FTE809 - Home Care RN

POSITION SUMMARY

To be fully engaged in providing Quality/No Harm, Customer Experiences, and Stewardship by demonstrating leadership through the assessment, planning, implementation and evaluation of patient care according to the standards of professional nursing practice. Nursing care is provided to the individual patient, based upon cultural, spiritual and age specific needs.

Primary Accountabilities

Engagement:

• Associate supports engagement through adherence to the I-CARE commitments.

Quality/No Harm:

• Performs complete comprehensive Assessment at every patient visit, to include but not limited to psychosocial, safety, and risk factors.
• Performs accurate OASIS Assessment time points such as SOC, ROC, Recertification, Transfer and Discharges, to ensure quality patient outcomes.
• Maintains compliance to State/Federal Home Care rules and regulations and TJC standards of reference in the delivery of Home Care Services.
• Participates in Performance Improvement processes by reviewing medical records on a regular basis as assigned.
• Participates in the team interdisciplinary case conferences on a regular basis as determined by the PI Supervisor.
• Coordinates and ensures delivery of care based on individual patient goals within the Plan of Care.
• Coordinates effective Discharge planning with the Clinical Team to include following patients progress toward goals as set for patient episode of care, physician notifications of progress toward goals and outpatient referrals as appropriate, to meet patients' needs outside of Agency scope of practice.
• Demonstrates commitment to the Clinical Team with regard to maintaining continuity of care within the agency census.
• Demonstrates professionalism by exhibiting dependability, reliability and flexibility with a focus on a Team Approach to patient care.
• Demonstrates effective medication administration provided to patients as evidenced by Field Supervisory/Infection Control Evaluations, and Clinical Practice.
• Demonstrates effective communication with other members of the Clinical Team and promotes a cohesive multi-disciplinary approach to patient care.
• Utilizes Health First Home Care computer systems with regards to all aspects of communication and documentation as set forth by Agency Policies, MCR/TJC requirements for patient care in the home setting.
• Adheres to all Health First, Inc. and all Health First Home Care policies and procedures.
• Demonstrates effective and safe clinical practice as evidenced by Field Supervisory/Infection Control Evaluations, completion of yearly Competency Assessment, and Age Specific Checklist.
• Documents all patient care, exacerbation or progress toward goals as set for patient episode of care, physician notifications and referrals to meet patients’ needs outside of Agency scope of practice.
• Demonstrates commitment to the clinical Team with regard to maintaining continuity of care within that Teams patient census.
• Assists with the Orientation process of new associates and staff education.
• Complies with State and Federal Regulations, TJC standards in reference to delivery of Home Care Services.
• Actively participates in Quality Improvement processes, including peer chart reviews and self-chart reviews.
• Supervises the Home Health Aide at least every 14 days, and supervises the Licensed Practical Nurse (LPN) at least every 30 days. Communicates effectively with discipline to provide continuity and comprehensive care.
• When needed, assists the Weekend Staff for coverage to maintain continuum of care.

Customer Experience:

• Meets or exceeds Press Ganey Patient Satisfaction goals as established every year. Provides patient, family, and/or caregiver education as directed by the plan of care.
• Provides service to patients and families with sensitivity and respect for their needs, expectations, age, cultural, and individual differences.
• Contributes to the patient experience as evidenced by positive patient satisfaction scores and HHCAHPs scores for department or written compliments by patients/others as well as consistent performance of purposeful skilled RN Home Visits.
• Informs patient/family of visit schedule in advance by calling the night before and/or if schedule changes.
• Performs other related duties as assigned or requested.

QUALIFICATIONS REQUIRED:

• Education: Graduate of an approved school of professional nursing.
• Work Experience:
  • Must have 1 year of acute care nursing experience.
  • 1 year of homecare experience preferred.
  • IV Therapy and phlebotomy experience required.
• Licensure: Current Florida RN licensure or endorsement.
• Certification:
  • Current American Heart Association BLS Healthcare Provider and maintain.
  • Successful completion of Level II background screening.
  • Current Florida Driver’s License, automobile insurance and reliable transportation
• Knowledge/Skills/Abilities:
  • Proficient Computer skills.
  • Must be able to speak/understand written and verbal instructions in the English language.
  • Must be available between 8am -5pm for patient care. Must be available and willing to flex hours to accommodate scheduled after hours visits when necessary.
  • Will rotate on-call hours as assigned.
  • Will be expected to work one minor and one major Holiday each year per HFHC Policy.
  • Will comply with Hurricane Preparedness Policy.
  • Will be required to attend staff meetings a minimum of 80% of the time.

PHYSICAL DEMANDS:

• Visual acuity and hand-eye coordination to perform clinical tasks; Corrected vision and hearing to normal range.
• Able to lift up to 40 pounds unassisted.
• Stand, walk, bend, and stoop: sit for long period of time on computer.
• Potential for exposure to bio-hazardous waste and known or unknown diseases.

MENTAL DEMANDS:

• Work in often stressful environment with patients/families at various ages and levels of understanding.
• Concentrate on multiple priorities.
• Respond appropriately to life threatening situations.
• Critical thinking and problem-solving skills.

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.