Hands-On Chronic Patient RNs
Sabio Systems
Hospital, Outpatient Clinic, Home Health, or Chronic Care Facility Setting
Position Title : Registered Nurse - Chronic Patient Care (IV Therapy Specialist) Common Local Titles : Chronic Care Infusion RN, Home Infusion Nurse, Oncology/Dialysis IV RN, Palliative Care IV SpecialistPrimary Focus Deliver direct, hands-on nursing care to patients managing chronic conditions requiring ongoing IV therapy, such as:
- Total Parenteral Nutrition (TPN) for malabsorption or GI disorders
- Long-term IV antibiotics for recurrent infections (e.g., cystic fibrosis, Lyme disease)
- Chemotherapy, immunotherapy, and targeted therapies for cancer patients
- IV immunoglobulin (IVIG) for autoimmune or immunodeficiency disorders
- Inotropic support for advanced heart failure
- Hydration and electrolyte management for chronic kidney disease or dialysis patients
- Palliative infusions for pain control in end-stage illnesses
Key Responsibilities (Hands-On & Patient-Facing)
- Execute venipuncture, PICC/midline/central line insertions, and port accesses for patients with compromised veins due to chronic illness; utilize ultrasound guidance as needed.
- Administer complex IV therapies (e.g., vesicants, biologics, TPN, blood products) per physician orders, with vigilant monitoring for complications like infiltration, sepsis, or hypersensitivity.
- Perform site assessments, dressing changes with chlorhexidine protocols, and line flushes to minimize central line-associated bloodstream infections (CLABSIs).
- Titrate infusions (e.g., vasopressors, opioids) based on real-time vital signs and lab results; respond to emergencies like anaphylaxis or fluid overload.
- Conduct thorough patient assessments, including pain scales, nutritional status, and psychosocial needs; collaborate on care plans with multidisciplinary teams (e.g., nephrologists, oncologists).
- Provide education to patients and caregivers on home IV management, pump usage, infection prevention, and recognizing complications; facilitate transitions from hospital to home care.
- Document in electronic health records (e.g., Epic at UC Davis or Cerner at Sutter) with detailed notes on infusions, responses, and follow-ups; ensure compliance with HIPAA and Joint Commission standards.
- In home health roles (common with agencies like Kaiser Permanente or Alignment Health), perform field visits, coordinate supplies, and manage on-call emergencies in San Jose metro areas.
- Support triage via phone or secure messaging for chronic patients; assist in clinic flow for high-volume days.
- Major hospitals: UC Davis Health (oncology infusion), Sutter Medical Center (chronic disease clinics), Kaiser Permanente (integrated chronic care).
- Outpatient/infusion centers: Dignity Health or freestanding clinics like those affiliated with CommonSpirit Health.
- Home health/hospice: Alignment Health, VITAS Healthcare, or Dialysis Clinic, Inc. for CKD patients.
- Specialty units: Nephrology/dialysis at San Jose County facilities or wound care clinics serving chronic ulcers.
Vacancy posted 2 days ago
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