Home Health Nurse RN - Mt Pleasant

MyMichigan Health•Mount Pleasant, MI

About The Position

The Staff Registered Nurse provides professional, comprehensive nursing care within the scope of agency services to patients requiring skilled clinical home care. The role uses the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures. The position covers the Mt. Pleasant area and includes ongoing visits to an assigned group of patients and coordination of their care with other staff and disciplines. The nurse develops and evaluates plans of care in partnership with patients, representatives, and caregivers; provides ordered services and patient and caregiver education; communicates with physicians and other practitioners; and documents care in a timely manner. The role may include case management, supervision of LPNs and Home Health Aides, discharge planning, precepting, staff orientation, participation in agency quality improvement and education activities, and weekend, holiday, and on-call rotations.

Requirements

  • Associate degree in nursing (NRG specialization).
  • Registered Nurse credential for Michigan.
  • Basic Life Support certification from AHA within one month of hire or transfer.
  • Valid driver's license.
  • Vehicle insurance.
  • Fingerprinting credential or requirement.
  • Techniques for Effective Aggression Management certification within six months of hire or transfer; employees in the position on or before 12/31/2023 have 24 months to complete it.
  • Successful completion of agency orientation and competency programs.
  • Ability to function as part of a team.
  • Ability to communicate effectively verbally and in writing and understand English.
  • Ability to adapt to frequent changes and recognize people's needs and concerns while maintaining constructive interpersonal relationships.
  • Ability to work independently and demonstrate problem-solving and organizational skills.
  • Ability to drive under hazardous road conditions.
  • Ability to work in home settings where there may be exposure to communicable diseases and unpredictable conditions.
  • Ability to handle multiple tasks, get along with others, maintain regular and predictable attendance, and stay awake.
  • Ability to wear personal protective equipment, including latex materials or an appropriate substitute if required.
  • Ability to move freely about the facility with or without an assistive device and perform the job functions described.
  • Overall vision and hearing, with or without assistive devices.
  • Ability to sit, stand, or walk for extended periods and make postural changes such as stooping, kneeling, or crouching.
  • Ability to meet dexterity demands, including handling, reaching, grasping, fingering, and feeling, sometimes repetitively.
  • Ability to meet medium physical demand requirements: occasionally lift or carry 21–50 lbs.; frequently handle 20 lbs. and/or walk, stand, or use arm/leg controls to push or pull; constantly handle 10 lbs.
  • Ability to follow bloodborne pathogen and TB testing requirements.

Nice To Haves

  • One year of direct patient care experience is preferred.

Responsibilities

  • Assess patient/client needs and provide skilled nursing services as prescribed by the physician-authorized plan of care and accepted nursing practice standards.
  • Initiate plans of care for assigned patients/clients and revise or adapt them as needed.
  • Provide nursing care through ongoing visits to a group of patients/clients, or arrange for services through specialized staff, while sharing the patient/client caseload.
  • Coordinate care by evaluating outcomes and providing ongoing feedback to others involved in care about patient status and needed care-plan changes.
  • Coordinate care provided by LPNs and Home Health Aides, and supervise LPNs as needed.
  • Notify physicians of changes in patient/client condition or care needs and obtain new orders as needed.
  • Function as case manager for an assigned caseload when assigned.
  • Implement preventative and rehabilitative nursing procedures and use community and agency resources to support optimal patient/client care.
  • Document services in the agency documentation system according to agency, professional, and program standards, and assist with maintaining patient/client records.
  • Provide patients, clients, caregivers, and physicians with information to support informed decision-making and optimal independence, as required by regulatory agencies.
  • Establish Home Health Aide care plans and supervise Home Health Aides according to agency guidelines.
  • Make joint visits with other disciplines when needed to ensure consistency of care.
  • Participate in multidisciplinary care coordination, including discharge planning.
  • Serve as a preceptor for student educational visits and participate in orientation of new staff when assigned.
  • Participate in agency, community, or home health organization activities as assigned, as well as staff meetings, in-service education, and other learning opportunities.
  • Maintain required employee personnel and activity records in accordance with agency policy.
  • Perform work according to agency policies and procedures and standards for timeliness, accuracy, and productivity; maintain confidentiality and comply with standards for personal appearance and behavior.
  • Participate in weekend and holiday rotations, on-call duties, and the agency performance improvement process.
  • Assist with agency community education activities as requested.
  • Participate in coordination of patient care and ongoing interdisciplinary assessment.
  • Provide ordered services, patient/caregiver/family counseling and education, and timely clinical notes.
  • Communicate with physicians involved in the plan of care and other healthcare practitioners as needed.
  • Participate in organization-sponsored in-service training.
  • Demonstrate competency in Microsoft Windows and participate in further learning opportunities offered by MyMichigan Health when required.
  • Perform other duties as assigned.
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