Homecare RN - Northfield

BASIC

PURPOSE:

The Home Care RN functions as a patient advocate. He/she delivers care based on the nursing practice guidelines. The Home Care RN provides leadership through coordination of scheduling, training, clinic visits, home supervision, and monthly QA/Ops meetings. She/he performs direct patient care according to CDC patient care policies and procedures. Assures all the team participates and communicates pertinent clinical information to each other and remains in compliance with all CDC personnel policies and procedures as outlined in the Employee Handbook.

Performs other related duties as assigned.

Utilizes the nursing process to provide comprehensive care. Establishes a therapeutic relationship with patient and families.

• Assesses patients effectively recognizing needs and utilizes the appropriate nursing skills and resources to meet those needs
• Develops a plan of care for each patient based on the medical plan and nursing diagnosis
• Implements the plan of care
• Evaluates and documents the patient response to the plan of care
• Performs review of primary patient lab work and plans responses as necessary
• Completes primary patient documentation according to CDC standards and timeline
• Schedules and leads patient care conferences to assure an interdisciplinary approach to patient plan of care and annual treatment modality review
• Provides and oversees all new patient training in home care programs
• Assures patient competency in home training and encourages patients to follow the prescribed dialysis treatment plan
• Demonstrates competency with special procedures or equipment
• Demonstrates and adheres to aseptic technique, universal precautions guidelines
• Demonstrates an understanding of the medication utilized for the ESRD population
• Maintains patient confidentiality and professional boundary guidelines
• Reviews and transcribes all verbal orders given by the physician for safety, completeness and efficacy
• Documents verbal orders according to CDC guidelines in the EMR
• Follows CDC hospital discharge policy for review of orders
• Follows manufacturer’s guidelines and CDC policy for the administration of medications at CDC
• Adheres to CDC and blood bank standards in the ordering administration, and documentation of blood transfusions

• Assesses patients for competency and acceptance to the home care program of their choice
• Communicates with the MD to coordinate new patient training and transfer to a home program
• Directs the activity of the RN, LPN or PCT that are working with the home program
• Schedules monthly patient clinic visits in conjunction with the MD
• Coordinates the involvement of the interdisciplinary team in the care of the patient at clinic visits and communicates effectively with all members of the health care team to provide continuous quality care
• Utilizes effective problem solving
• Delegates and maintains accountability for standard of care
• Participates in problem identification and the resolution of program issues
• Serves as a resource nurse in the area of home training for the interdisciplinary team and to CDC as an organization
• Woks collaboratively to develop and update policies and procedures to operate the home care modalities
• Serves as a role model in following policy and procedure
• Demonstrates an understanding of the legal ramifications of documentation
• Schedules and facilitates monthly QA and Operations meetings with the home care team
• Demonstrates flexibility and availability in scheduling and response to patient at home/ training needs
• Schedules and coordinates coverage of the home care pager to assure patient needs are met in emergent off-hour patient care situations
• Adheres to all CDC personnel policies including attendance control policies
• Oversees lab work and procedures scheduled to assure all patients in the program have lab work and procedures performed as needed and reschedules as necessary
• Appropriately enacts CDC’s policy and procedure on maintaining positive patient and staff relationships
• Demonstrates excellent customer service skills with patients, staff and physicians
• Und…