Registered Nurse - Hospital at Home - Hopewell - Part-time - Evening Shift

Job Title

Delivers quality care to patients through the nursing process of assessment, diagnosis, planning, implementation, evaluation, education & care coordination within the home setting and virtually. Supports the acute care delivery in the patient's home through in-home visits & virtual monitoring on site in the command center. Assures patient safety by executing appropriate policies. Serves as an advocate by providing emotional and informational support to patients and families and giving them an opportunity to participate in their plan of care and goal setting. Plans for providing traditional and individualized comfort measures. Works with other healthcare professionals to optimize patient outcomes and customer satisfaction. Educates patients about various medical conditions and provides advice and emotional support to patients' families. Contributes and supports the organization's readiness for various regulatory agencies, Environment of Care, Magnet and various certifications.

Minimum Requirements

Education: Associate's degree or graduate from an accredited school of nursing. Bachelor's of Science degree in nursing (BSN) preferred.

Experience: Three years experience in an acute care setting. Previous telemetry experience required.

Other Credentials: AHA ACLS or must obtain within 6 months of hire date, AHA BLS - Healthcare Provider, Drivers License, Registered Nurse NJ or Registered Nurse NLC multi-state

Requires NIH Stroke Scale Certification (or must obtain by end of orientation) AND 8 hours of Stroke related Continuing Nursing Education (CNE) contact hours annually if assigned to: Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, Observation, Hospital at Home

Knowledge and Skills: Possesses strong problem solving and decision making skills. Demonstrates high interpersonal skills at an individual as well as team level. Excellent verbal and written communication skills. Adjusts quickly and reacts positively to change. Considerable knowledge of principles, practices and current trends in nursing. Possesses good work ethic. Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.

Essential Functions

• Delivers quality care to patients through a team effort in working with others through the nursing process of assessment, diagnosis, planning, implementation, evaluation, education & care coordination.
• Delivers nursing care in-home to patients enrolled in the Hospital at Home program.
• Within the on-site Command Center, conducts virtual nursing assessments via video conferencing technology for patients enrolled in the Hospital at Home program. Monitors patient status remotely using connected devices and electronic health record (EHR) system data. Documents all virtual interactions in the EMR in accordance with NJ Board of Nursing and CMS standards.
• Triages patient care needs and escalates appropriately. Assures patient safety by executing appropriate policies and & procedures.
• Provides appropriate support for pain management, pharmacological and non-pharmacological measures. Assists patient/family in identifying individualized comfort measures.
• Collaborates with in-home clinical staff, providers, and other members of the healthcare team to ensure real-time updates and care delivery. Mobilizes resources in complex cases to maximize patients control and participation over his/her own recovery.
• Provides information and interpretation of the patient's condition and offers coping mechanisms. Provides these to both patient and family. Assesses how much information a patient wants and needs while utilizing a vocabulary and approach that enables the patient to successfully process the care and course of treatment.
• Formulates and documents a discharge plan that maximizes the patient's ability to continue with meaningful life activities. Integrates assessment and diagnostic information with intuition to foresee potential age-specific healthcare needs. Anticipates patients needs.
• Ensures handoff communication and includes a report in terms of the situations most likely to develop and the problems awaiting patient. Identifies proactively issues to be resolved related to patient education for medication management. Provide discharge planning which includes instructions on discharge medications.
• Uses discretionary judgment to appropriately modify patient care regimens. Facilitates appropriate response from other health care team members to provide quality and safe care.
• Operates and troubleshoots remote monitoring devices (telehealth platforms, vitals tracking). Conducts home safety assessments. Ensures proper handling and disposal of medical supplies.
• Recognizes early signs of clinical deterioration and escalates care promptly (including arranging transfer to brick and mortar hospital if needed).
• Attends educational sessions when offered in areas that will improve one's ability to assess the needs on one's respective department.
• Plans and provides unique and individualized comfort measures while utilizing intuitive and innovative approaches which are scientifically sound and are a result of evidenced based practice.
• Participates in unit based and/or hospital based committees, performance improvement activities at the unit and/or hospital wide level, and actively in the preparation of various regulatory agency readiness.
• Participates in unit level effort to achieve successful Patient Satisfaction scores and has an awareness of the HCAAPS measurements.
• Performs any other related duties as required or assigned.

Physical Demands and Work Environment

Frequent physical demands include: Standing, Walking, carry objects, Push/Pull, Twisting, Bending, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or HearOccasional physical demands include: Sitting, climbing (e.g., stairs or ladders), Reaching forward, reaching overhead, Squat/kneel/crawlContinuous physical demands include:Lifting Floor to Waist 25 lbs. Lifting Waist Level and Above 25 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens, Chemical, Airborne Communicable Disease, Dust/Particulate Matter

Benefits

This position is eligible for the following benefits:

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program