Home Health Nurse RN

Staff Registered Nurse

This position provides on-call nursing coverage throughout the agency's service area Monday through Friday, 4:00 PM to 9:00 PM, with no weekend or holiday rotation. Compensation includes on-call pay for scheduled shifts and hourly pay for any patient visits completed while on call. Orientation requires the ability to work full-time hours for 2 to 4 weeks, depending on prior home care experience.

The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient/client population for this position are those requiring skilled clinical home care services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures.

Responsibilities

(20%)* Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice.

(20%)* Initiates plan of care for assigned patients/clients and revises and adapts as necessary.

(20%)* Provides nursing care (or arranges for services through specialized staff) through ongoing visits to a group of patients/clients, sharing the patient/client case load.

(15%)* Coordinates patient/client care by evaluating outcomes and providing on-going feedback to others involved in care relative to patient status and changes needed on patient care plan.

(15%)* Coordinates care provided by Licensed Practical Nurses (LPN) and Home Health Aides and supervises Licensed Practical Nurse (LPN) as needed.

(10%)* Notifies physician of changes in patient/client condition and care needs and obtains new orders as needed.

Other duties and responsibilities include:

• Function as case manager for assigned case load if assigned.
• Implements preventative and rehabilitative nursing procedures and utilizes community and agency resources for optimum patient/client care.
• Utilizes Agency documentation system to record services provided according to agency, professional, and program standards.
• Assists in maintenance of patient/client records.
• Provides patients/clients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence and as required by regulatory agencies.
• Establishes a Home Health Aide care plan and supervises the Home Health Aide according to Agency guidelines.
• May make joint visits with other disciplines to assure consistency of care.
• Functions as part of multi-disciplinary team in coordinating care including planning for discharge.
• Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned.
• Participates in Agency, community and/or home health organization activities as assigned appropriate.
• Participates in staff meetings, in-service education programs, and other opportunities for learning.
• Complies with documentation requirements for employee personnel and activity records as defined in Agency policy.
• Carries out work according to Agency policies and procedures in such a manner as to appropriately reflect Agency standards for timeliness, accuracy, and productivity.
• Maintains confidentiality of patient/client and Agency information.
• Adheres to the Agency standards related to personal appearance and behavior.
• Participates in weekend and holiday rotations and on-call duties as identified in personnel policies.
• Participates in Agency performance improvement process.
• Assists in Agency community education activities as requested.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
• In summary:
• Participation in the patient's coordination of care.
• Ongoing interdisciplinary assessment of the patients.
• Development and evaluation of the plan of care in partnership with the patient, representative (if any), and the caregiver (s).
• Provides services that are ordered by the physician as indicated on the plan of care.
• Conducts patient, caregiver, and family counseling and education.
• Prepares clinical notes in a timely manner.
• Communicates with all physicians involved in the plan of care and other health care practitioners (as needed) related to the current plan on care.
• Participates in the organization's quality assessment and performance improvement program.
• Participates in organization sponsored in-service training.
• Other duties as assigned.

Certifications and Licensures

Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Credential: DRIVERSLIC: Drivers License Equivalent Experience:

Credential: VEH INS: Vehicle Insurance Equivalent Experience:

Credential: RN: Registered Nurse Equivalent Experience:

Qualification Source: MI

Credential: FINGERPRIN: Fingerprinting Equivalent Experience:

Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)

Required Education

Education: ASSOC Equivalent Experience:

Education Specialization: NRG

Other Information

EXPERIENCE, TRAINING AND SKILLS:

• Able to function as part of a team.
• One year of direct patient care experience is preferred.
• Successful completion of Agency orientation and competency programs.
• Ability to communicate effectively, verbally and in writing and able to understand the English language.
• Ability to adapt to frequent changes.
• Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships.
• Ability to work independently, demonstrating problem solving and organizational skills.
• Ability to drive under hazardous road conditions.
• Ability to work where employee may be exposed to communicable diseases in unpredictable home situations.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

• Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.