Oncology Acute RN
Peoria, Illinois
OSF Saint Francis Medical Center

Oncology Acute RN (Registered Nurse)

Overview

• Location: Peoria, Illinois
• Contract length: 13 weeks
• Shift: Nights, 12-hour shifts (start times 0700 or 1900)
• Hours: 12 hours per day, 36 hours per week
• Placement: Local placements accepted for clinicians with permanent addresses within 50 miles
• Unit: Oncology Acute, 19 beds, all private
• Shift mix: Could be half days and half nights, or nights only, depending on unit need

Required Qualifications

• Active Illinois RN license, or confirmation that the license application has been initiated
• BLS (AHA)
• ONS/ONCC Chemotherapy Immunotherapy Certificate
• Experience with IV chemotherapy and immunotherapy regimens and administration, including hanging and handling precautions (PPE) and monitoring for medication side effects
• Must pass a negative drug screen for all panels (drug-free campus)

Patient Population and Acuity

• Patient types: All types of cancer (most seen are lymphoma and leukemia), hematology, medical patients, radiation oncology patients, and Gyn/Onc patients
• Ratios: Based on unit census. Typically 1:5 on days and 1:6 on nights, varying to 1:4-5 on days and 1:5-6 on nights. 1:1 staffing for specific medications and therapies.

Clinical Workflow

• RNs are not required to titrate drips. Medication changes require a physician order.
• Set-rate drips include heparin and 24-hour chemotherapy bags (methotrexate).
• RT manages BiPAP and CPAP 24/7. RNs handle CPAP. BiPAP is handled by RNs only if it is the patient's home sleep regimen.
• Telemetry is house-wide. RNs do not need to read or interpret strips. Monitors are Philips.
• Documentation is in the EMR (Epic Beacon).

Support Staff

• Charge RN available 24/7, outside the unit staffing matrix. Charge RNs occasionally take an assignment when needed.
• House supervisor available 24/7.
• PCTs on the unit: with census at 19, 3 PCTs work 0700-1930 and 2 work 1900-0730.

Schedule and Call

• Self-scheduling, with the scheduler balancing the final schedule. Schedules are completed in a 6-week timeframe.
• Weekends: every other weekend, as staffing permits. Days work Sat/Sun and nights work Fri/Sat.
• Holidays: every other holiday.
• Call-off policy: equivalent of 12 hours every 13 weeks with no penalty or need to pay for the shift.
• No call or standby requirement.

Float

• Traveler RNs are added to the float rotation with all other RNs.
• Float episodes are 4 hours or longer. Float assignment rotates to the RN whose last float was furthest in the past.
• Float scope includes any other general medicine level of care.

Orientation

• Non-billable unit orientation: 12 hours, with guaranteed hours not applying during orientation.
• Unit/department orientation: 24-36 hours total.

Other Details

• No specific scrub color required.