Home Infusion Nurse - RN

Job Code: HIN19032 Department Name: Home Infusion Schedule: Full-Time Hours Per Pay Period: 80.00 Shift: Day Daily Shift Hours: 8 Building : Name: Central Wash Hospital Union: WSNA

Salary Range

$39.33 - $61.57

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• CH Wellness Program
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

For more information on our Benefits & Perks, click here!

Summary

A Home Infusion Nurse (RN) is a highly skilled nurse responsible for facilitating the clinical management of patients being infused with biologic therapy agents, intravenous fluids and other medications in their home. The Home Infusion RN is responsible for insertion of peripheral IVs and the nursing management of central lines. The nurse provides direct patient care; consults with physicians, pharmacists and nurses; and assists with patient/family education, care coordination and symptom management of patients that are treated in the home. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. This position involves providing care to patients in their homes. Duties include PICC line care and dressing changes, port care, IVIG/biologic medication administration, PIV medication administration, blood draws, teach and train on self-medication administration, and other similar duties. The employee will be responsible for the transport of supplies and medications. This position requires a reliable vehicle appropriate for all weather conditions. The employee will also be required to follow proper cleaning protocols.

Position Reports To : Home Infusion Nurse Supervisor

Essential Functions

Infuses medications, biologic therapy and other therapeutics agents:

• Performs and documents a nursing assessment prior to each infusion or treatment per policy and procedure of the medical center.
• One-on-one Home Infusion Therapy in the home.
• Has knowledge of each agent infused including potential drug toxicities and side effects, proper methods of administration, and related interventions.
• Safely prepares infusion and pump set-up for each drug that is infused, including patient teaching when self administration of the drug occurs.
• Follows parental administration policy and procedure of the medical center for the medications given, including central and peripherally administered.
• Monitors patient during and if applicable after the infusion, observing for any untoward effects.
• Provides patient and family teaching about treatment and side effects in collaboration with the other members of the healthcare team.
• Assists in developing and/or enhancing patient education materials.

Assures the safety of patients and other staff

• Follows all policy and procedures of the medical center related to verification of orders and products when administering chemotherapy, biotherapy and other infusion agents.
• Demonstrates ability to effectively intervene with a patient in crisis, monitor for hypersensitivity reactions.
• Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center.
• Properly prepares and protects patients and families during infusions when indicated.
• Follows infection control policy and procedures of the organization.
• Follows universal precautions.

Provides care to patients as part of the overall care team

• Communicates patient symptoms, concerns and/or reactions to Home Infusion Team and/or ordering physician.
• Provides psychosocial support to patients and families.

Drives legally with personal vehicle to patient’s residence, including transporting medication to be administered.

• Follows policy and procedures for safe and sterile transport of infusion medication.

Documents all medications and treatments administered per guidelines and policy of medical center.

Maintains and Develops IV/CVAD skills

• Maintain knowledge of current knowledge of INS standards.
• Follows policy and procedures for IV and Central Lines of medical center.
• Utilizes home infusion pumps and technology to administer medications and patient training.

Takes an active role in their own education to stay current with medications they give, home infusion care and treatment and current standards of INS.

Willingness to be involved in PI and LEAN processes.

Demonstrates effective and professional communication with patients, colleagues, providers and business partners.

Informs Home Infusion Manager and Team of high-risk referral and patient situations.

Required to maintain active Basic Life Support (CPR) and Advanced Cardiac Life Support (ACLS) certification.

Exhibits interpersonal skills and professionalism that promotes a positive work environment.

Follows teamwork performance standards of clinic.

Other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

• RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499).
• Current BLS Health Provider card.
• Excellent IV skills and experience.
• Infusion or Emergency room experience or comparable experience responding to hypersensitivity or anaphylactic reactions.
• Ability to communicate effectively and appropriately with patients, family members and staff.
• Ability to work under pressure related to work/time deadlines.
• Ability to work independently and use critical thinking skills.
• Competent in basic computer skills.
• WA Driver’s License and reliable automobile.
• Proof of personnel vehicle insurance.

Desired:

• CRNI certification, or active pursuit upon hire
• Current ACLS certification

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday.F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday.C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday.

Physical/Sensory Demands For This Position:

• Walking - F
• Sitting/Standing - F
• Reaching: Shoulder Height - O
• Reaching: Above shoulder height - F
• Reaching: Below shoulder height - O
• Climbing - O
• Pulling/Pushing: 25 pounds or less - F
• Pulling/Pushing: 25 pounds to 50 pounds - O
• Pulling/Pushing: Over 50 pounds - O
• Lifting: 25 pounds or less - F
• Lifting: 25 pounds to 50 pounds - F
• Lifting: Over 50 pounds - F
• Carrying: 25 pounds or less - F
• Carrying: 25 pounds to 50 pounds - O
• Carrying: Over 50 pounds - O
• Crawling/Kneeling - F
• Bending/Stooping/Crouching - F
• Twisting/Turning - F
• Repetitive Movement - F

Working Conditions:

• Not Specified.

Job Classification:

• FLSA : Non-exempt
• Hourly/Salary : Hourly

Physical Exposures For This Position:

• Unprotected Heights - No
• Heat - No
• Cold - No
• Mechanical Hazards - No
• Hazardous Substances - Yes
• Blood Borne Pathogens Exposure Potential - Yes
• Lighting - No
• Noise - No
• Ionizing/Non-Ionizing Radiation - No
• Infectious Diseases - Yes

Salary : $39 - $62