Home Health and Hospice Baylor (Weekend option)

HOME HEALTH & HOSPICE CARE INC•Clinton, NC

34d

About The Position

Description: The Home Health and Hospice Nurse, RN, Baylor is responsible for working from 5pm Friday thru 8am Monday and taking call as assigned during these hours administering skilled nursing care to patients requiring intermittent, professional nursing services to include Home Health and Hospice patients.

Requirements

Registered Nurse currently licensed to practice nursing in the state of North Carolina.
Minimum of one-year experience as a professional nurse in an acute care setting.
Maintain current CPR certification (BCLS)
Basic computer skills/knowledge and experience in electronic medical records
Ability to understand and communicate well with patients, family, staff, physicians and the public
Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized a plan of care
Possess valid Driver's License and reliable transportation

Nice To Haves

Previous experience working with terminally ill patients preferred

Responsibilities

Conducts the admission of the patient to the Agency by: obtaining a medical history, to include Oasis when needed, particularly as it relates to the present condition, from the patient and / or family member (s); performing a physical assessment of the patient; assessing the patient's support systems to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon admission and throughout care; assessing the patient, family member (s) and home situation to determine what health teaching will be required; assessing the patient's condition and home situation to determine if other home health services are needed; interpreting nursing and other services of the Agency to patient's and families as a part of planning for care.
Develops and implements the patient care plan in cooperation with other Agency professionals and paraprofessionals who will be providing care to the patient in MatrixCare.
Manages assigned cases and provides skilled nursing care as outlined on the physician's plan of treatment and in accordance with the Agency's policies and procedures.
Observes signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention. Ensures on-going evaluation of patient / family response to care.
Adequately educates, teaches, supervises, consults, and counsels the patient / family members regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, end-of-life care, and processes for dealing with issues of ethical concern. Also provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care.
Initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety.
Ensure that care is provided by the Home Health Nursing Assistant by providing the Nursing Assistant with a written plan of care and specific duties to be performed, by supervising and evaluating the care given at least once every two weeks, and by participating in periodic conferences with the Director of Clinical Practice or Assistant Director of Clinical Practice concerning the Nursing Assistant's performance.
Appropriately consults with the attending or on-call physician concerning alteration of the plan of treatment and documents, in writing, appropriate change of orders where necessary.
Communicates with supervisor concerning problems of the patient(s) on a timely basis and communicates information using current process and technology available to the organization.
Turns in all paperwork to the designated person in the office by 5pm on Monday, and syncs ipad nightly when visits are done. Makes a verbal report of new admissions and ER visits to the primary nurse Sunday night or Monday morning between 8:00-9:00 a.m.
Collaborates with supervisor to meet assigned productivity standards
Keeps up-to-date on reimbursement criteria and charting needs for all patients under his/her care and supervision.
Sees scheduled visits after 5:00 p.m. on Fridays as warranted. Works at least one weekend day when Christmas falls on a weekend.
Attends and participates in office staff meetings, patient care conferences, record audits, utilization review, quality improvement/assurance activities, in-services, workshops, and seminars when appropriate. Adheres to the minutes of the ITC and staff meetings.
Continually strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings. Evaluates own needs for support and uses identified system(s) to meet those needs.
Takes weekend call as assigned.
Attends the appropriate hours of in-service training per year as required.
Adheres to the Agency's personnel policies and Compliance Plan.
Willingly performs other duties as assigned by supervisor.
Ensures referrals are evaluated timely with a NPU goal of 6% or less.
Assists with covering visits in other offices as assigned.
Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.