Registered Nurse (Experienced Rn) Hospice Home Team

Duke Homecare & Hospice Duke Homecare & Hospice offers hospice, home health and infusion services as well as serves as the home for the Duke Caregiver Support Program. Our Hospice team works closely with a patient's physician to provide comprehensive, individualized care in the comfort their home or at our inpatient hospice facility located in Durham. Our team of nurses, therapists, social workers, counselors, and chaplains help patients and their families manage advanced medical conditions. Duke Home Health provides services in a patient's home that include skilled nursing, physical therapy, occupational therapy, speech therapy, social service, home health aides, and pain and wound management. Our infusion team comes to a patient's home to administer intravenous medications, including antibiotics and chemotherapy, to children and adults. Our nurses, pharmacists, dietitians, and patient services coordinators work under the direction of a patient's doctor to monitor needs and treatment.

Duke Nursing Highlights:

• Duke University Health System has 6000 + registered nurses
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

To have the opportunity to speak to someone further about this position, please click this link to schedule with a recruiter: https://calendly.com/jacqueline-huff/homecare-hospice-information

Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below:

• Extensive orientation of 12+ weeks based on individual needs
• Manageable caseloads and territories
• No call or weekend requirements
• Mileage reimbursement rate equal to federal rate of $0.62/mile
• Commitment to safety for both patients and employees

Shifts/Hours: 5-8 hour days (8:30 AM- 5:00 PM)

JOB SUMMARY:

Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

MAJOR JOB RESPONSIBILITIES:

• Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
• Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Exhibit an attitude which promotes harmony and goodwill in the workplace.
• Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
• Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
• Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
• Maintain confidentiality of employee and patient information.
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
• Follow infection control standard precautions and uses personal protective equipment as required.
• Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
• Medication reconciliation and education to prevent adverse events and readmission to hospital
• Observe patient’s reactions to medications and reports significant incidents to the physicians.
• Display a clean, neat, professional appearance.
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
• Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
• Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
• Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
• Implement agency policy, procedures and objectives.
• Perform other duties as assigned.
• Promote quality, comprehensive services through a team approach.
• Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
• Complete documentation accurately, timely, concisely.
• Participate in Performance Improvement Program.
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
• Communicate regularly with team members, caregivers, and physicians.
• Delegate and supervise care given by NCA’s/LPN’s.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%)

Travel to and from patient residence

PREFERRED QUALIFICATIONS

Education and Formal Training

• Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.
• BSN is not required for Health System Clinical Ladder
• Associate Degree or Diploma, Nursing required

Licensures, Certifications

• Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)
• Must have a current North Carolina RN Licensure or compact RN licensure in participating state

Professional Work Experience & Requirements

• Valid driver’s license and current automobile insurance coverage
• Two years of med-surgical, critical care or home health/hospice/infusion
• Prior experience in Home Health, Hospice or Infusion preferred
• Prior OASIS and PDGM experience preferred for home health

Knowledge, Skills & Abilities

• Strong computer skills including MS Outlook, Word, Excel, preferred
• Ability to assess nursing needs of acute and chronically ill patients and their families
• Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
• Able to document and communicate pertinent information using computer and/or paper documentation tools
• Ability to work autonomously and independently in varying environments.
• Knowledge in wound identification and treatments, infusion and other advanced nursing skills
• Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
• Ability to establish and maintain effective working relationships
• Excellent rapport, understanding, and communication with the patients and their family members
• Ability to teach patients and families in accordance with the nursing plan of care
• Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
• Critical thinking skills and organization skills
• Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
• Ability to independently seek out resources and work collaboratively
• Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs
• Knowledge of scope of the registered nurse, licensed practical nurse and NCA
• Working knowledge of infection control procedures and safety precautions
• Ability to use computer and learn new software programs and technology
• Ability to use fine motor skills
• Knowledge of and appropriate application of the nursing process

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.