RN Home Health Position

3 weeks ago

Knoxville, Tennessee, United States Covenant Health (Tennessee) Full time
RN Home Health Position Summary

Provides professional nursing care to an assigned group of terminally ill patients; coordinates care planning working in conjunction with the interdisciplinary team to ensure the best possible outcomes for patients' duration of life.

Responsibilities
  • Conducts initial and ongoing assessment of the impact of the terminal illness on the patient's physical, functional, psychosocial and environmental needs and activities of daily living.
  • Facilitates a palliative Milieu in the home that promotes a smooth transition at time of death.
  • Implements the individualized plan of care and recommends revisions to the plan as necessary.
  • Symptoms management focused care prioritizing comfort at end of life by reducing pain and suffering.
  • Specialized nursing skills related to palliative and end-of-life care.
  • Consults with and educates the patient/family regarding the terminal disease process, self-care techniques, end-of-life care, and the processes for dealing with issues of ethical concern.
  • Initiates appropriate preventive and rehabilitative nursing procedures, including pressure ulcer prevention, pain crisis prevention, bowel impaction prevention, and care of bed confined patient.
  • Prepares clinical and nursing notes that reflect the progression of disease process at the end of life as it takes its normal course.
  • Coordinates all patient/family services and prioritizes needs with the members of the interdisciplinary team through daily communication and bi-weekly IDG.
  • Uses case management approach and referring to other services as needed.
  • Act as liaison between the provider and patient/family, communicating to provider, orders received and processed and communicated to family, informing the Provider and other staff of changes in the patient's needs.
  • Determines scope and frequency of services needed based on acuity and patient/family needs, updates POC as needed and adjusts visit calendar frequency, develops and oversees HHA POC individualized to the specific needs of the patient.
  • Supervises LPNs and Hospice/Home Health Aides providing services, assists in orienting new employees, provides specialized hospice training to other staff, family members, and informal caregivers to ensure adequate care.
  • Performs on-going evaluation of patient/family response to education and care provided, assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care, advocates for respite care as needed.
  • Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines, follows appropriate admission, discharge, on-call, and death procedure as outlined by Covenant HomeCare policy.
  • Performs basic infection control techniques according to Covenant HomeCare policy, preplans appropriately including scheduling with patient/care giver ETA to the home, demonstrates knowledge and competency in providing for age-specific, culture-specific, and religious-specific needs of the population served, demonstrates ability to perform skills on annual skills check list, required travel to all counties served by Covenant Hospice, follows policies, procedures, and safety standards, completes required education assignments annually, works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Qualifications
  • Graduation from an accredited school of nursing.
  • Three (3) years of professional experience in hospital or prior home health experience; clinical experience pertinent to Hospice, including oncology, palliative, end of life care, etc. preferred.
  • Must have and maintain Tennessee RN licensure, CPR required, employee must have a valid Tennessee driver's license Class D and state mandated minimum insurance coverage, driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.

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