Registered Nurse-Hospital At Home Full Time Days
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 role emphasizes innovative clinical practice, interdisciplinary teamwork, and patient-centered care. The nurse practices under department leadership, follows the State of Illinois Nurse Practice Act and organizational policies and standards, and embodies Northwestern Medicine’s mission, values, and Relationship Based Care model. The role includes coordinating and documenting patient care, educating patients and families, promoting safety and quality, collaborating with colleagues, using clinical technology, and maintaining professional practice. The position requires travel within a designated geographic area and is a full-time day-shift position of 36 hours per week (0.9 FTE).
Requirements
- Bachelor of Science in Nursing (BSN); 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.
- 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 and annual driving abstract at the point of hire and annually.
Nice To Haves
- Home care experience.
Responsibilities
- Perform comprehensive assessments of assigned patients and complete required documentation.
- Communicate changes in patients’ conditions promptly.
- Develop, document, and update nursing diagnoses, measurable patient goals, and plans of care based on assessment findings.
- Identify and prioritize patient needs and collaborate with patients, families, and the health care team in planning care.
- Assess discharge needs, make appropriate referrals including palliative care, and provide complete discharge instructions and medication reconciliation.
- Educate patients and families, assess learning needs and readiness, use teach-back, and provide relevant patient education resources.
- Respect patients’ cultural, spiritual, and ethical needs and involve significant others as appropriate in care planning.
- Implement evidence-based nursing interventions and participate in clinical improvement or research-related activities.
- Promote a safe care environment, administer medications safely using bar coding, provide accurate handoffs, round hourly with patient care technicians, participate in huddles, and support quality initiatives.
- Oversee and direct patient care or support technicians while maintaining accountability for assigned patients.
- Lead clinical response when a patient’s condition changes and confer with the primary care physician about treatment or transfer to a higher level of care.
- Serve as a resource and role model for staff and students; assist with precepting, orientation, and mentoring as requested.
- Collaborate with hospital services, identify barriers to effective clinical practice, and communicate them to nursing leadership and practice operations.
- Ensure appropriate level-of-care orders are documented, charge supplies appropriately, and participate in value-based initiatives.
- Complete electronic and paper documentation and use clinical technologies including Alaris pump guardrails, physiologic monitoring, and the bed management system.
- Participate in professional development, obtain specialty certification, maintain professional competencies, and engage in professional organizations.
- Take assigned lunch breaks.
- Make home visits within the defined geographic area around site hospitals and maintain a valid driver’s license and annual driving abstract at hire and annually.
Benefits
- The posting describes a wide range of benefits supporting employees’ physical, emotional, and financial well-being.
- Tuition reimbursement
- Loan forgiveness
- 401(k) matching
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
