Registered Nurse-Hospital At Home Full Time Days

Northwestern Memorial Healthcare • Lake Forest, IL

3d

About The Position

The Home Hospital RN provides hospital-level acute care to acutely ill patients in their homes as a substitute for in-hospital care. The nurse practices within the Northwestern Medicine Hospital at Home team and collaborates with physicians, paramedics, advanced practice providers, pharmacists, case managers, social workers, home health aides, physical therapists, and operational staff, depending on patient needs. Home visits are made within a defined radius around site hospitals according to the Hospital at Home care model.

The role reflects Northwestern Medicine’s mission, vision, and values, follows the Illinois Nurse Practice Act and organizational policies and standards, and embodies Relationship Based Care. The nurse coordinates and evaluates patient care, supports patients and families through education and discharge planning, promotes a safe healing environment, collaborates with colleagues, uses clinical technology and resources appropriately, and maintains professional nursing practice and development.

Requirements

• Bachelor of Science in Nursing (BSN); an Associate Degree in Nursing (ADN) is accepted 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.
• 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 analytic abilities.
• Travel within the designated geographic area is required.
• At hire and annually, maintain a valid driver’s license and provide an annual driving abstract.
• Obtain certification in the nursing specialty of practice.

Nice To Haves

• Home Care experience

Responsibilities

• Perform comprehensive patient assessments and document findings, nursing diagnoses, measurable goals, interventions, and patient responses.
• Communicate changes in patient condition promptly and adjust the plan of care as needed.
• Collaborate with patients, families, and the health care team to plan and coordinate care.
• Assess discharge needs and arrange appropriate referrals, including palliative care when needed.
• Complete discharge instructions and medication reconciliation, and educate patients and families about the patient portal and other resources.
• Assess patient and family learning needs and readiness; document education and use teach-back and Krames materials to support patient education.
• Respect patients’ cultural, spiritual, and family needs, treat patients and colleagues with dignity, and follow ethical standards of practice.
• Implement evidence-based nursing interventions and participate in clinical ladder projects or unit- or organization-level process improvement.
• Administer medications safely using bar coding and follow applicable Alaris pump guardrails.
• Promote patient safety and rights, provide accurate bedside handoffs, round hourly with patient care technicians, participate in huddles, and help prevent pressure ulcers, falls, CAUTI, and central line infections as applicable.
• Participate in unit safety and quality initiatives and support organizational quality metrics.
• Oversee and direct patient care or support technicians while remaining accountable for assigned patients.
• Lead clinical response when a patient’s condition changes and confer with the primary care physician about treatment or transfer to an appropriate level of care.
• Coordinate care for the unit when assigned to the charge nurse role; serve as a resource and role model, and assist with precepting, orientation, and mentoring as requested.
• Collaborate with hospital services, provide peer feedback, participate in case review, and communicate barriers to effective practice to nursing leadership and the practice operations council.
• Ensure appropriate level-of-care orders are documented, follow supply charging practices, and participate in value-based initiatives and efforts to reduce overtime utilization.
• Complete electronic and paper documentation; use physiologic monitoring and bed management systems; identify potential technologies and participate in medical record optimization activities as requested.
• Attend professional development offerings, obtain specialty certification, maintain professional practice competencies and required workplace standards, participate in professional organizations, and take assigned lunch breaks.
• Make home visits within the designated geographic area around site hospitals.

Benefits

• The posting describes a wide range of benefits supporting physical, emotional, and financial well-being, but directs applicants to the benefits website for details.

What This Job Offers

• Job Type: Full-time