Registered Nurse
Company: Duke Health
Location: Durham
Posted on: September 26, 2024
Job Description:
Job DescriptionAt Duke Health, we're driven by a commitment to
compassionate care that changes the lives of patients, their loved
ones, and the greater community. No matter where your talents lie,
join us and discover how we can advance health together. About Duke
HomeCare & Hospice Pursue your passion for caring with Duke
HomeCare & Hospice, which offers hospice, home health, and infusion
services across the region, as well as serves as the home forthe
Duke Caregiver Support Program. Team members work closely with a
patient's physician to provide comprehensive, individualized care
in the comfort of their home or at our inpatient hospice facility
in Durham, NC.Duke Nursing Highlights:
- Duke University Health System is designated as a Magnet
organization
- Nurses from each hospital are consistently recognized each year
as North Carolina's Great 100 Nurses.
- Duke University Health System was awarded the American Board of
Nursing Specialties Award for Nursing Certification Advocacy for
being strong advocates of specialty nursing certification.
- Duke University Health System has registered nurses
- Qualityof Life: Living in the Triangle
- Relocation Assistance (based on eligibility) To have the
opportunity to speak to someone further about this position, please
click this link to schedule with a recruiter: **Eligible for a
Commitment Bonus Shift: Monday-Friday 8:30AM-5:00PM Duke HomeCare
and Hospice differs from other home health companies in many
amazing ways. Please see a list of some of those reasons
below:
- No call or weekend requirements
- Manageable territories
- Commitment to safety for both patients and employees
- Mileage reimbursement rate equal to the current federal
rate
- Extensive orientation of 20 weeks based on individual needs JOB
SUMMARY: Performs professional nursing care for patients in a
primary care setting (the home or alternate site setting) according
to nursing practices, agency policies and regulations. Provide
nursing services to patients and families in accordance with the
scope of the RN as defined by the North Carolina Board of Nursing.
MAJOR JOB RESPONSIBILITIES:
- Plan, provide, supervise and document professional nursing care
utilizing the nursing process for patients in accordance with the
NC nurse practice act, physician orders and established policies
and procedures. Uses professional nursing judgment to individualize
the plan of care based on assessment of the patient's baseline
needs and response to care.
- Utilize comprehensive assessment skills to plan priorities and
to set realistic outcomes; collaborate with healthcare team in the
evaluation and cost effectiveness of patient care.
- Assess educational needs of patients/families concerning
alterations in health, the disease process, and plan of care.
- Develop and implement an effective discharge plan for patients
to begin at the initiation of services.
- Obtain or develop appropriate educational resources for
patients/families; plan and implement appropriate educational
interventions; evaluate effectiveness and outcomes of
patient/family teaching.
- Role model professional nursing through conduct, appearance,
communication, mutual respect, ethical decision-making, critical
thinking, and problem-solving skills.
- Participate in weekly interdisciplinary team meetings and case
conferences, as necessary, to assure appropriate care and service
are provided to the patient.
- Maintain up to date knowledge of Medicare/Medicaid/JCAHO
standards thru inservices and workshop attendance.
- Assesse the severity of patient symptoms, communicate to the
physician and record significant findings, intervenes as
appropriate.
- Document care and services provided in accordance with DHCH
Policy and Procedures and regulatory standards.
- Complete documentation accurately, timely, concisely.
- Medication reconciliation and education to prevent adverse
events and readmission to hospital
- Observe patient's reactions to medications and reports
significant incidents to the physicians.
- Communicate regularly with team members, caregivers, and
physicians.
- Follow infection control standard precautions and uses personal
protective equipment as required.
- Delegate and supervise care given by NCA's/LPN's.
- Develop plan of care for aides, assign care to aides based on
the skills of the aide, the availability of the aide for patient
care continuity, patient preference (when possible), and other
considerations as determined by the patient's care needs.
- Identify personal learning needs and implements corrective
action: assists in planning and conducting staff development
programs to improve DHCC effectiveness.
- Participate in own professional development by maintaining
required competencies, identifying learning needs and seeking
appropriate assistance or educational offerings.
- Implement agency policy, procedures and objectives.
- Work closely and collaboratively with agency billing staff to
ensure accuracy of billing.
- Maintain confidentiality of employee and patient
information.
- Exhibit an attitude which promotes harmony and goodwill in the
workplace.
- Display a clean, neat, professional appearance.
- Participate in Performance Improvement Program.
- Promote quality, comprehensive services through a team
approach.
- Perform other duties as assigned. Home Health
- Case manage interdisciplinary team of clinicians caring for
patients in the home.
- Complete required OASIS Comprehensive assessments at admission,
recertification, Resumption of care and discharge. This assessment
determines patient reimbursement for Medicare and other episodic
payors and also results in publicly reported patient outcomes and
additional payment impacts related to value based purchasing
- Work with interdisciplinary team and patient providers to
prevent re-hospitalization of the patient.
- Be aware of patient insurance requirements and assures
authorization for all services have been obtained.
- Appropriate utilization of resources for patient including
visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS:
Perform Patient care primarily in the patient's residence or
skilled nursing facility (> 50%)Travel to and from patient
residence PREFERRED QUALIFICATIONS Education and Formal Training
- Associate Degree or Diploma, Nursing required
- Registered Nurses are not required but encouraged to enroll in
a DUHS approved BSN program after completing two years of service
of their start date.Licensures, Certifications
- Must have a current RN license in NC or compact RN licensure
from participating state.
- Current State of North Carolina Cardio-Pulmonary Resuscitation
Certificate (CPR) (American Heart Association only) May update
during orientation Professional Work Experience
- 1-2 years of med-surgical, critical care or home
health/hospice/infusion preferred
- Valid driver's license and current automobile insurance
coverage
- Prior experience in Home Health, Hospice or Infusion
preferred
- Prior OASIS and PDGM experience preferred for home health
Knowledge, Skills & Abilities
- Working knowledge of Medicare and Medicaid regulations,
including JCAHO and DFS standards, ICD-9 Coding.
- Knowledge of scope of the registered nurse, licensed practical
nurse and NCA
- Knowledge of and appropriate application of the nursing
process
- Ability to assess nursing needs of acute and chronically ill
patients and their families
- Ability to independently seek out resources and work
collaboratively
- Ability to establish and maintain effective working
relationships
- Ability to communicate clearly with patients, families,
visitors, healthcare team, physicians, administrators, leadership
and others
- Ability to teach patients and families in accordance with the
nursing plan of care
- Ability to use sensory and cognitive functions to process and
prioritize information, treatment, and follow-up
- Ability to use fine motor skills
- Ability to record activities, document assessments, plan of
care, interventions, evaluation and re-evaluation of patient
status
- Ability to use computer and learn new software programs and
technology
- Able to document and communicate pertinent information using
computer and/or paper documentation tools
- Knowledge in wound identification and treatments, infusion and
other advanced nursing skills
- Critical thinking skills and organization skills
- Working knowledge of infection control procedures and safety
precautions
- Strong computer skills including MS Outlook, Word, Excel,
preferred
- Excellent rapport, understanding, and communication with the
patients and their family members
- Ability to work autonomously and independently in varying
environments.
- Able to withstand driving long distances, stooping, bending,
lifting 20 plus pounds, and climb stairs Duke is an Affirmative
Action/Equal Opportunity Employer committed to providing employment
opportunity without regard to an individual's age, color,
disability, gender, gender expression, gender identity, genetic
information, national origin, race, religion, sex, sexual
orientation, or veteran status. Duke aspires to create a community
built on collaboration, innovation, creativity, and belonging. Our
collective success depends on the robust exchange of ideas-an
exchange that is best when the rich diversity of our perspectives,
backgrounds, and experiences flourishes. To achieve this exchange,
it is essential that all members of the community feel secure and
welcome, that the contributions of all individuals are respected,
and that all voices are heard. All members of our community have a
responsibility to uphold these values. Essential Physical Job
Functions: Certain jobs at Duke University and Duke University
Health System may include essentialjob functions that require
specific physical and/or mental abilities. Additional information
and provision for requests for reasonable accommodation will be
provided by each hiring department.
Keywords: Duke Health, Durham , Registered Nurse, Healthcare , Durham, North Carolina
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