Home-Based Hospital Care RN

4 weeks ago

Middleton, United States Chartwell Midwest Wisconsin Full time

UW Health Care Direct is seeking registered nurses to join our Home-Based Hospital Care team.Apply today to start your rewarding career with us

POSITION SUMMARY

The Home-Based Hospital Care Registered Nurse (RN) is an integral part of the Home-Based Hospital Care interdisciplinary care team, providing hands-on care to acute patients in the home setting. The Home-Based Hospital Care RN provides essential acute clinical care in the home setting and coordinates and directs the patient’s care based on individual patient needs. This position is responsible to provide care for the Home-Based Hospital Care patient population requiring the use of advanced assessment, technical, teaching, and decision-making skills. The nurse works in collaboration with the interdisciplinary team including the Home-Based Hospital Care provider, Home-Based Hospital Care Nurse Manager, RN Care Navigators, Team Support Coordinator, Social Work, and ancillary services to ensure that patients receive exemplary care in their home. The nurse is required to work autonomously and apply their critical thinking skills to each patient during the Home-Based Hospital Care episode of care. In addition to clinical skills, the nurse must be proficient with home safety assessments and adaptation of patient/caregiver education to each unique patient situation. Collaboration with patients and providers will occur in person and through digital health technology. The nurse is responsible for assessing post-acute needs and ensuring that appropriate referrals to other services are made. Interdisciplinary conferencing is a key component of this role’s responsibility, and thorough and timely documentation is required.

The Home-Based Hospital Care RN position will require evening/weekend hours, rotating holiday scheduling, and on-call responsibilities.

TECHNICAL RESPONSIBILITIES

  • Performs comprehensive assessments of physical, functional, psychosocial, and cognitive status of the Home-Based Hospital Care patient utilizing interview observations and physical exam techniques.
  • Assesses the home environment for safety, infection control, and community resource needs.
  • Incorporates multidisciplinary data into the nursing assessment of the Home-Based Hospital Care patient.
  • Provides ongoing nursing assessment with the patient, caregiver, and home environment to determine physiologic or psychosocial risk. Applies previous nursing experience and base of knowledge and adapts with the patient and caregiver in a home setting.
  • Sets priorities adapting to changing patient and environmental situations. In response to data indicating urgent and/or emergent risk to patient, initiates action to reduce or correct risk.
  • Assesses for the presence of advanced directives and facilitates further action in obtaining information about or implementing advanced directives if indicated.
  • Plans with the patient, caregiver and provider for care which is feasible within the physical, financial, and emotional resources of the family.
  • Establishes individualized, measurable goals in consultation with the patient, caregiver, and other health care providers.
  • Anticipates post-acute needs and seeks a wide range of community resources to facilitate problem solving.
  • Provides skilled acute nursing care, preventative rehabilitative procedures, and prescribed treatments with a variety of patient populations within various potentially complex home situations.
  • Maintains technical skills according to required standards, as measured by competency assessments during orientation and annually.
  • Implements safe, competent care with Home-Based Hospital Care patients and families within policies, procedures, and standards of care.
  • Accurately follows established infection control and safety policies and procedures.
  • Directs the use of equipment and supplies in an efficient and cost-effective manner.
  • Sets priorities of home and virtual visits, adapting to the changing needs of the patient.
  • Utilizes resources to problem solve new or unfamiliar patient situations.
  • Works collaboratively with the interdisciplinary team to best meet the needs with the Home-Based Hospital Care patient and family.
  • Documents components of the nursing process to reflect a comprehensive and integrated approach to nursing care.
  • Recognizes potential problems and sets priorities according to changes in the patient’s condition.
  • Informs the provider and other appropriate members of the health care team of changes in the patient’s condition and needs.
  • Evaluates patient’s responses to care based on a continuing assessment and analysis of nursing intervention and alternatives for nursing care.
  • Facilitates and participates in formal and informal interdisciplinary care conferences to address the needs of regarding complex patients.
  • Exhibits sound nursing judgment and decision-making skills in coordinating patient care.
  • Identifies and adapts teaching materials for Home-Based Hospital Care patients and caregivers to optimize the learner’s success. Involves the patient and caregiver in identification of individual requirements/perceptions of learning needs.
  • Develops, implements, and evaluates individualized teaching programs using teach-back and return demonstration techniques to assess patient/caregiver level of understanding and adjust teaching and plan of care accordingly.
  • Maintains an updated clinical record on each patient at all times.
  • Participates in the development of program goals and evaluates progress toward goal achievement.
  • Participates in committees/meetings as delegated or appointed.
  • Involves the patient and caregiver in the plan of care, incorporating their cultural, spiritual, and other belief systems.
  • Recognizes the importance of respecting individual patient and caregiver choices regarding care and treatment options.
  • Assists leadership in identifying potential clinical practice issues and contributes to the development of specific plans to improve Home-Based Hospital Care patient outcomes.
JOB REQUIREMENTS

Licenses:
  • Current licensure as a professional nurse in the state of Wisconsin required.
Education:
  • Bachelor’s degree in Nursing preferred.
Experience:
  • Minimum of one-year relevant medical surgical clinical acute nursing experience required.
  • Recent, relevant experience in home health preferred.
  • Experience using EPIC and virtual health platforms preferred.
  • Current IV therapy skills, with knowledge of venous access devices and ambulatory pumps preferred.
  • Experience in teaching self-care skills to patients and families.
Miscellaneous:
  • Valid driver’s license and current auto insurance required.
  • CPR certification required.
  • Knowledge regarding the impact of acute and chronic illness on the lives of patients and families in the community.
  • Functions with a high degree of independence, flexibility, and autonomy.
  • Collaborates with other disciplines to provide care.
  • Excellent interpersonal and group process skills.


Learn more about UW Health Care Direct on our Career Site: UW Health Care Direct - UW Health - Remarkable Careers

Mission Statement: As healthcare providers, we expect to be the best at what we do and do what is right every time. We hold ourselves accountable to safety, service, and compassion. Through these values, we strive to make a difference in the lives of our patients and employees.

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