum of care and as an effective member of the healthcare team.

4. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. This includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking.
5. Acts as a patient advocate throughout the continuum of care including all patient settings and in the community.

6. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and initiates action to improve patient outcomes.
7. Demonstrates ability to function in a professional practice model through active participation in shared governance, promotion of a healthy work environment and acceptance of personal responsibility for professional growth.
8. Participates in regular team meetings and continuous quality improvement activities.



Skills and Qualifications:
Ability to provide direct and indirect patient care
Verbal and written communication skills
Ability to work collaboratively
Knowledge of care teams for coordination of patient care, self-management, population management, and communication skills.






Physical Requirements:
Amount of time spent performing the following activities
0% 35% 65%
to to to
35% 65% 100% N/A Activity
X Standing
X Walking
X Sitting
X Bending
X Reaching with arms
X Finger and hand dexterity
X Talking
X Hearing
X Seeing
Lifting, carrying, pushing and or pulling:
X 20 lbs. maximum
X 50 lbs. maximum
X 100 lbs. maximum

Work Environment:
Subject to highly stressful and crowded conditions
Moderate noise environment
Required to wear PPE
Handles emergency or crisis situations
Subject to many interruptions
Handles absentee replacement on short notice

To apply for this position, please click on the "Apply Now" button on this page. You must complete the application process and then submit your application by clicking on the "Submit" button located at the bottom of the page titled "Submit Online Application". You will receive the following message once you hit the submit button: "You have successfully submitted your job application".

Computers are available for applying within the lobby of the Human Resources Department located at 1920 West First Street, (on the corner of Miller and First Street) Winston-Salem, North Carolina 27104. You may also call our office for assistance at (336) 716-0175. Office hours are Monday-Friday, 8:00am-5:00pm.

If you are an individual with a disability and need reasonable accommodation to participate in the application process, please contact our Supervisor of Office Services by phone (336) 716-3367 or email at accommodationrequest@wakehealth.edu.

It is the policy of Wake Forest Baptist Medical Center to administer all educational and employment activities without discrimination because of race, sex, age, religion, national origin, disability, sexual orientation or veteran status (except where sex is a bona fide occupational qualification or a statutory requirement) in accordance with all local, state, national laws, executive orders, regulations, and guidelines.

Wake Forest Baptist Medical Center strives to provide best-in-class nursing care to our patients. To continue to provide such high quality services, meet internal targets and comply with ACCN Magnet requirements for a plan to increase BSN staff to 80% by 2020, WFBMC desires to employ nurses who have achieved, or will achieve, a Bachelor of Science in Nursing (BSN) degree. WFBMC will provide nurses who have earned an Associate Degree in Nursing a period of five (5) years from the date of hire to meet that educational requirement.

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