Clinical Nurse Coordinator - Wound Ostomy RN

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

Wound and ostomy nurses care for patients directly through hands on care and indirectly through their roles as educators and consultants.

This position is 1.0 FTE, 40 hours/week.

Assesses physical, emotional, social, and spiritual needs and evaluates patients' adaptation to health changes
• Develops a plan of care based on patients' disease, symptoms, and response to treatment
• Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management
• Coordinates with inter-disciplinary team to ensure continuity of care
• Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc.
• Implements, evaluates and modifies plan of care
• Integrates research and evidence based knowledge into clinical practice

In addition to primary responsibilities of the Registered Nurses (RN), the Clinical Nurse Coordinator (CNC) will have the following key responsibilities:

Hands-on care can include actions such as:

• Wound assessment
• Debridement
• Applying topical medications
• Making recommendations on the type of dressing and frequency of dressing changes
• Perform a basic peripheral vascular assessment and recommend compression stockings, wraps, or socks
• Assisting with negative pressure wound therapy management

Direct Patient Care

• Education patients and families: chemotherapy, central lines, injections, home care
• Telephone and email symptom triage
• Dressing changes, medication administration, injections
• New patient orientation
• Caregiver support
• Assessment of needs for additional supportive care resources
• Prescription refills
• Result reviews

Indirect Patient Care

• Supportive care referrals
• FMLA paperwork, disability paperwork, Ferry passes
• Coordination of outside clinical care
• Ensuring continuity of care with outside providers
• Collaboration with research team for patients on trial

Communication and Teamwork

• Attend regular team meetings with provider and nursing teams
• Coordination of care with ancillary services
• Delegation of tasks to appropriate team members
• Coordinating patient schedules with clinic team
• Collaboration with infusion RN and other members of the care team to assure patient needs are met
• Real-time management and escalation of issues in clinic

Professional Development and Clinic Engagement

• Document all nursing care activities accurately and in a timely fashion.
• Demonstrate knowledge and understanding of patient privacy rights.
• Active participation in continuing education, departmental projects, committee work, and quality improvement initiatives

Required:

• Graduate from an accredited school of nursing
• Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and must upgrade to an MSL primary state of residence, WA, within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval.
• Applicants that do not have previous oncology experience will be provided additional training and support
• Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years
• Additional certification may be required dependent upon department.
• Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge
• Ability to develop clinical judgment.
• Time Management skills; the ability to organize and manage time and tasks independently
• Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response.
• Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill.
• Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response.
• Additional required certification for department: CWON or equivalent certification must be obtained within 9 months of hire

Preferred:

• BSN prepared nurse
• OCN (Oncology Certified Nurse) or BMT RN
• 2 years of oncology nursing experience
• Previous telephone triage experience
• Previous outpatient clinic experience
• Takes initiative
• Good communication skills
• Skilled at multitasking and organization
• Active CWON or equivalent certification at time of hire
• Two years wound and ostomy care experience