Home Health Graduate RN

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The professional Graduate RN must have strong interpersonal skills, be able to work independently, and feel confident in building rapport with patients and their families. They will be responsible for the direct and indirect nursing care of patients in the home with guidance and mentoring from the Registered Nurse. Working collaboratively with the patient, family, and health care team (IDT), the Graduate RN as case manager will develop, implement, and evaluate nursing care according to according to agency and system policies and make recommendations to improve the patient's quality of life. The Graduate Nurse should expect to assess patients' condition during every visit and chart observations, accordingly, monitor vital signs, assess wound healing, and document changes in behavior, mood, and eating habits, as well as provide patients and families with information about their medical conditions, self-care, and home health care procedures, ensuring active listening to the patient to appropriately respond to concerns or requests.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. The Graduate nurse must obtain licensure within 60 days of hire - Licenses must be obtained before expiration date of the temporary permit unless deemed not possible as a result of the temporary closure of NCLEX testing centers due to circumstances such as pandemic. The

unencumbered licensure must be with the WV Board of Registered Professional Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

2. Valid driver's license.

3. CPR certification within 30 days of hire date.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelors of Science in Nursing Degree (BSN)

2. OR Associates of Science in Nursing Degree (ASN) or Diploma, currently enrolled in a BSN program and BSN completed within 5 years of hire

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be

assigned.

1. Performance Dimensions- This position requires an individual demonstrating the following behaviors in accordance with our mission, vision, and values for nursing practice:

* Care Delivery Systems- Use of competent clinical practice and critical thinking skills to efficiently deliver patient care withal health care providers while maximizing efficient use of resources.
* Leadership- Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict.
* Professional Growth- Motivation and drive for continuous development of self.
* Collaborative Practice- Cooperatively interacts with the health care team to support and contribute to the shared group goals.

2. Assumes responsibility, displays appropriate use of authority, and accepts accountability in the delivery of patient care.

3. Provides direct patient care within a designated shift, based on the nursing process and within role/scope of practice, including functions of the Nurse Aide.

4. Provides a safe and comfortable environment in the patient's home.

5. Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care.

6. Completes assignments in a timely manner.

7. Communicates patient care problems or potential problems to the Administrative Staff and/or other interdisciplinary team members as identified/occur to assure continuity and coordination of care.

8. Provides care, based on physical, psychosocial, communication, safety, education level, and related criteria for the infant, pediatric, adolescent, adult, geriatric patient per the established age specific education/standard.

9. States and utilizes admission criteria per agency guidelines.

10. Completes oasis documentation within federal guidelines.

11. Completes and documents full system assessment, including assessment of level of physical and psychosocial aspects and identifies age-specific criteria upon admission and each visit thereafter.

12. Understands pathophysiologic process by taking appropriate nursing action in accordance with changes in patient condition.

13. Reports significant observed changes in patient condition to Administrative Staff and/or physician.

14. Documents patient status and care or services furnished in appropriate areas defined by the documentation policy and procedure.

15. Documents home health aide supervisory visits as per standard.

16. Performs CPR when directed by patient's appropriate representative's wishes.

17. Displays safe, efficient, and prudent use and maintenance of D.M.E. and medical supplies and adaptive equipment. Notify admin/doctor if safely issues R/T DME in home.

18. Demonstrates bag technique per policy and procedure.

19. Able to apply and maintain equipment according to the Policy and Procedure Manual.

20. Utilizes supplies effectively and to ensure cost containment.

21. Maintains integrity of the IV site while performing patient care.

23. Performs and monitors patient teaching according to the policy and procedures.

24. Coordinates care so that medications are administered as ordered by a physician and in compliance with the medication administration.

25. Coordinates the care team to facilitate a change in the level of care in compliance with the change in level of care standard.

26. Identifies the stages of death and dying.

27. Accurately and timely, completes plan of treatment and recertification as per Medicare guidelines. Completes OASIS SOC/ROC, OASIS Recertification, and Discharge Oasis per guidelines.

28. Implements appropriate clinical decisions and demonstrates appropriate use of expert peers and/or management, as applicable.

29. In response to data indicating commonly occurring risks to patient health status, initiates actions to correct, reduce and/or prevent risk.

30. Provides coordinated and comprehensive patient care including assessment, expected outcomes, nursing interventions and evaluation within an interdisciplinary team approach.

38. Negotiates the patient care tasks with family/patient within safe practice guidelines. Appropriately delegates patient care tasks to assigned personnel, providing follow-up for completion and patient response.

39. Accepts accountability and uses independent nursing judgment for care provided by self and by health care providers to who care is delegated.

40. Demonstrates the appropriate use of standards, effective use of resources, and evaluation of patient response in the delivery of patient care.

41. Uses standards of care and standards of practice to guide care delivery.

42. Bases decisions made/actions taken on relevant scientific principles, established standards of care and/or research findings. Seeks assistance/credible resource when unable to perform safely and independently.

43. Performs evaluation of patient response to tasks performed and delegated; including Patient Profile Assessment for safe patient handling and mobility.

44. Determines/revises priorities for direct/indirect patient care activities based on patient acuity and available resources; update to daily care plan to include appropriate algorithms for safe patient handling.

45. Uses established patient care support systems including documentation, communication, & information.

46. Assumes responsibility for the development of others.

47. Engages in mentoring and networking activities to promote professional development.

48. Fosters the integration of staff and/or students into the health care team. Facilitates incorporation of the unit's mission, values, and vision.

49. Functions to promote trusting relationships and open, honest communication at the unit level.

50. Engages in exchange of information relevant to specific patient assignment.

51. Interacts with various members of the health care team to meet patient care needs.

52. Participates in Performance Improvement activities as appropriate.

53. Assumes on-call responsibility per policy and procedures.

54. Performs treatments/procedures according to specific standards (e.g., vital signs, patient weights, specimen collection, ostomy care [ileostomy, colostomy, urostomy/tracheotomy], catheterization [urethral, suprapubic], wound care, dressing changes, suctioning [oral,

pharyngeal/nasal/trach], gastric tube [feedings and maintenance].

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties through the work shift.

2. Must be able to lift, move, and position patients of all weights, with varying amount of assistance in a fair manner on a regular and recurring basis.

3. Must be able to read and write legibly in English.

4. Hearing within normal range is required (e.g., to assess breath sounds, heart sounds, apical pulse, monitors, etc.).

5. Visual acuity must be within normal range.

6. Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.

7. Must be able to operate motor vehicle with a safe practice.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

functions.

1. Exposure to bodily fluids, human tissues, contagious diseases, sharps, and explosive gases.

2. Exposure to toxic gases, fumes, and odors.

3. Exposure to high stress and constant interruptions.

4. Exposure to electrical current.

5. Exposure to radiation from x-rays.

6. Exposure to bad road conditions.

7. Exposure to wind, rain, snow, sleet, mud, high and low temperatures, animals and insects, and hazardous roadways.

8. The majority of work is performed in the patient's home and may require extensive travel.

9. Subject to unpredictable situations. May be exposed to adverse or unpleasant home environments.

SKILLS AND ABILITIES:

1. Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly-technical situations.

2. Must have the ability to work successfully under highly-stressful conditions, and must be capable of adapting to varying workloads and work assignments on a constant basis.

3. Must have the ability to make sound, independent judgments based on scientific principles, and also be able to collaborate with other multi-disciplinary team members in an appropriate fashion.

4. Must have the ability to comprehend and perform oral and written instructions and procedures.

5. Must have strong communications skills, written and verbal.

6. Must have math skills to enable calculation of drug dosages and infusion stats.

7. Must be able to work weekends, holidays, and all shifts.

8. Demonstrates knowledge of and compliance with safety policies and procedures.

9. IV skills required

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SHC WVUHS Home Care

Cost Center:

369 SHC Home Health Clarksburg B

Address:

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.