Signature Bend Home Health and Hospice | Registered Nurse Part Time / PRN | Hourly NE | Bend, OR

Signature Healthcare at Home•Bend, OR

1d•Onsite

About The Position

The Registered Nurse plans, organizes, and directs home health care, drawing on nursing experience and community health education to plan and direct services for individuals and families in their homes and communities. The nurse is expected to support Signature Healthcare at Home’s mission, values, and care commitments, including its mission “To Provide Life Changing Service.” The role includes assessing patients and caregivers, establishing and revising individualized plans of care with the certifying medical provider, delivering nursing care and prescribed treatments, educating patients and families, coordinating care with the interdisciplinary team, and documenting services and patient status. The nurse may act as a case manager, coordinate care with LPN/LVN staff, supervise ancillary personnel, participate in on-call duties, and meet productivity and continuing education requirements. The position involves travel to patients’ homes, potentially outside the designated geographic area. Home environments may be unclean, poorly maintained or ventilated, infested with insects or rodents, or affected by secondhand smoke. Driving conditions may be difficult due to weather or traffic. The role may require considerable walking or standing, lifting and transferring patients and equipment, reaching, stooping, bending, kneeling, and crouching.

Requirements

Graduate of an accredited school of nursing.
Currently licensed as a Registered Nurse in the state or states of planned practice.
Current CPR certification.
Licensed driver with an insured automobile in good working order, meeting state and/or organizational requirements.
Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills as defined by the competency checklist.
Self-directed and able to work with minimal supervision.
Able to meet physical demands that include prolonged or considerable walking or standing; lifting, positioning, or transferring patients; lifting supplies and equipment; reaching, stooping, bending, kneeling, and crouching; and having the visual acuity and hearing needed to perform nursing skills.

Nice To Haves

One to two years of recent acute care experience in an institutional setting.
One to two years of recent home health experience.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and their family or caregiver situations.
Provide physical assessments and obtain histories of current and previous illnesses.
Provide professional nursing care in accordance with the nursing process and state Nurse Practice Act.
Establish individualized plans of care with the certifying medical provider based on assessments and patient goals; reassess and revise plans as needed.
Develop care plans with interventions and goals, involving patients and family or caregivers in the planning process.
Initiate preventive and rehabilitative nursing procedures and administer prescribed medications and treatments.
Provide health care instructions and teach patients and caregivers self-care techniques, medication and diet instructions, and other ordered guidance.
Promote patient self-sufficiency or help patients obtain appropriate caregiving.
Act as case manager when assigned and coordinate care for an assigned caseload.
Document patient services, status, and pain or symptom management changes and outcomes accurately and promptly.
Communicate patient needs and changes in condition to medical providers and obtain or receive orders as required.
Work with the interdisciplinary team and support continuity of care among patients, caregivers, and team members.
Attend staff and interdisciplinary team meetings and care coordination activities.
Participate in on-call duties as defined by policy.
Ensure arrangements for equipment and other necessary items and services.
Supervise ancillary personnel and delegate responsibilities when required.
Coordinate patient care with LPN/LVN staff when assigned by the Clinical Manager.
Maintain professional knowledge and skills through continuing education, in-service classes, and required annual education.
Fulfill requested or accepted case assignments and meet productivity expectations.
Participate in quality assessment and performance improvement activities or committees as assigned.
Visit patients outside the designated geographic area when required by census and staffing needs.
Adhere to applicable laws, rules, and standards.
Participate in new employee orientation and student preceptorship when assigned.