RN-Home Care

Overview:

Overview

Provides day- to-day patient care in the home setting which includes, but is not limited to: case management and total care of multiple patients with different levels of acuity, admissions to home care services, post-hospitalization assessments, recertifications, discharges, patient teaching, dressing changes, IV therapy administration, access site care and general skilled nursing according to policy and procedure, assists with other needs that may be apparent in the home to assure safety and appropriate care i.e. lifeline, meals on wheels, and instruction on public programs availability. Provides apropriate and timely documentation by utilization of the Epic computer system.

Per Diem position provides visits on a as needed basis following all department policies. Performs duties and responsibilities in a manner consistent with our mission, values and Mercy Service Standards.

Responsibilities:

Responsibilities

OASIS data sets are accurate and done in appropriate time frame.

Admission assessments, post-hospital assessments, and recertifications are complete, correct, and timely.

Medication reconciliation is performed and profiles are complete and up to date.

Documentation is clear, concise and meets all regulations and standards.

Verbal orders are written promptly following the readback rule, care plan changes are instituted and care is initiated only with a physician's order

Pain management is facilitated through physician contact and patient teaching

Knows and practices infection control policies at all times:

Uses appropriate hand hygiene

Follows sharps policy, uses safety needles and other safety devices in performance of duties/procedures

Uses appropriate barriers and personal protective equipment in the home per policy

Maintains clean and dirty areas in the car

Performs and teaches proper disposal of home generated waste

Transports all laboratory specimens according to policy.

Reports lab results in a timely manner according to policy

Reports safety issues or injuries promptly

Maintains accurate supply utilization records and submits to office on a weekly basis

Maintains accurate mileage records and submits to office on a weekly basis.

Knows and practices infection control policy: patient contact equipment, bilibeds, telehealth monitors

Uses cameras effectively and submits pictures for printing on a timely basis.

Accepts assignments in a professional, caring manner

Accepts constructive criticism; uses situations for personal growth

Is adaptable to change: changes in daily schedule, changes in work schedule, changes in departmental

policy

Gives criticism/suggestions in a positve, constructive manner

Adheres to Mercy Values in all aspects.

Uses laptop computer in the home for assessments and for concise information gathering

Carries laptop in computer bag and cares for and maintains it in clean, working condition

Protects laptop form extreme heat or cold temperatures

Downloads computer nightly per policy to insure appropriate sharing of information and continuity of patient

care.

Demonstrates proficiency in clinical skills:

Performs throrough head to toe assessments which include vital signs, thorough cardiiopulmonary assessments, pulse oximetry, recognizes changes and reports appropriately

Performs wound care/dressing changes on all types of wounds using appropriate technique per physician order

Performs urethral and suprapubic catheterizations on male and female patients using appropriate technique

Performs newborn assessments, including all elements, utilizes appropriate equipment

Knows and uses normal growth pattern, developmental stages of infants and children and reports deviations promptly

Knows and uses age appropriate pain assessment tool

Knows pediatric medication dosage calculation and administration of medications using appropriate equipment/devices.

Understands and utilizes care planning, teaching and treatment of special needs children

Understands phototherapy and utilizes beds effectively

Obtain blood samples using appropriate device

Understands nutritional needs of pediatric population;knows and teaches appropriate breast/bottle feeding techniques.

Attends 90% of mandatory weekly staff meetings, unless scheduled for day off.

Participates in department and hospital quality improvement programs

Attends minimum of 70% of scheduled department inservice education classes.

Utilizes the Kronos Timekeeper System effectively and efficiently.

Qualifications:

Qualifications

Education: Graduation from accredited school of nursing.

Licensure: RN license in Arkansas

Valid driver's license in Arkansas or Oklahoma with good record

Automobile liability insurance in amount required by law in the state in which the automobile is registered.

Experience: Three years' nursing experience with minimum one year in a hospital setting, then preferably in home care or the equivalent.

Per Diem position requires minimum one year Home Health experience.

Certifications: CPR biannually

Other: Must be able to lift 50#

Must be able to transfer a patient weighing at least 100# with or without assistive devices

Must be able to bend, reach, stoop, climb stairs, push and pull

Must be able to stand, walk, and sit for extended periods of time

Must be able to drive at least 50 miles at a time

Must be able to drive in adverse weather conditions

Must have good visual or aural acuity, natural or corrected

Must be able to comprehend and follow instructions

Must be able to perform complex tasks

Must be able to learn the computer program currently in use

Must be able to relate to the public, particularly with the elderly

Must be able to maintain work pace relative to workload

Must be able to handle stress and change

Must be able to learn the CMS Rules and Regulations for Home Care

Preferred Education: Basic computer skills

Wound Vac application

Telehealth monitoring

Preferred Licensure:

Preferred Experience:

Preferred Certifications:

Preferred Other:

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