Registered Nurse-Hospital At Home Part Time Days

Northwestern Memorial Healthcare•Lake Forest, IL

3d•$37 - $59

About The Position

The Home Hospital Registered Nurse provides hospital-level acute care to acutely ill patients in their homes as a substitute for in-hospital care. The nurse makes home visits within a defined radius around site hospitals and works as part of the Northwestern Medicine Hospital at Home interdisciplinary team, which may include physicians, paramedics, advanced practice providers, pharmacists, case managers, social workers, home health aides, physical therapists, and operational staff. The position emphasizes patient-centered care, interdisciplinary teamwork, and an innovative clinical setting. The nurse practices in accordance with Northwestern Medicine’s mission, vision, and values, the State of Illinois Nurse Practice Act, the organization’s Code of Ethics and Corporate Compliance Program, and applicable policies, procedures, regulatory requirements, and accreditation standards. Under department leadership, the nurse delivers relationship-based care and performs the core functions of professional nursing practice.

Requirements

Bachelor of Science in Nursing (BSN).
Current State of Illinois Registered Professional Nurse license.
American Heart Association Basic Life Support (BLS) certification.
At least one year of recent nursing experience in an acute or emergency setting.
Strong interpersonal skills.
Ability to collaborate with others.
Strong analytical abilities.
Ability to travel within the designated geographic area.
Valid driver’s license at hire and annually, and an annual driving abstract.
An Associate Degree in Nursing (ADN) is acceptable with a commitment to obtain a BSN from an accredited program within three years of the first day of employment in a clinical nurse role.

Nice To Haves

Home care experience.

Responsibilities

Perform and document comprehensive patient assessments, identify and prioritize patient needs and nursing diagnoses, and communicate changes in patient condition promptly.
Develop measurable patient goals and plans of care based on assessment data, evaluate patient responses to interventions, and revise the plan as needed.
Collaborate with patients, families, and the healthcare team to plan care, assess discharge needs, and make appropriate referrals, including palliative care.
Complete discharge instructions and medication reconciliation, and provide patients and families with information about the patient portal and other relevant resources.
Assess patient and family learning needs and readiness, document education, use teach-back to educate patients about medication side effects and new medications, and distribute Krames education materials.
Respect patients’ cultural, spiritual, and family needs, value significant others’ contributions to care, follow ethical standards, and request an ethics consult when appropriate.
Implement evidence-based nursing interventions and use reliable evidence resources to support nursing practice.
Participate in a clinical LADDER project or unit- or organization-level process improvement.
Promote patient safety and rights; administer medications using bar coding; provide complete, timely, accurate handoffs; round hourly with patient care technicians; and participate in huddles and safety or quality initiatives.
Support quality practices focused on preventing pressure ulcers, falls, CAUTI, and central line infections as appropriate to the practice area.
Oversee and direct patient care or support technicians while maintaining accountability for assigned patients; lead and coordinate care when assigned, including charge nurse or preceptor responsibilities.
Take the clinical lead when a patient’s condition changes and consult the primary care physician regarding treatment or transfer to an appropriate level of care.
Serve as a resource and role model for new staff, students, and system personnel; assist with orientation, precepting, and mentoring as requested.
Collaborate with hospital services, provide peer feedback, and communicate barriers to effective practice to nursing leadership and the practice operations council.
Ensure an appropriate level-of-care order is documented in the EMR, follow supply charging requirements, and participate in value-based initiatives.
Complete electronic and paper documentation; use Alaris pump guardrails, physiologic monitoring, and the bed management system; and participate in requested medical-record optimization activities.
Attend professional development offerings, obtain certification in the nursing specialty of practice, maintain professional competencies and required learning, and participate in professional organizations.
Take assigned lunch breaks.