RN - Home Health / PRN - North Arkansas Regional Medical Center

Overview

Assesses and provide skilled nursing care to home health patients on an intermittent basis

Responsibilities

• Demonstrates a thorough knowledge of multi system assessment and reassessment.
• Demonstrates the ability to coordinate effective patient/family education and discharge and transfer planning.
• Demonstrates the ability to perform vein  punctures and follows correct IV administration policy.
• Demonstrated proficiency in medication administration including IV piggyback, IV pushes, and calculations of dosages.
• Demonstrates knowledge and understanding of signs and symptoms of abuse and reporting mechanism.
• Demonstrates the ability to insert peg feeding tubes and administer feeding per policy.
• Demonstrates appropriate care in regards to patient’s cultural beliefs, values and religion.
• Demonstrates the use of sterile technique with dressing changes.
• Maintains an awareness of patient’s condition and nursing care needs.  Promotes care of the total patient with awareness of psychological, social, cultural, religious and family needs.
• Demonstrates effective pain management techniques.
• Participates in evaluation of patient’s care needs and does care plans and updates.
• Demonstrates ability to coordinate each patient’s care and role each person should play in obtaining these goals.
• Observes patients condition and reports abnormal reactions and changes in patient condition to physician.
• Responds and performs appropriately and effectively in emergency situations.
• Demonstrates knowledge of how to use equipment pertaining to patient care.  How to maintain and clean equipment.
• Demonstrates effective communication methods and skills using the lines of authority appropriately.
• CPR certification and Heimlich maneuver.
• Dresses appropriately and meets hygiene standards.
• Demonstrates professional medical care to the sick and disabled without regard to race, sex, age, creed, religion or inability to pay.
• Has knowledge and demonstrates appropriate care for patients’ growth and developmental needs.
• Follows through on tests or procedures left from previous day and reports on any incomplete assignments to assure continuity of care.
• Has knowledge and demonstrates appropriate care of nutritional needs.
• Complies with NARMC HIPAA Privacy and Security policies.
• Accurate assessment of patient care needs and eligibility for services.
• Implements appropriate nursing intervention to meet patient needs and changed condition according to physician orders.
• Completes the admission process timely and according to agency policy.
• Updates and coordinates patient care in cooperation with other members of the health care team, including care conference.
• Report to physician/patient/family the progression of the care given to patient.
• Ensures the patient record documentation reflects delivery of quality and safe home care services.
• Works closely with LPNs and home health aides providing delegation, instruction and supervision as necessary.
• Maintains a professional standard of nursing in the patient’s home that reflects the philosophy and professional standards of the department and regulatory bodies.
• Maintains a minimum standard of five visits per 8 hours worked, which includes all related paper work.
• Demonstrates awareness of cost controls and strives to reduce department costs.
• Supports hospital and departmental policies.
• Maintains strict patient confidentiality.
• Assists with orientation of new employees as requested.
• Performs supervisory visits of home health aides.
• Submits required paperwork accurately and timely in accordance with Agency policy and Federal and State regulations.
• Demonstrates accurate/efficient utilization of equipment/supplies.
• Prioritizes and utilizes time efficiently.
• Demonstrates flexibility to departmental demands and scheduling.
• Sound, effective decision making in all aspects of job performance.
• Develops and maintains effective communications mechanisms with staff members and other departments of the hospital, physicians, families and the community.
• Demonstrates awareness of responsibility and accountability for own actions and assigned responsibilities.
• Rotates on-call with other staff nurses.
• Reviews departmental policy & procedures yearly.
• Understands responsibility to report issues with privacy, fraud and abuse, compliance and ethical conduct.
• Communicates at appropriate comprehension level to patients/families.
• Reports directly to the Patient Care Coordinator and ultimately to the Director of Home Care all lapses in patient care and other employee issues.
• Performs job duties as a team member to assure the effectiveness of, and harmony within, the department.
• Creates a positive image of NARMC at all times.
• Performs other duties as assigned.

Qualifications

Required

Preferred

Education:

Associate’s degree from an accredited nursing school

Bachelor’s degree from an accredited nursing school

Experience:

One year hospital, nursing home or related healthcare experience.

Two years related healthcare experience

Degrees, Licensure, and/or Certification:

Current RN license with the Arkansas State Board of Nursing or Compact, Multistate Licensure

BLS Certification

COS-C certification

Knowledge, Skills, and Abilities:

Shall have a genuine interest in geriatrics, preferably, shall have experience in geriatric care.

Must be able to assess, evaluate and communicate effectively.

Must demonstrate sound knowledge and actions in patient care and decision making.

BLS certification required, other medical certification highly encouraged (i.e.: PICC line, IV therapy, chemotherapy, etc.)

Participates in continuing education to broaden knowledge and acquire skills necessary to be effective in all aspects of job performance.

Demonstrates a desire for self-improvement.

Must have reliable transportation and a valid Arkansas driver’s license.

Ability to read, write, speak and understand English