Home Infusion Registered Nurse (PRN)

CSI Pharmacy•Mesquite, TX
•Onsite

About The Position

The Home Infusion Registered Nurse provides home infusion services under the supervision of a Clinical Nurse Supervisor. The role combines clinical, technical, clerical, and general infusion nursing duties, including travel to patients’ homes. The nurse assesses patients, obtains IV and port access, administers intravenous, subcutaneous, and other prescribed medications, monitors patient responses, and educates patients and caregivers. The position also supports pharmacy operations through quality control, record maintenance, inventory management, medication preparation, and assistance with insurance verification and prior authorizations. The position is based in Mesquite, Texas, with a schedule of approximately 5–10 or more hours per week depending on patient needs and availability; hours are not guaranteed. The nurse must be willing to travel up to two hours from Mesquite to patients’ homes. Travel time is included in work hours, and mileage is compensated at $0.48 per mile. Compensation is $45–$55 per hour, depending on experience.

Requirements

  • Must be a licensed Registered Nurse.
  • Two years of RN experience required.
  • One year of experience accessing PIV lines and ports and maintaining PICC lines required.
  • Must have and maintain a valid driver's license and automobile insurance and have access to a reliable automobile.
  • Must be able to multitask and frequently change direction.
  • College degree, certification, or equivalent experience required.
  • Must be willing to travel up to two hours from the Mesquite, Texas area to patients’ homes.

Nice To Haves

  • One year of ER, ICU, or infusion experience preferred.
  • One year of infusion experience in a hospital or home health setting preferred.
  • Active IgCN certification for potential participation in the Immunoglobulin Mentorship Program.

Responsibilities

  • Provide in-home infusion therapy and travel to and from patient residences.
  • Administer prescribed specialty medications by intravenous, subcutaneous, or other appropriate routes according to provider orders and established protocols.
  • Conduct pre-treatment assessments, including review of medical history, allergies, and current medications.
  • Assess and monitor patients’ physical condition and vital signs before, during, and after infusions.
  • Monitor patients for adverse reactions or complications and respond promptly according to clinical protocols.
  • Identify, document, and communicate risks, adverse reactions, and complications associated with infusion therapy.
  • Educate patients and caregivers about prescribed medications, treatment expectations, potential side effects, and post-infusion care and emergency response.
  • Conduct follow-up calls or visits to assess patient progress and monitor for delayed side effects.
  • Provide clinical feedback and collaborate on care plan adjustments based on patient response or changes in condition.
  • Maintain accurate documentation of infusion procedures, patient responses, adverse events, medication administration, education, and follow-up instructions.
  • Collaborate with nurses, pharmacists, and pharmacy staff to coordinate patient care and treatment plans.
  • Communicate concerns about treatment effectiveness, patient responses, or adverse reactions to the Clinical Nurse Supervisor.
  • Prepare and handle medications according to safety protocols and regulatory standards; verify the correct medication and dosage for each patient.
  • Maintain sterile technique and follow infection-control procedures during medication preparation and administration.
  • Monitor specialty medication and infusion-supply inventory, coordinate replenishment, and support accurate stock control.
  • Support insurance verification and prior authorization processes for specialty medications.
  • If assigned and holding active IgCN certification, mentor nursing staff, support training and skills development, observe clinical practice, assess competency, review training documentation, and document mentorship activities.
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