Hematologic Malignancies/Bone Marrow Transplant/Solid Tumor Services (Weinberg 5A)

Unique mixed oncology unit for adult patients. Care of adult patients with solid tumors (breast, lung, colon, melanoma, head and neck, brain, prostate, ovarian) hematologic malignancies (Hodgkin’s and non-Hodgkin’s lymphoma, multiple myeloma, and leukemia) and blood and marrow transplantation for hematologic malignancies. Integration of intensive inpatient/outpatient care , acute and IMC/critical care.

Patient Population

Adults with solid tumors (lung, breast, colon, head/neck, brain, ovarian, prostate) treated with standard of care therapies, clinical trial research protocols including phase I drug studies and individual progressive modes of therapy.

Adults with newly diagnosed, relapsed or refractory leukemia, lymphoma, Hodgkin's disease and multiple myeloma treated with standard of care therapies, clinical trial research protocols and individual modes of therapy.

Adults with hematologic malignancies receiving standard of care and clinical research trial autologous myeloablative stem cell transplants and post transplant care for autologous and allogenic non-myeloablative stem cell transplants.

Number of Beds

• 15
• Average length of stay is 9 days

Nurse/Patient Ratio

• 12 hour AM shift - 1 RN to 2-3 patients
• 12 hour PM shift - 1 RN to 3-4 patients
• Extended charge RN on bth shifts

Rotation/Shifts

• Flexible "preference off" self scheduling model
• Unit specific scheduling guidelines
• 12 hour shifts
• Permanent night and part-time/full time weekend option shifts offered

Skill Mix

• 88 percent RN; 85 percent BSN; 7 percent MSN
• Progressive competency based clinical practice
• Required competencies: provision of high dose standard of care and clinical trial chemotherapy, blood products and CPN administration skills, care of vasular access devices, symptom management, pain and palliative care and end of life care; intensive ambulatory care training and IMC/critical care training
• Career ladder progression and leadership opportunities

Orientation

• 12 week precepted basic orientation program
• Unit based post orientation "binder days" (4 days) wrap up with clinical nurse specialist at about 6 months
• Progressive unit and departmental based learning in clinical skills, disease management, intensive ambulatory care, peer review and leadership roles such as charge RN and preceptor roles
• New Grads: SPRING program

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