MCH RN Per Diem

Position Summary:  Manages a case load of antenatal, postpartum, newborn and pediatric home care patients. The nurse will complete the nursing process; assessment, diagnosis, planning, implementation, and evaluation, for patients in the case load using a family-centered and developmentally appropriate approach.  Collaborates with members of the interdisciplinary team, health care providers, and community services to ensure that patient needs are met and utilization of services is effective. Supervises other home care staff as necessary.

Principal Duties and Responsibilities:

· Develops a plan of care under the direction of the patient’s physician and in collaboration with the patient, their family and/or the primary care givers upon admission.  Periodically reviews the patient care plan and recertifies the patient care plan as appropriate. Initiates referrals for interdisciplinary services and communicates with other disciplines in a timely manner.

· Provides ongoing assessment of the patient’s clinical, functional, and mental status to identify problems and/or progress toward desired goals. Communicates significant changes to the patient’s physician and clinical manager as appropriate. Identifies and communicates concerns regarding patient safety and/or environmental safety issues to the management staff.  Follows the agency policy when necessary mandatory reporting is required.

· Completes and submits accurate and relevant clinical notes and other required documentation in a timely manner in accordance with expected agency standards, i.e., admission papers, clinical notes, status change, verbal orders/memos; payer source documentation, including authorizations, discharge.

· Supervises ancillary personnel (Licensed Practical Nurses, Licensed Nursing Assistants) and delegates responsibilities when required.  Establishes a care plan for paraprofessional services and revises as needed according to agency policy.

· Completes nursing interventions and education relevant to the client. Reinforces caregiver and patient education provided by other health care providers. Arranges to have needed supplies and equipment in the patient’s home upon assessment of need. 

· Accepts responsibility of assignment to perform a specialized procedure and/or see patients in other programs as needed such as, but not limited to, Infusion Therapy and Hospice, precepting of students and new staff, etc.

· Participates in the agencies after hours call and weekend visit program as appropriate in a responsible and willing fashion.   Follows up on patient concerns appropriately.

· Seeks opportunities for life-long learning (journals, outside educational programs, grand rounds, agency lecture opportunities, etc.) Maintains competency in skills for the Maternal Child Health program.

· Demonstrates professionalism in all aspects of work.

Competencies:  

• Stewardship – support practices and communicates the VNH Mission and Statement of Values
• Problem Solving – ability to implement appropriate nursing interventions
• Planning and Organizing – ability to think critically and prioritize patient care needs
• Quality – perform practices for best outcomes
• Safety – promote and support self-management of health behaviors

Physical Working Conditions:

·         Must be able to lift and move office equipment, supplies, etc.

·         Prolonged/extensive or considerable amount of standing/walking

·         Extensive use of telephone and computer

·         Must meet essential job requirements for direct-service staff

Minimum Qualifications:

• Associates Required, Bachelors preferred in Nursing
• FOR PER DIEM: 1 year maternal, pediatric, home care or relevant experience

Per Diem Minimum Work Expectations:

·         Must be available to work a minimum of 1 shift/month and complete all mandatory meetings staff requirements in the assigned timeline

Required Licensure/Certification Skills:

• Registered Nurse – VT
• Registered Nurse – NH

Preferred

• Lactation support and certification