Senior Registered Nurse - Hospital at Home

Parkland Health

About The Position

The Senior Registered Nurse provides acute, hospital-level care to patients in their homes through Parkland’s Hospital at Home program, which combines in-home care with remote monitoring. The program serves patients with conditions such as pneumonia, cellulitis, COVID-19, urinary tract infection, dehydration, and exacerbations of chronic conditions including heart failure and chronic obstructive pulmonary disease. The RN coordinates patient care in the home using the nursing process and Parkland’s nursing professional practice model: assessing patients in their environment, identifying nursing diagnoses, developing and implementing individualized plans of care, and evaluating patient responses. The RN helps patients move through the healthcare encounter without preventable complications or delays and delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and staff competencies. The position requires independent judgment and coordination of care for multiple patients across Dallas County. The RN collaborates with providers and other disciplines, recognizes and responds to emergencies, supports patients and families through education, and helps address patient social needs. The RN also documents care, maintains applicable licensure and certifications, supports compliance with relevant rules and standards, and contributes to staff training and departmental improvement.

Requirements

Graduate of an accredited school of nursing.
At least two years of nursing experience in an acute care setting.
Current, valid RN license or temporary RN license from the Texas Board of Nursing, or a valid Compact RN license.
Current healthcare provider CPR course completion card from the American Heart Association, American Red Cross, or Military Training Network.
Current, valid driver’s license.
Ability to provide care in accordance with the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
Ability to perform continuous patient assessment, exercise independent judgment, and provide patient-centered care.
Effective communication with patients, families, and hospital staff.
Comfort providing healthcare in patient homes.
Ability to recognize and escalate emergencies and assist with corrective action.
Ability to organize and prioritize assignments, duties, and responsibilities.
Ability to collaborate with multiple disciplines and identify, address, and escalate patient social needs.
Ability to direct non-nursing staff and serve as a preceptor.
Ability to adapt quickly and positively to changing processes, schedules, responsibilities, and expectations.
Understanding of physical assessment, aseptic techniques, IV skills, and universal precautions.
Ability to use navigational aids to locate specific addresses.

Nice To Haves

Bachelor of Science in Nursing.
Experience in the home environment.

Responsibilities

Advocate for patients by respecting their needs, rights, confidentiality, and religious and cultural preferences.
Coordinate and deliver care to multiple patients in Dallas County, independently structuring the workday according to department nursing procedures.
Complete patient assessments, admission criteria, clinical interventions, discharge planning, and interdisciplinary communication.
Use critical thinking to recognize emergencies, provide appropriate interventions, consult team members, notify providers of changes in patient condition, and implement orders promptly.
Exercise independent judgment in providing safe nursing care.
Maintain accurate and timely entries in patient care records and hospital documents, ensuring documentation meets department and Parkland standards.
Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines, and support compliance with accreditation and health-plan requirements.
Maintain knowledge of sanitation, infection control, safety, supplies, equipment, and appropriate use of materials.
Provide patient-care education and training to patients and family members and serve as a resource on clinical care issues.
Maintain positive working relationships with Parkland customers, employees, and healthcare team members.
Serve as a preceptor or trainer to newer nursing staff.
Prepare and conduct at least one in-service educational program for the Hospital at Home Department each year.
Identify opportunities to improve work processes and patient and customer satisfaction; make recommendations and implement and monitor improvements as appropriate.
Stay current with developments and trends in the field through professional learning and maintain required licensure and certifications.
Integrate new knowledge into current work practices and seek guidance as needed to ensure understanding of applicable requirements.