Home Health Nurse - Oahu - Hospice On Call

Provides home health care to Kaiser Permanentes Home Health patients in coordination with physician orders and nursing interventions. Maintains professional, clinical, technical, and interpersonal skills to provide best possible service.

• Plans for and participates in professional development activities to keep current of trends in home health nursing and/or clinical nursing skills.
• Documents all care provided to patients and plans pertaining to care according to Home Health Services standards, federal and state regulation(s). Assures that medical record is accurate, legible, and complete; and completes accurate daily visit log. Completes assessments and documentation per State and Federal law (e.g. OASIS) for all applicable patients assigned. Submits documentation in timelines specified by Home Health Standards, Federal and State regulation(s).
• Provides comprehensive nursing care as prescribed by patients physician and in compliance with Home Health Services established standards, policies, and procedures. Evaluates patients response to identified interventions. Reviews and interprets laboratory values. Demonstrates knowledge and skill in providing wound care. Provides all care according to established, written plan of care. Modifies/updates/changes plan of care when indicated by patients condition and/or physician orders. Obtains physician orders as required by State and Federal laws. Initiates appropriate preventative and rehabilitative nursing procedures.
• Provides case management, as caseload assigned. Coordinates all necessary services to be provided to patients. Integrates all services into plan of care.
• Participates in multidisciplinary team conferences (formal and informal) to coordinate, discuss, and evaluate services provided to patient. Communicates with other Home Health personnel, other departments and with community resources to coordinate care and services for Home Health Services patients.
• Recognizes and interprets significant physiological and behavioral changes in patients condition. Reports findings appropriately to physician, Home Health Manager and/or other individuals involved in care of patient. Demonstrates critical thinking such as problem-solving, reflective practice, clinical reasoning, prioritizing, etc. Determines in conjunction with physician, when patient care needs to be shifted into another setting. Re-evaluates patients nursing needs regularly when licensed practical nurse furnishes services.
• Notifies Home Health Manager and/or designee of unusual circumstances or abnormal conditions which might result in schedule change for self or other employees. Reports problems, incidents and/or concerns to Home Health Manager in timely manner.
• Establishes and coordinates plan of care for patients assessing educational, equipment, skilled and non-skilled services and needs. Maintains productivity levels per agency standard.
• Provides verification of current licensure/certification.
• Maintains, uses, and responds to (as applicable): voicemail, pager, e-mail, and computer.
• Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.
• Participates in performance improvement. Identifies and presents improvement opportunities to organization and implements Quality Improvement process(es). Identifies and reports infections of patients. Assists with development and implementation of departments annual work plan. Performs clinical record audits, as assigned. Maintains educational record and provides evidence of competency.
• Follows all applicable laws, rules and recommendations for safe driving while on duty.
• Prepares weekly schedule of patient visits for self, and licensed practical nurse, and keeps Referral Center apprised of schedule changes and openings for new admissions and other added visits. Rotates weekend, holiday and after hour coverage with other Home Health nurses, as required.
• Participates in Home Health Services functions such as staff meetings, staff in-services, and committees, as assigned. Participates in orientation of new personnel to Home Health Services and precepts students as assigned.
• Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice.
• Instructs patient, family, and other caregivers on nursing and aide-related care to promote independence and self-care.
• May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
• Evaluates patients, families, and home environment on admission and subsequent home visits. Determines if home environment is safe and appropriate for provision of home health services. Assesses patients physical and psychosocial needs. Develops and/or revises an appropriate plan of care. Communicates and coordinates plan of care with physician(s), patients and family, and other health care providers. Implements care, as ordered. Identifies problems accurately. Establishes reasonable/measurable goals. Establishes discharge planning in conjunction with the care planning process. Prepares and delivers medical supplies and orders equipment necessary for provision of prescribed care/service.
• Develops area of clinical expertise within Home Health Nursing, and provides instruction/supervision in area to others in agency, as requested. Provides guidance and supervision to licensed practical nurse. Supervises care provided by Home Care Aides (HCA). Prepares HCA assignments. Coordinates patient care. Makes HCA evaluation visits, and provides feedback to HCA. Documents HCA supervision.

• One (1) year medical/surgical nursing experience, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable, or
• One (1) year Home Health agency (Medicare certified agency) experience.

• Associates degree from accredited school of nursing.

• Registered Nurse License (Hawaii)

• Drivers License (in location where applicable)

• Basic Life Support from American Heart Association

• Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, problem solving, systems thinking, decision making, adaptability, and change management.

• Certified Home Health Nurse by the American Nurses Association (ANA).
• Bachelors degree in nursing.
• Demonstrated knowledge of venipuncture and IV therapy, antibiotic therapy, respiratory therapy, patient assessment (physical and psych/social), hyperalimentation and TPN, colostomy and ileostomy care, and catherization (male and female), bowel and bladder training, wound care, diabetic care, transfer skills, care of terminally ill, and patient teaching.

PrimaryLocation : Hawaii,Honolulu,Moanalua Ancillary Building
HoursPerWeek : 1
Shift : Day
Workdays : Sun, Mon, Tue, Wed, Thu, Fri, Sat./ Variable
WorkingHoursStart : 10:00 AM
WorkingHoursEnd : 02:00 PM
Job Schedule : Call-in/On-Call
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-HI-08|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Nursing Licensed & Nurse Practitioners
Department : Moanalua Medical Center - Hospice - Internal - Other - 1201
Travel : Yes, 75 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.