Registered Nurse - Home Health Infusions

Simple Staffing•Omaha, NE

About The Position

Simple Staffing is hiring on behalf of Caring for People Services Home Healthcare. The Registered Nurse (RN), Home Infusion provides skilled professional nursing care to patients receiving non-chemotherapy specialty infusion therapies in their homes. The RN uses clinical expertise in vascular access management, infusion therapy administration, patient assessment, and education to provide safe, high-quality care. The position operates in accordance with physician orders, organizational policies, the state Nurse Practice Act, and applicable regulatory and accreditation standards. The RN promotes optimal patient outcomes through clinical excellence, patient and caregiver education, collaboration, and adherence to safety and infection-prevention standards. The role includes comprehensive assessment and care planning; peripheral and central vascular access management; administering and monitoring infusion therapies; responding to complications and emergencies; assessing home safety; and accurate documentation. The RN collaborates with physicians, pharmacists, and interdisciplinary team members, participates in quality improvement and continuing education, and works independently in home settings. Regular participation in an on-call rotation and after-hours support is required. Some travel within Nebraska is required. A company vehicle is available for checkout; mileage is reimbursed if one is unavailable.

Requirements

Current Registered Nurse (RN) license in the state of practice.
Current BLS certification.
Valid driver's license and reliable transportation.
Three years of RN experience.
Critical care experience.
Strong clinical assessment and critical-thinking skills.
Proficiency in vascular access and infusion therapy techniques.
Ability to work independently in varied home environments.
Excellent verbal and written communication skills.
Strong documentation skills and proficiency with electronic medical records.
Ability to maintain confidentiality and professionalism.
Physical ability to lift and transport equipment and supplies weighing 25–50 lbs.

Nice To Haves

One year of recent infusion experience.

Responsibilities

Perform comprehensive initial and ongoing nursing assessments, including head-to-toe and therapy-specific assessments.
Assess whether patients are appropriate for home infusion therapy.
Evaluate and document pain, symptoms, and responses to treatment.
Develop, implement, and update plans of care with the ordering provider and interdisciplinary team.
Interpret clinical data and identify patient-specific needs across adult and geriatric populations.
Evaluate patient outcomes and adjust care plans as clinically indicated.
Initiate and manage peripheral IV access.
Access, de-access, and maintain PICC lines, midlines, implanted ports, and tunneled and non-tunneled catheters.
Perform sterile central-line dressing changes according to evidence-based standards.
Administer prescribed infusion therapies, including IV antibiotics, biologic agents, IVIG, hydration therapy, and TPN as applicable.
Monitor for and manage infusion-related complications, including hypersensitivity reactions, anaphylaxis, extravasation, occlusions, and line infections.
Initiate emergency interventions per protocol and notify providers as appropriate.
Maintain competency consistent with Infusion Nurses Society standards.
Educate patients and caregivers on medications, potential side effects, aseptic technique, line flushing and maintenance, infusion pump operation, medication storage and handling, and warning signs that require medical attention.
Assess caregiver competency before independent administration.
Develop individualized teaching plans and evaluate learning effectiveness.
Assess home environments for safety and suitability for therapy.
Ensure appropriate storage, handling, and disposal of medications and biohazardous waste.
Follow infection-prevention standards, sharps safety, and bloodborne-pathogen precautions in the home.
Complete timely and accurate documentation of assessments, infusion start and stop times, medication verification, patient response and tolerance, and adverse events.
Document in accordance with the state Nurse Practice Act, organizational policies, and CHAP accreditation standards.
Participate in Quality Assurance and Performance Improvement activities.
Report incidents, adverse drug events, and safety concerns according to policy.
Maintain HIPAA compliance and patient confidentiality.
Collaborate with physicians, pharmacists, and interdisciplinary team members.
Demonstrate cultural sensitivity and respect for patients' psychosocial, spiritual, and individual needs.
Maintain required competencies, participate in continuing education, and stay current on medications and infusion therapies.
Work flexibly and independently in varied home environments, and regularly participate in on-call rotation and after-hours support.
Travel within Nebraska as required.