On-Call Nurse, RN

HOME HEALTH & HOSPICE CARE INC•Fayetteville, NC

About The Position

On-call Nurse, RN Office: Clinton, NC (Covering Cumberland, Duplin and Sampson County) Compassionate Care is our Calling! Why choose 3HC: 3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best. Summary: The On-Call Nurse, RN responds to calls from home health and hospice patients, families, and caregivers. The nurse assesses, utilizes critical thinking and gives advice or delivers care to patients utilization the nursing process of assessment, planning, interventions, and evaluation; and effectively interacts with patients, caregivers and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency.

Requirements

Registered Nurse currently licensed to practice nursing 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
Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
Possess valid Driver’s License and reliable transportation

Responsibilities

Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.
Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
Provides skilled nursing care as outlined in the physician’s plan of treatment, according to 3HC’s policies and procedures and as allowed by the Practice Act of the N.C. State Board of Nursing; observes and documents 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 needs and response to care; refers to other services as needed; initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient’s care and safety; educates, supervises, consults and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern and assures the development and implementation of the patient individualized plan of care and updates as needed.
Home Health Patients: Conducts a complete assessment of the patient to identify appropriate care needs: (a) obtains a medical history to include OASIS when needed, particularly as it relates to the present condition; (b) performs a physical assessment; (c) assesses the support system to determine what assistance will be available from family members and their ability to meet the patient’s immediate needs upon changes throughout care; (d) assesses the patient, family member(s) and home situation to determine what health teaching will be required; (e) assess the patient’s condition and home situation to determine if other home health services are need; (f) interprets nursing and other services of the agency to the patient and family as a part of planning for care; and, (g) plans for discharge from services.
Hospice Patients: Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician’s plan of care, according to 3HC’s policies and procedures and as allowed by the Practice Act of the N.C. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c)Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) Actively participates in the coordination of all aspects of the patient’s hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. Provides ongoing assessment of medicinal, DME needs.
Documents in the medical record electronically and downloads daily: (a) those services rendered to the patient; (b) conferences held with other disciplines, physician, or community resources; (c) changes noted in the patient’s condition and/or family home situation; (d) revisions in the nursing care plan as needed; (e) evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals. Download will include time and travel documentation. Responds within 48 hours to requests for documentation correction/completion.
Ensures the physician and/or Hospice Medical Director is involved ongoing with the patient’s care: (a) reports to the physician and/or Hospice Medical Director and other applicable personnel, reactions to treatments, including drugs, and change in the patient’s physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician and/or Hospice Medical Director concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.
Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; and (b) obtains verbal orders from Hospital, MD and attending within 48 hours of SOC; and (c) keeps up-to-date on reimbursement criteria and documentation requirements for all patients.
Completes home health and hospice admission visits and resumption of care visits during hours scheduled to work.
Covers territory assigned by supervisor and conducts on call visits during hours scheduled to work. Triages all patient calls timely and professionally according to patient acuity.
Notify attending physicians, staff members, and family members of patient deaths when they occur.
Collaborates with Procare Pharmacy regarding medication changes, administration, and recommendations as needed.
Maintains regular communication with supervisor. Communicates problems of the patient(s) on a timely basis following chain of command. Communicates information using current process and technology available to 3HC. Coordinates home health and hospice care with Director of Clinical Practice/Assistant Director of Clinical Practice, Director of Home Hospice Services and the interdisciplinary team.
Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences as needed; (c) attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.