After Hours Rn

3 weeks ago

Timonium, United States Stella Maris Full time

Overview:
Stella Maris is proud to provide central Maryland with compassionate, skilled home health care for adults. We specialize in home health care services that enable the patient to adapt and manage his or her medical situation in the comfort of their home. Stella Maris offers home health services to residents of Baltimore City, Baltimore County, and Harford County.

**After Hours RN Saturday-Sunday 8:00 am - 4:00 pm**

Check out some of our benefits offered:

- Paid time off (PTO) & company paid holidays
- Tuition reimbursement
- 403(B) retirement plan with generous company match and “Catch Up” provision
- Competitive health, prescription, vision and dental benefits
- Discounts on auto & home insurance and Verizon plans
- Pet Wellness coverage, legal assistance and identity protection
- Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
- Perks at Work - savings on favorite brands, travel, tickets, dining and more

**Responsibilities**:

- Obtains report at beginning of shift and leaves updates at end of each shift. Responds to beeper in a timely manner during shift.
- Triages calls and makes scheduled and emergent visits to patients in hospice or home care program as appropriate. Uses the nursing process of assessment, diagnosis, implementation and evaluation to provide physical, psycho-social and spiritual care to patients and their families. Intervenes with patients and families in crisis situations and acts as patient advocate.
- Performs clinical nursing tasks, to include phlebotomy, subcutaneous devices, medication administration and any other nursing care required by the patient at the time of the visit
- Develops plan of care for patient under the order of a physician; maintains ongoing communication as necessary to revise the plan of care to assure quality hospice/home care
- Assumes on-call responsibility as scheduled after regular business hours for all home care/home hospice patients. Returns calls within 15 minutes and visits patients as necessary. Completes daily on-call log, recording all calls made and received.
- Instructs caregivers in providing care to patients and evaluates the care they provide. This includes, but is not limited to, pain control procedures, medications, use of equipment and psycho-social support.
- Orders equipment, supplies and medications as needed by the patient under the order of physician and assures removal of same after death or discharge.
- Documents all visits, phone calls, and admissions and changes in orders within 24 hours. Records changes in notes, medication records and care plans as necessary.
- Completes accurately and submits weekly all itinerary forms and risk-indicator incident sheets are required.
- Coordinates patient transfer to IPU, to include ambulance transport, sending report and copy of chart to unit and notification of physician. Provides copy of medical record and transfer summary as soon as feasible.

Home Health
- Make high risk calls and/or visits assigned as determined management team

Hospice
- Monitor portals for home hospice and IPU referrals
- Responds to hospice referral sources in a timely manner
- Reviews hospice referrals for hospice appropriateness as well as symptom management for IPU
- Input all hospice referrals into Netsmart
- If accepted or if to determine acceptance, speak to patient/family/POA/nursing staff at the referring facility and set up SOC

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