Registered Nurse, RN - Muskogee Hospice

Saint Francis Health System

About The Position

The Registered Nurse assesses, plans, directs, and initiates nursing care; coordinates therapy referrals; and communicates with physician offices, staff, patients, and caregivers regarding medical orders. The role provides home health services in the Muskogee area and works with patients and caregivers to develop and implement patient-centered care plans. The nurse evaluates patient eligibility and needs, delivers and documents care, reviews medications, identifies ongoing needs, coordinates referrals and care with the health care team, and provides education to patients and families. The position supports quality and agency goals, participates in interdisciplinary care, and follows agency infection-control policies. This is a full-time, Monday–Friday day position, 8:00 a.m.–4:30 p.m., with reliable transportation required for home visits.

Requirements

Completion of the basic professional curriculum of a school of nursing approved and verified by a state board of nursing, with a diploma or degree from that school.
Valid multistate or Oklahoma Registered Nurse license.
Valid driver's license and a Motor Vehicle Report that meets SFHS guidelines.
Reliable automobile for transportation as needed for home visits.
Good interpersonal and communication skills.
Basic computer skills.
Good clinical skills.
Ability to make independent judgments on non-routine problems under general supervision.

Nice To Haves

At least one year of related experience is preferred.

Responsibilities

Assess patients to determine eligibility and needs for home health services.
Develop and revise patient-centered plans of care based on patient strengths, goals, and care preferences.
Deliver nursing care while considering patients’ cultural, psychological, functional, cognitive, and social needs.
Include patients and families in care planning.
Organize and prioritize case-management responsibilities, including complex tasks.
Use professional judgment in response to changes in patient status and agency constraints.
Complete assigned work within allotted time and productivity standards.
Identify ongoing patient needs, initiate timely referrals, and coordinate care with the health care team.
Complete daily laptop communications and download updates promptly.
Review patients’ medications for adverse effects, reactions, ineffective therapy, side effects, interactions, duplicate therapy, and non-compliance; communicate medication concerns to the health care team.
Maintain an updated medication list in the home and initiate measures to establish an effective medication system.
Document care, data, coordination, and progress toward goals in the EMR using appropriate forms, terminology, and abbreviations.
Develop and revise the Home Health Aide plan based on the agency’s ability to safely meet patients’ ADL and IADL needs.
Conduct and document Home Health Aide supervisory visits at least every 14 days.
Perform nursing skills according to assessed needs and physician orders, following agency processes and policies.
Teach patients and families about emergencies, safety, and home management of disease or illness.
Provide ongoing patient and caregiver education and training to support the plan of care and timely discharge planning.
Communicate discharge-plan revisions to the patient, representative, caregiver, physicians, and health care team responsible for post-discharge care.
Support agency hospital goals through SHP analysis, PDGM case conferencing, one-on-one case conferencing, QA, educational standards, and QAPI.
Make QA/SHP changes accurately and promptly, and modify behaviors or performance to meet standards and thresholds.
Assist with orientation as directed and support an interdisciplinary team approach.
Comply with the Home Health Infection Control Plan and agency infection-control policies and practices.