Career Center

Apheresis (A-fer-E-sis) is a well-established specialty involving several interdisciplinary teams including transfusion medicine, hematology/oncology, laboratory medicine, immunology, transplant medicine, neurology, and cardiology. Apheresis nurses manage various procedures including therapeutic plasma exchanges, red blood cell exchanges, LDL apheresis, extracorporeal photopheresis, peripheral blood stem cell collections, and CAR-T cell collections

Procedures are performed at a single academic hospital under the supervision of an on-site Transfusion Medicine physician. The apheresis program is predominantly an outpatient service with inpatient procedures performed when medically indicated. In addition to running the apheresis instruments, nursing tasks include patient education, vascular access evaluation and care, medication administration, reaction management, and coordination of care. Apheresis nurses undergo a rigorous on-site training process that includes a thorough education on principles of apheresis medicine, preparation and maintenance of apheresis machines, and reaction protocols. As an additional bonus, the nurses oversee the care of our healthy blood donors in the Blood Donor Program. We offer flexible scheduling M-F and there is some on call once you are fully trained.

Purpose:

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

Key Responsibilities:

Practitioner
1. Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
2. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
3. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
4. Actively seeks feedback and acts to improve performance.
5. Engages in the governance of practice.

Leader/Decision Maker
6. Manages interpersonal relationships for self and with others.
7. Mentors colleagues for the advancement of nursing practice and the profession.
8. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
9. Prioritizes and organizes time to optimize patient outcomes.

Scientist
10. Actively seeks out the most current evidence and standards and applies and translates to daily practice.
11. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.

Transferor
12. Communicates effectively in a variety of formats in all areas of practice.
13. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
14. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
15. Performs other duties as required or assigned.

Minimum Qualifications:
- Graduate from an accredited Nursing Program required.
- Bachelor of Science Degree in Nursing (BSN) with 1 year of experience.
- Associate Degree (ADN) prepared nurses with 2 years' experience.
* All Associate Degree (ADN) prepared nurses must commit to completing a BSN or higher nursing degree within 10 years of their hire date.

Required Licensure/Certification Skills:
- Licensed Registered Nurse in New Hampshire required.
- Basic Life Support (BLS) Certificate required upon hire and as applicable, higher level per unit certification requirements as stated on the grid attached to the AHA and Life Support Policy
- ACLS Certificate required upon hire in Endoscopy, Tele-ICU, Day Surgery Center at CGP (Manchester), Life Safety and Cardiology-Echocardiography

To apply, please visit: https://jobsearch.dartmouth-hitchcock.org/job/nursing/laboratory/lebanon-nh/d-h-medical-center/13404/rn-apheresis/18339350

EOE