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

Signature Healthcare at Home•Bend, OR

20h•Onsite

About The Position

The Registered Nurse plans, organizes, and directs home health care, drawing on nursing experience with an emphasis on community health education and experience. The nurse uses community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. The role is expected to uphold Signature Healthcare at Home’s mission, values, and care commitments, including its mission, “To Provide Life Changing Service.” The nurse completes comprehensive patient and family/caregiver assessments, provides professional nursing care, and establishes and updates individualized plans of care in collaboration with the certifying medical provider. The role includes administering prescribed medications and treatments, educating patients and caregivers, coordinating care with providers and the interdisciplinary team, and serving as case manager when assigned by the Clinical Manager. The position also involves documentation, on-call duties, supervision or delegation to ancillary personnel when required, participation in meetings and quality improvement activities, and maintaining professional competence. Work may involve visiting homes in poor or unsafe condition, challenging weather or traffic, and travel outside the designated geographic area based on census and staffing needs.

Requirements

Graduate of an accredited school of nursing.
Currently licensed as a Registered Nurse in the state or states of planned practice.
Possess and maintain CPR certification.
Hold a valid driver’s license and have an insured automobile in good working order in accordance with state and/or organization requirements.
Have excellent observation, verbal and written communication, problem-solving, and basic math skills, and nursing skills meeting the competency checklist.
Be self-directed and able to work with minimal supervision.
Be capable of prolonged or considerable walking or standing; lifting, positioning, or transferring patients; lifting supplies and equipment; and considerable reaching, stooping, bending, kneeling, or crouching.
Have the visual acuity and hearing needed to perform required 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 and ongoing comprehensive assessments of patients and their family/caregiver living situations, including physical assessments and health histories.
Provide professional nursing care using the nursing process and in accordance with the state Nurse Practice Act.
Establish and regularly reevaluate individualized plans of care in collaboration with the certifying medical provider, revising plans as patient status and needs change.
Develop care plans with interventions and goals, involving patients and family/caregivers in planning.
Initiate appropriate preventive and rehabilitative nursing procedures independently.
Administer medications and treatments prescribed by the medical provider in the plan of care.
Provide patient health-care instructions and teach patients and caregivers self-care techniques, including medication, diet, and other instructions as ordered.
Support patient self-sufficiency and access to appropriate caregiving.
Act as case manager when assigned by the Clinical Manager and coordinate care for the 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 the medical provider and obtain or receive orders as required.
Work with the interdisciplinary team to support continuity of care and attend required staff meetings, team meetings, and care coordination activities.
Participate in on-call duties as defined by the on-call policy.
Ensure arrangements for equipment, necessary items, and services are available.
Supervise ancillary personnel and delegate responsibilities when required.
Coordinate patient care with an LPN/LVN when assigned by the Clinical Manager.
Maintain and improve professional knowledge and skills through continuing education and in-service classes; complete mandatory annual education.
Fulfill requested or accepted case assignments and meet productivity expectations.
Participate in quality assessment and performance improvement activities, committees, employee orientation, and student preceptorship as assigned.
Travel outside the designated geographic area when required by census fluctuations or staffing needs.
Maintain knowledge of and comply with applicable laws, rules, and standards.