Nurse Coordinator- Pediatric Heme Onc/BMT

New Haven, CT
Jul 26, 2019

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Job Description

16 bed inpatient unit that cares for children, adolescents and young adults with all types of oncological and hematological diseases. Four of the unit\u2019s beds are designated bone marrow transplant beds.

Sign on bonus is in place for qualified candidates


To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran


Coordinates care of patients undergoing process of stem cell collection and transplantation with in the Children\u2019s Transplantation Unit. Provides ongoing education to patients regarding all phases of treatment, recovery and follow -up care. Improve current or formulate new teaching materials in order to reinforce verbal information provided. Maintains communication with referring physician office re: plan of treatment prior and post-transplant. Collaborates with referring office to coordinate salvage therapy, restaging, scans, mobilization of stem cells under the direction of the transplant physician. Ensures that all testing required prior to collection and HD chemotherapy occurs in a timely fashion and is reviewed by the appropriate practitioner prior to critical time points. Maintains communication with the clinical nurses re: status of patients and ensure all patients have scheduled appointments, preauthorization, and physician orders in order to facilitate care. Communicates the patient status to the interdisciplinary team members on an ongoing bases as well as established scheduled meetings. Maintain and update determined database /grid. Distribute information to all involved parties. Provides coverage in the absence of other transplant coordinators both Allogeneic and Autologous as needed. Facilitates enrollment of patients into clinical trials as appropriate. Complies with the Yale New Haven service excellence practices and standards. Ensure that signed practitioner orders are in place to assure the timely delivery of care.
Book beds and communicates with the inpatient liaison to provide necessary information /data to facilitate safe and
quality care. Ensuring that all consents completed and available in the patient record. Communicate with the cell processing lab to coordinate processing and reinfusion of PBSC. Schedules patients for line placements as appropriate and for apheresis Collaborate with apheresis staff regarding scheduling and status of collections. Document all aspects of patient care and status appropriately. Assumes support and educator role with patients and families. Coordinates follow-up care and/or appropriate handoff to ensure smooth transition of care as needed.
EEO/AA/Disability/Veteran.

RESPONSIBILITIES

Professional Practice:

1. Allogeneic Transplant;
Performs patient interview of past medical history, including current medications, current problems, symptoms, and social profile, and documents accordingly; Assess patients for symptoms and collaborates on the management plan;
Performs Donor searches for unrelated donors; Performs assessment for appropriate related donors; Assessing insurance needs and coordinates with the NMDP to acquire insurance coverage when needed; Provides patient/donor teaching re: all aspects of processes during stem cell donation, stem cell collection, medications, expected experience, potential complications.

2. Autologous Transplant;
Performs patient interview of past medical history including current medications, current problems, symptoms, and social profile; Assesses patients for symptoms and collaborates on management plan; Schedules stem cell mobilization/collection; Manages patients throughout collection: monitoring labs, assuring correct collection, and adjusting schedules when appropriate; Schedules line placements; Schedules High Dose Chemotherapy; Coordinates pre-BMT testing; Coordinates home care needs pre and post hospitalization; Provides insurance assistance and authorization; Coordinates post BMT appointments; Provides patient/family teaching re; autologous Stem cell process including pre-BMT process, work up, and follow up medications.
Ensure that signed practitioner orders are in place to assure the timely delivery of care; Book beds and communicates with the inpatient liaison to provide necessary information/data to facilitate safe and quality care; Ensuring that all consents completed and available in the patient record; Communicate with the cell processing lab to coordinate processing and reinfusion of PBSC; Schedules patients for line placements as appropriate and for apheresis; Collaborate with apheresis staff regarding scheduling and status of collections; Document all aspects of patient care and status appropriately; Assumes support and educator role with patients and families; Coordinates follow-up care and/or appropriate handoff to ensure smooth transition of care as needed.

Education:
Develops a patient/family education plan based on assessment findings relevant to teaching learning
topics, styles and the identification of special needs and preferences; Provides patient/family instruction related to disease, treatment, potential adverse effects, symptom self-identification and management, parameters for distinguishing between what can be self-managed and what requires disease team intervention, how to contact the team; Provides selected handout materials to patients/families to reinforce verbal instruction Makes follow-up
contact (e.g., by phone, email and visit) to ensure patient/family understanding of the plan of care, evaluate adherence levels and reinforce education provided; Documents patient/family response to information provided and communicates to the appropriate team members; Coaches patient/family through diagnostic and therapeutic experiences to minimize anxiety and ensure adherence to medical plan; provides warm handoffs at various points but maintains contact with patient/family and point of care managers as patients move along the continuum.

Clinical Practice:
Performs patient interview of past medical history including current medications, current symptoms, problems, and social profile; Interfaces with physicians, mid-levels, Practice Nurse, schedulers to ensure appropriate scheduling of
laboratory and diagnostic studies, procedures, therapeutic interventions following initial consultative visit; Uses findings of assessment data, team-based interactions and established triggers to initiate referrals for supportive care (e.g., social work, nutrition, rehabilitation, psychological services) and community agency assistance (e.g., home care, support groups, etc.). Monitors and reports response to consultative intervention(s); Liaises among and between point of care coordinators and supportive care clinicians (e.g., Patient Service Managers, Clinical Care Managers, Social Work, etc.) across care settings to ensure familiarity with patient case and special needs; ensures that patient safety needs are met during handoffs to point of care.
Participates in patient/family treatment planning conferences with MD as requested by patient and/or physician; Accompanies patient/family to medical visits, interventional visits as desired by patient and as schedule permits;
Anticipates and/or identifies potential logistical, financial, personal barriers to patient adherence to visit schedule and therapeutic plan; makes other team members aware and interfaces with family members and any relevant internal and external providers to troubleshoot/develop a plan to minimize or eliminate obstacles; Identifies candidates for open clinical trials and communicates to physician, mid-level provider and assigned research nurse; collaborates with Research Nurses to ensure follow-through on clinical trials accrual of individual patients.

Clinical Program Support / Multi-Disciplinary Collaboration:
Participates in the development/revision of scripting for Administrative Staff (Intake Assistant, Clinical Secretary and Receptionists); Collaborates with other team members to develop and implement clinical tools relevant to new patient
access and navigation; evaluates tool effectiveness and reports to team; Identifies and monitors program quality metrics relevant to patient outcomes, experience and quality of care; Evaluates role effectiveness and reports to team; Participates in team-specific Patient Safety and Quality monitoring and performance improvement action plans;
Serves as an ambassador for the assigned Team, representing the team and its unique features to internal and external communities; Participates in community outreach programming (e.g., public education forums, support groups, health fairs, etc.) as appropriate to disease team marketing and strategic plan; Reviews/provides content relevant to role and patient access for inclusion in staff scripting, website and print materials for distribution;
Role models service excellence behaviors, incorporates disease team strategic plan elements into clinical program development activities; Participates in data collection related to clinical and operational efficiencies; Collects data, and analyzes trends to compare and develop key areas to improve patient care outcomes as evidenced by decreased usage of emergency room visits and inpatient hospital stays or re-admissions for the specialty and patient population; Participates in and research clinical trials/protocols as necessary both within organization and nationally to support advances in care; Ensures integration and documentation of all patient care information utilizing electronic medical record and information systems interface; Support any marketing, and community outreach efforts.

Professional Development:
Sets and strives to meet annual goals for professional development; Achieves/maintains oncology nursing certification; actively participates in all disease team committees and projects.

REQUIREMENTS

EDUCATION
BSN required, MSN preferred

EXPERIENCE
At least 3-5 years hematology/transplant experience. Preferred outpatient/coordination 1-2 years\u2019 experience

SPECIAL SKILLS:
Excellent communication and patient services skills.

ACCOUNTABILITY
Position is held accountable for collaboration and consultation, education, clinical practice, and research through
yearly written evaluation in collaboration with peer review process to include all members of the transplant team.
In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right
thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences),
accountability (being responsible and taking action), and compassion (being empathetic).

COMPLEXITY
Describe, planning, problem solving, decision making, creativity, or other special factors inherent in the
responsibilities of this position.

LICENSURE/CERTIFICATION:
Current State of Connecticut Registered Nurse License required. Oncology certification preferred. Hematopoietic
Transplant Coordinator Certification preferred. Maintains current BCLS/AED

INFORMATIONAL

SPECIAL WORKING CONDITIONS AND PHYSICAL DEMAND:

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Job Info

Job: 887

Department: Hematology and Oncology
Category: Nursing-staff
Status: Full Time
Shift: DAYS
Hours: 40.000

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