RN HOME HEALTH

Covenant Health•Knoxville, TN

5d•Onsite

About The Position

Provides professional nursing care to an assigned group of homebound patients and coordinates care planning with other disciplines. The RN-Home Health reports to the assigned Nursing Clinical Supervisor. This full-time position is 80 hours per pay period with variable shifts and requires local travel. Covenant Health HomeCare and Hospice is the area’s largest locally owned home health and hospice provider, with one of the largest rehabilitation departments in East Tennessee. Its services are part of Covenant Health, East Tennessee’s largest nonprofit health system, which includes nine hospitals and nearly 150 service locations.

Requirements

Graduation from an accredited school of nursing.
At least one year of professional experience in a hospital or prior home health experience.
Must hold and maintain a State of Tennessee RN license.
CPR certification is required.
Valid Tennessee Class D driver’s license and state-mandated minimum insurance coverage; driving record must meet Covenant Health minimum standards at hire and throughout employment.
Ability to travel locally.

Responsibilities

Review patient records and determine home care needs, including OASIS assessments at appropriate time points; develop and revise care and discharge plans; coordinate or refer other services; and participate in interdisciplinary case conferences.
Perform and document cardiovascular, pulmonary, neurological, gastrointestinal, skin, intake and output, and pain assessments.
Perform procedures involving feeding tubes, including insertion and replacement, medication administration through feeding tubes, patient and caregiver education, weighted feeding tube insertion, and care involving bolus or enteral pump feeding.
Perform intravenous procedures, including peripheral IV insertion, maintaining infusion rates, labeling and changing tubing, venipuncture, and accessing central lines.
Provide colostomy and tracheostomy care and suctioning.
Administer intramuscular, subcutaneous, IV push, and IV piggyback medications in accordance with HomeCare policy; document medication administration and verify allergies and physician orders.
Use and maintain equipment such as infusion pumps, ventilators, and manual resuscitators; demonstrate competency in declotting VADs in the home.
Remove and provide care for PICC lines.
Initiate preventive and rehabilitative nursing procedures and regularly reassess patient needs.
Serve as a liaison between physicians and patients or families; communicate orders and changes in patient needs to physicians, families, and staff.
Complete physician orders and send them for signature in a timely manner.
Prepare and submit daily documentation, including physician contacts, contact notes, and mileage.
Apply working knowledge of Medicare guidelines and comply with them.
Educate and counsel patients and families about disease processes, self-care, and prevention strategies, promoting patient and family independence.
Make appropriate referrals.
Follow admission, discharge, on-call, and death procedures outlined by Covenant HomeCare policy.
Follow infection-control procedures, including handwashing, glove use, proper handling and disposal of waste, body fluids, contaminated trash and needles, handling of soiled linens or garments, and cleaning equipment used in the home.
Check schedules and call patients to provide arrival times.
Supervise LPNs and Home Health Aides providing services and assist with orienting new employees.
Demonstrate knowledge and competency in meeting age-specific needs of the population served and perform skills on the annual skills checklist.
Act as case manager when assigned by the Clinical Supervisor and coordinate care for the assigned caseload.
Follow policies, procedures, and safety standards; complete annual education assignments; work toward goals and objectives; and participate in quality improvement initiatives as requested.
Perform other duties as assigned.