Home Care RN - Full-time

Frederick HealthFrederick, MD

About The Position

The Home Care RN position will work 80 hours bi-weekly, Monday - Friday from 8:00am - 4:30pm, with On Call and Holiday Rotation. Frederick Health’s Home Care is undergoing dynamic changes, and this role is part of a diverse healthcare team committed to providing high-quality care to the community. Frederick Health values its Home Care team by offering a new hourly pay structure that replaces a per visit rate, ensuring RNs and LPNs are paid for their time and receive applicable shift differential for weekend, holiday, or off-shift work. A productivity rate is established to allow for more quality time with patients. Home Care staff participate in organizational and unit-based committees/councils, encouraging nurses to share in decision-making processes affecting care delivery and patient outcomes. Frederick Health prioritizes staff safety, providing specific safety training for the Home Environment of Care during orientation and a personal safety alert device. The role supports and incorporates Frederick Health’s mission, vision, core values, and customer service philosophy, adhering to the FH Compliance Program, regulatory requirements, and FH Standards of Behavior. The RN independently provides patient care using the nursing process, performs leadership and teaching duties, supports effective patient care, and participates in continuous quality improvement activities, all while functioning within State and Federal licensing, regulatory bodies, and hospital policies.

Requirements

  • Clinical competency in their departmental area of practice.
  • Ability to use technology and equipment to perform job duties.
  • Effective interpersonal and communication skills.
  • Effective use of proper body mechanics when handling patients, supplies and equipment.
  • Ability to handle a physically demanding environment.
  • Skills and abilities to perform all job description duties according to the age specific patient population served by their department.
  • Ability to meet the requirements annually of the FH Clinical Ladder.
  • Ability to keep patient and employee information confidential
  • Competency in operating equipment required to meet patient care needs.
  • Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state.
  • Associates degree in Nursing required.
  • Certified in Cardiopulmonary Resuscitation (CPR).
  • BLS certification is required of ALL nurses within 90-days of hire.
  • ACLS certification (required for Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath , Observation, 3A, Interventional Rad, Hyperbaric within 1 year of hire).
  • PALS certification (required for Emergency Department, Pediatric Combined, PACU, Preop within 1 year of hire).
  • NRP certification (required for Labor & Delivery, Family Center, NICU, Women & Children Float, Family Focus Baby Best within 1 year of hire).
  • Oncology/Thorasic-Chemotherapy certification (required for 2C within 1 year of hire).
  • Base Station certification (required for Emergency Department within 1 year of hire).
  • C-EFM certification (required for Labor & Delivery, Family Center (Antepartum assigned RNs) within 1 year of hire).
  • IBCLC certification (required for Family Focus Baby Best within 1 year of hire).
  • Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups: Neonate (0 thru 30 days), Infant (31 thru 12 months), Child (13 months thru 12 years), Adolescent (13 years thru 17 years), Adult (18 years thru 65 years), Geriatric (66+ years).

Nice To Haves

  • Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment.

Responsibilities

  • Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards.
  • Uses knowledge and experience in identifying patient needs and prioritizing treatment.
  • Recognizes and accurately documents and communicates subtle changes in patient assessment.
  • Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy.
  • Anticipates potential changes in patient’s condition and responds appropriately.
  • Anticipates needs based on assessment findings and proposed procedure or course of care.
  • Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care.
  • Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies.
  • Efficiently organizes and prioritizes patient care and seeks assistance when necessary in order to meet the needs of individual patients.
  • Actively participates in development of standards of care according to departmental, organizational, professional or regulatory standards.
  • Implements plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards.
  • Completely and accurately implements and documents nursing interventions and patient response.
  • Communicates pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach.
  • Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve.
  • Demonstrates flexibility in giving and receiving patient assignments on the department and hospital-wide based on skill mix of the staff available and patient care demands.
  • Evaluates nursing care, which includes tools and equipment related to patient care.
  • Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care.
  • Evaluates new and existing equipment, policies, procedures and programs.
  • Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly.
  • Identifies variances from expected outcomes and makes appropriate recommendations.
  • Provides patient/family education
  • Assesses patient/family for: Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn Cultural, religious, financial and patient preference implications related to learning.
  • Identifies learning needs and establishes goals using standardized or individualized teaching plans.
  • Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate.
  • Evaluates effectiveness of teaching.
  • Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
  • Integrates discharge planning and referral into the teaching process.
  • Documents teaching per policy.
  • Independently offers support to less experienced staff to aid in patient/family teaching.
  • Demonstrates professional expectations as evidenced by: Incorporates suggestions for self-development and/or performance into daily practice.
  • Meets all requirements of clinical ladder level.
  • Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale.
  • Utilizes supplies, equipment, and technology to ensure quality of patient care.
  • Floats to other nursing units in the hospital as requested
  • Demonstrates leadership/accountability qualities.
  • Consistently utilizes communication style that sets department tone for positive professional behavior.
  • Promotes meaningful focused communication between all members of the healthcare team as appropriate.
  • Encourages professional interactions between ancillary healthcare givers, including physicians.
  • Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
  • Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff.
  • Adheres to program policies and participates in effective department orientation.
  • Demonstrates accountability for the following which includes but is not limited to: Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards.
  • Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc.
  • Must complete all Hospital wide and Department specific competencies.

Benefits

  • Comprehensive and affordable benefits package.
  • Health insurance (offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week).
  • Dental insurance (offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week).
  • Vision insurance (offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week).
  • Life insurance (employer paid for eligible employees).
  • Short-Term Income Replacement (employer paid for eligible employees).
  • Long-Term Disability (employer paid for eligible employees).
  • Robust Paid Time Off program for eligible employees.
  • 403B retirement plan (includes an employer match to eligible employees).
  • Free financial planning sessions.
  • Educational assistance program.
  • Employer paid Employee Assistance Program.
  • Applicable shift differential for weekend, holiday, or off shift work.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

501-1,000 employees

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