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Blood and Marrow Transplant (Weinberg 5C & 5D)

Specialty nursing care for adult patients of all acuity levels, including critical care and outpatient care, on the Myeloma, Lymphoma and Transplant Service.

Patient Population
  • Adults with hematologic malignancies receiving allogeneic and autologous blood and marrow transplants (BMT) and other novel therapies
  • Adults with leukemias, lymphomas, Hodgkin’s disease and multiple myeloma
  • Patients from any oncology service who become critically ill and are treated with ventilators, CVVHD, and/or vasoactive medications
  • Average length of stay: 11 days
Number of Beds
  • 16
Nurse/Patient Ratio
  • Day: 1:1-3
  • Night: 1:1-4
Rotation/Shifts
  • All 12-hour shifts; flexible scheduling based on unit-specific guidelines and a self-scheduling model
Skill Mix
  • 87% RN with Clinical Associate support
  • 70% BSN; 10% MSN
  • Required competencies: administration of chemotherapy, blood, care of multiple types of infusion catheters, critical care, palliative care, symptom management of high-dose therapy, and specialized management of BMT complications including GVHD and unique infections.
Orientation
  • Orientation period extends over the first year including:
    • 10 to 12 week program including oncology and BMT classes and precepted time with experienced RN staff
    • Critical care orientation at 6 months to 1 year
    • IPOP orientation at 9 months to 1 year
  • New Grads: SPRING program

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