Hospital at Home Registered Nurse
1 week ago
As a key member of the innovative Hospital at Home (HAH) team, the HAH Registered Nurse (HAH RN) plays a vital role in assessing and triaging patients, developing and implementing care plans, and ensuring safe and high-quality care for acutely ill patients in their homes. This RN will be trained in all nursing roles on the HAH team, including in-person screening, virtual assessment and care, and in-home care. Reporting to the HAH Nurse Manager, the HAH RN will work collaboratively with the team to provide exceptional patient care and support.
Nursing Practice- Act as a liaison between inpatient/emergency department and HAH Unit for referrals for possible patients.
- Review patient information to identify possible patients on basic eligibility criteria and plan of care.
- Conduct eligibility screening of patients, obtain verbal consent, and facilitate appropriate transfer to HAH unit.
- Respond efficiently to HAH patient calls/messages promptly and with compassion.
- Triage patient concerns and provide appropriate guidance per program/unit policies, procedures, and guidelines.
- Develop individualized patient plan of care, ensuring patients' needs, safety, and personal goals, delegating when appropriate to others on the HAH team.
- Key teammate in the safe administration of medications as ordered.
- Provide patient/family education to meet learning styles and appropriate to care provided.
- Think critically when changes in clinical condition occur, knowing when to appropriately escalate.
- Collaborate to promote all necessary discharge plans, starting on admission and regularly reevaluated for optimal outcomes.
- Document all work in the health record per unit and hospital guidelines and policies.
- Able to perform in-home visits within designated geographic area following all guidelines and policies for care in the home.
- Participate in all HAH inter-disciplinary rounds, pre-transfer huddles, and team meetings, reporting on patient status and movement towards discharge.
- Assist with creation of patient's daily schedule to ensure all orders will be fulfilled as ordered.
- Collaborate with all teammates caring for the patient, including paramedics, coordinators, physicians, and other in-home partners.
- Support reinforcement of education regarding the HAH unit with all members of the SSH network.
- Work closely with leadership on improvement projects, updates, and unit growth.
- Serve in Charge Nurse role as eligible and determined by the Nurse Manager.
- Verify the patient using two unique identifiers.
- Comply with the current CDC hand hygiene guidelines through proper handwashing, as observed by the nurse manager and peers.
- Assure appropriate use of personal protective equipment at all times and adhere to universal precautions.
- Understand and demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.
- Participate in Collaborative Risk Reviews as requested.
- Assume overall responsibility for professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing practice.
- Maintain current knowledge/certification licensure and be able to produce evidence of continued education in the field.
- Pursue professional development to continually develop nursing practice.
- Practice within the legal boundaries of MA Nurse Practice Act. Direct other licensed and non-licensed personnel as assigned.
- Display the ability to accept and respond appropriately to feedback and recommendations for change.
- Demonstrate professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace.
- Accountable for being informed about changes in hospital/EMS policy and procedure.
- Attend all staff meetings, trainings, and competencies, with personal accountability for information covered.
- Participate in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. Embrace technological advances that allow us to communicate information effectively and efficiently based on role. Able to navigate multiple technology platforms to support work; to include Epic Care Link, My Chart, MyChart Bedside, Arcadia, TigerConnect, WebEx, and Outlook. Must have a smartphone mobile device available for business use which can support TigerConnect communications at all times during work day.
- Work within legal, regulatory, and ethical standards relevant to the position.
- Comply with applicable policies and procedures.
- Safeguard the privacy and security of patient information. The employee compiles with policies and procedures relating to SSH's privacy and security programs.
- Bring potential compliance issues to a manager, supervisor, director, or VP.
- Comply with the mandatory education requirements of the compliance, privacy, and security programs.
- Convey respect for values, preferences, and expressed needs of the patient and family.
- Consider the individual needs of each person with whom they interact, and interact with sensitivity in the delivery of care/services of diverse populations as needed.
- Effectively utilize resources to provide care/services- such as interpreter services and on-line sources.
- Recognize the patient and family according to patient preferences, as important members of the health care team.
- Collaborate with the patient and family according to patient preferences, in planning, implementing, and evaluating care.
- Welcome the presence and participation of family members at all times according to patient preferences, regardless of other events on the unit/program.
Graduate of an accredited School of Nursing as validated through the Massachusetts Board of Registration in Nursing, Bachelor's Degree preferredMinimum Work Experience
Minimum of 2 years experience in acute or emergency settings, working with patients in chronic/complex disease management or home care a plus.
Required Licenses/CertificationsRN – Registered Nurse license in the state of Massachusetts
Basic Life Support (BLS) Certification
Patient ContactDoes this position have Patient contact? Yes
Age of Patient(s) Adults years; Geriatrics 70+ years
Required additional Knowledge and AbilitiesPrefer highly motivated, team-player, independent-worker, tech-savvy with Epic experience preferred, able to prioritize and organize work based on competing demands and present well-articulated solutions, energetic and experienced nurse (RN). This teammate must be able to adapt to unpredictable circumstance and adopt changes to work quickly and reliably. This individual should have skills in the following areas: customer service, communication, technical platforms and mobile applications, strong interpersonal skills and clinical triage.
Chronic Disease Management, Adult age 18 and over, geriatrics
General Activity -Frequent Standing/Walking Required, Driving may be required
MotionFrequent Activity Required-pushing, pulling, lifting, bending
Motor Skills -Use of hands required, Use of feet required
Weight/ForceLifting may be required (>25lbs)
Body Fluid Exposure -Yes
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