Registered Nurse-Hospital at Home-Part Time Days

Northwestern Memorial Healthcare • Lake Forest, IL

12d • $37 - $59

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 role is part of Northwestern Medicine’s Hospital at Home team and works collaboratively with an interdisciplinary group that may include physicians, paramedics, advanced practice providers, pharmacists, case managers, social workers, home health aides, physical therapists, and operational staff. Home visits are made within a defined radius around site hospitals according to the Hospital at Home care model.

The nurse practices in accordance with Northwestern Medicine’s mission, vision, values, Relationship Based Care model, Professional Practice Model core functions, the Illinois Nurse Practice Act, organizational policies, and applicable regulatory and accreditation standards. The role centers on patient-focused care coordination, assessment, care planning, patient and family education, safe clinical practice, collaboration, professional development, and appropriate use of clinical technology and resources.

Requirements

• Bachelor of Science in Nursing (BSN); an Associate Degree in Nursing 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 analytic abilities.
• Travel within the designated geographic area.
• Valid driver’s license at hire and annually, with an annual driving abstract.

Nice To Haves

• Home care experience.

Responsibilities

• Complete and document comprehensive assessments of assigned patients, identify and prioritize patient needs and nursing diagnoses, and communicate changes in condition promptly.
• Develop measurable patient outcomes and care plans based on assessment findings, and revise plans as needed.
• Collaborate with patients, families, and the health care team to plan care; assess discharge needs and make appropriate referrals, including palliative care.
• Evaluate and document patient responses to nursing interventions and adjust the plan of care as necessary.
• Complete discharge instructions and medication reconciliation, and explain the patient portal and other relevant resources to patients and families.
• Assess patient and family education needs, readiness, and learning levels; document education and use teach-back to explain medication side effects and new medications.
• Use Krames materials and Culture Vision resources in patient education, care planning, and care delivery.
• Provide respectful, dignified care that recognizes patient, family, spiritual, and cultural needs and adheres to ethical standards; request an ethics consult when appropriate.
• Implement evidence-based nursing interventions and use reliable evidence resources to support professional nursing practice.
• Participate in clinical LADDER projects or unit- or organization-level process improvement.
• Promote patient safety and rights, administer medications using barcode scanning, provide complete and timely handoffs, and participate in hourly rounds with the patient care technician.
• Support quality and safety goals, including prevention of pressure ulcers, falls, CAUTI, and central line infections as appropriate; participate in huddles and safety or quality initiatives.
• Oversee and direct patient care or support technicians while maintaining accountability for assigned patients; lead and coordinate care when assigned, including responding to changes in patient condition and consulting the primary care physician about treatment or transfer.
• Serve as a resource and role model for staff and students; assist with precepting, orientation, and mentoring as requested.
• Collaborate with hospital services, contribute to peer evaluation and clinical case review, and communicate barriers to effective practice to nursing leadership and the practice operations council.
• Ensure an appropriate level-of-care order is documented for admissions, follow supply charging practices, participate in value-based initiatives, and demonstrate commitment to reducing overtime utilization.
• Complete electronic and paper documentation; use Alaris pump guardrails, understand physiologic monitoring, use the bed management system, identify potentially useful technologies, and participate in CEOC activities as requested.
• Attend professional development offerings, obtain specialty certification, maintain professional competencies and required learning, follow the dress code, participate in professional organizations, and take assigned lunch breaks.

Benefits

• Tuition reimbursement
• Loan forgiveness
• 401(k) matching
• A wide range of benefits supporting physical, emotional, and financial well-being and protection from unexpected life events

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level