RN Advanced Care – Orlando Health Cancer Institute - ONC BMT Clinic

Orlando Health; Orlando (FL); On-site; USD 60,000 - 95,000; Full time

Job summary

An established healthcare provider is seeking a dedicated Advanced Care Registered Nurse to join their dynamic team. This role involves administering complex patient care in a fast-paced environment, where your expertise in critical care will be paramount. You'll work closely with a multidisciplinary team to ensure optimal patient outcomes, utilizing advanced technologies and protocols. With a commitment to professional development and a supportive work environment, this position offers the chance to make a significant impact in the lives of patients facing serious health challenges. Join a team that values your contributions and provides opportunities for growth and learning.

Benefits

Flexible Work Schedule

Free Education Programs

Health and Wellness Services

Comprehensive Benefits Package

Qualifications

• Graduate of an approved nursing school with an active RN license.
• 2 years of critical care experience preferred.

Responsibilities

• Administers complex patient care in a high-intensity environment.
• Monitors and adjusts specialized equipment for patient care.
• Collaborates with medical staff to manage patient care effectively.

Skills

Critical Care Nursing

Patient Assessment

Advanced Cardiac Life Support (ACLS)

Extracorporeal Membrane Oxygenation (ECMO)

Communication Skills

Education

Registered Nurse (RN)

Graduate of an approved school of nursing

Tools

ECMO Equipment

Cardiac Monitors

Ventilators

Job description

Position Summary

As a top cancer care provider in Florida, Orlando Health Cancer Institute is a comprehensive, multidisciplinary

cancer program consisting of six treatment sites and more than 10 practice locations that serve the region’s adult oncology needs. Specializing in more than 200 types of cancer, an expert team of medical professionals provides personalized care with the most state-of-the-art technologies, such as advanced radiation and proton therapies, and bone marrow transplant and cellular therapy. Through a robust research program, the institute also supports physician involvement in numerous research studies and clinical trials that give patients access to innovative diagnosis, treatment and symptom management options. In addition to being accredited by the Commission on Cancer, a program of the American College of Surgeons, Orlando Health Cancer Institute has earned accreditations and certifications in several areas — including medical oncology and hematology/oncology, radiation oncology, cellular therapy, rectal cancer, and breast care — from the respective accrediting organizations, and recently was named in the 2023 Becker's Hospital Review “60 Hospitals and Health Systems with Great Oncology Programs” list.

Orlando Health Cancer Institute is part of the Orlando Health system of care, which includes 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities that span Florida’s east to west coasts and beyond. Collectively, we honor our 100-year legacy by providing care for more than 142,000 inpatient and 3.9 million outpatient visits each year.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Position Summary
Administers patient care in an area in a hospital or inpatient setting where patients have an advanced illness or injury that routinely requires timely, intense, and complex care to stabilize and support the patient’s medical condition. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills.

**Preferred 2 years RN experience**

Work schedule will be Monday - Friday 7:30 am -4:00 pm.

Responsibilities

Essential Functions
• Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high
intensity interventions, and high-level continuous nursing vigilance.
• Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient
conditions.
• Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused action.
• Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial
pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators,
ventilators, oxygen pumps, etc.
• Responds to life-saving situations based on nursing standards and protocol.
• Observes, monitors, and assesses patients’ condition, recognizes, identifies, and interprets serious situations and calls Physician or takes preplanned emergency measures when Physician is not immediately available.
• Assesses patient’s needs and develops/revises an individualized plan of care based on patient needs and responses. Evaluates
the patient’s progress toward attaining expected outcomes.
• Respects diversity by building respectful relationships with all team members and customers.
• Functions as a patient and family advocate.
• Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit/ department.
• Serves as a preceptor, charge nurse, unit educator, and/ or nurse clinician.
• Communicates and collaborates with medical staff and interdisciplinary team to effectively plan and manage the
unit/department.
• Serves as a role model for staff and supports the hospital and nursing department’s goals and strategies.
• Demonstrates knowledge of the principles of growth and development over the life span, assesses the data reflective of the patient’s status, and interprets the necessary information needed to identify each patient’s requirements relative to his or her age specific needs.
• Coordinates the care and delegates as appropriate to other team members on a defined group of patients.
• Documents patient care in a knowledgeable, skillful, and consistent manner meeting all required and regulatory standards. This includes but is not limited to patient assessment, education, medication administration, treatments, and patient safety.
• Demonstrates competency in nursing skills and use of patient care/unit equipment as defined by unit/department-specific
requisite skills.
• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.
• Practices effective problem identification and resolution.
• Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’s
capabilities and qualifications.
• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
• Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
• Demonstrates awareness of legal issues and patients’ rights.

•Collaborates with the education department and nursing leadership team to effectively transition and support new team
members and/or students.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal,
state, and local standards.
• Maintains compliance with all Orlando Health policies and procedure.

Specific Essential Function for trained Advanced Care Registered Nurse ECMO Specialist Job responsibilities

• Registered Nurses who have received specialized training and are able to function as an Extracorporeal Membrane Oxygenator
(ECMO) Specialist provide daily staffing for Extracorporeal life support (ECLS) services.
• Specialists work under the direction of unit leadership, intensivist services, perfusion services, and in collaboration with bedside staff to ensure that the patient on ECMO has adequate perfusion, corrects for proper acid-base balance, and provides for
hemodynamic stability within ordered parameters.
• Nursing ECMO Specialists work in the Cardiac Intensive Care Unit and communicate with physicians, perfusionists and other
members of the healthcare team to interpret, adjust and complete treatment specific care for the ECMO patient.
• ECMO specialists are expected to perform required technical skills with efficiency, accuracy and safety while anticipating,
troubleshooting, and managing crises and emergency situations according to policy and procedure.
• Performs scheduled, un-scheduled, and emergency ECLS in the hospital setting.
• Operates all ECMO equipment under the direction of MD/perfusion providers.
• Monitors and optimizes the ECMO circuit and related equipment during the management period.
• Accurately administers blood products and medications through the ECMO circuit when ordered.
• Manages any equipment when connected in-line with ECMO circuit.
• Management of ECLS during transport.
• Ensures continuous ECLS coverage.
• Attends Mandatory Quarterly Simulations.

Other Related Functions
• The professional nurse contributes to the knowledge and skills of others, and the continuous improvement of the quality of
health care practice and organizational outcomes.
• Participates and may lead unit level and/or organizational level committees of nursing practice and performance improvement.
• Participates in department and organizational peer review, mentoring, and coaching regarding professional practice or role
performance.
• Practices efficient use of supplies and maintains a clean, safe, and organized work area.
• Attends staff development in-services, department meetings, and/or nursing committee meetings.
• Partners with the nursing leadership team to identify professional development needs.
• Assumes responsibility for one’s own professional development and continuing education.

Performs all other duties as assigned.
• Maintains equipment and supplies for use in ECMO/perfusion services and provides pertinent information to
supervisor/director in conjunction with biomed or vendors.
• Provides critical nursing resource support to CVICU or other areas as directed by leadership when not providing ECLS
services.

Qualifications

Education/Training
• Graduate of an approved school of nursing.
• Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.

Licensure/Certification
• Maintains current State of Florida RN license or valid eNLC multistate RN license
• Maintains current BLS/Healthcare Provider certification.
• ACLS, NRP, PALS, TNCC are required for certain areas. NRP required for Neonatal Intensive care Unit (NICU).

Experience
• 1 year experience required unless approved by AVP level or above.

Education/Training
• Graduate of an approved school of nursing.
• Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.

Licensure/Certification
• Maintains current State of Florida RN license or valid eNLC multistate RN license
• Maintains current BLS/Healthcare Provider certification.
• ACLS, NRP, PALS, TNCC are required for certain areas. NRP required for Neonatal Intensive care Unit (NICU).

Experience
• 1 year experience required unless approved by AVP level or above.

Essential Functions
• Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high
intensity interventions, and high-level continuous nursing vigilance.
• Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient
conditions.
• Identifies and prioritizes information to take immediate and decisive evidence-based, patient focused action.
• Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial
pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from cardiac monitors, respirators,
ventilators, oxygen pumps, etc.
• Responds to life-saving situations based on nursing standards and protocol.
• Observes, monitors, and assesses patients’ condition, recognizes, identifies, and interprets serious situations and calls Physician or takes preplanned emergency measures when Physician is not immediately available.
• Assesses patient’s needs and develops/revises an individualized plan of care based on patient needs and responses. Evaluates
the patient’s progress toward attaining expected outcomes.
• Respects diversity by building respectful relationships with all team members and customers.
• Functions as a patient and family advocate.
• Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit/ department.
• Serves as a preceptor, charge nurse, unit educator, and/ or nurse clinician.
• Communicates and collaborates with medical staff and interdisciplinary team to effectively plan and manage the
unit/department.
• Serves as a role model for staff and supports the hospital and nursing department’s goals and strategies.
• Demonstrates knowledge of the principles of growth and development over the life span, assesses the data reflective of the patient’s status, and interprets the necessary information needed to identify each patient’s requirements relative to his or her age specific needs.
• Coordinates the care and delegates as appropriate to other team members on a defined group of patients.
• Documents patient care in a knowledgeable, skillful, and consistent manner meeting all required and regulatory standards. This includes but is not limited to patient assessment, education, medication administration, treatments, and patient safety.
• Demonstrates competency in nursing skills and use of patient care/unit equipment as defined by unit/department-specific
requisite skills.
• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.
• Practices effective problem identification and resolution.
• Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’s
capabilities and qualifications.
• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
• Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
• Demonstrates awareness of legal issues and patients’ rights.

•Collaborates with the education department and nursing leadership team to effectively transition and support new team
members and/or students.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal,
state, and local standards.
• Maintains compliance with all Orlando Health policies and procedure.

Specific Essential Function for trained Advanced Care Registered Nurse ECMO Specialist Job responsibilities

• Registered Nurses who have received specialized training and are able to function as an Extracorporeal Membrane Oxygenator
(ECMO) Specialist provide daily staffing for Extracorporeal life support (ECLS) services.
• Specialists work under the direction of unit leadership, intensivist services, perfusion services, and in collaboration with bedside staff to ensure that the patient on ECMO has adequate perfusion, corrects for proper acid-base balance, and provides for
hemodynamic stability within ordered parameters.
• Nursing ECMO Specialists work in the Cardiac Intensive Care Unit and communicate with physicians, perfusionists and other
members of the healthcare team to interpret, adjust and complete treatment specific care for the ECMO patient.
• ECMO specialists are expected to perform required technical skills with efficiency, accuracy and safety while anticipating,
troubleshooting, and managing crises and emergency situations according to policy and procedure.
• Performs scheduled, un-scheduled, and emergency ECLS in the hospital setting.
• Operates all ECMO equipment under the direction of MD/perfusion providers.
• Monitors and optimizes the ECMO circuit and related equipment during the management period.
• Accurately administers blood products and medications through the ECMO circuit when ordered.
• Manages any equipment when connected in-line with ECMO circuit.
• Management of ECLS during transport.
• Ensures continuous ECLS coverage.
• Attends Mandatory Quarterly Simulations.

Other Related Functions
• The professional nurse contributes to the knowledge and skills of others, and the continuous improvement of the quality of
health care practice and organizational outcomes.
• Participates and may lead unit level and/or organizational level committees of nursing practice and performance improvement.
• Participates in department and organizational peer review, mentoring, and coaching regarding professional practice or role
performance.
• Practices efficient use of supplies and maintains a clean, safe, and organized work area.
• Attends staff development in-services, department meetings, and/or nursing committee meetings.
• Partners with the nursing leadership team to identify professional development needs.
• Assumes responsibility for one’s own professional development and continuing education.

Performs all other duties as assigned.
• Maintains equipment and supplies for use in ECMO/perfusion services and provides pertinent information to
supervisor/director in conjunction with biomed or vendors.
• Provides critical nursing resource support to CVICU or other areas as directed by leadership when not providing ECLS
services.