Registered Nurse - Home Health High Tech

Position Summary

To provide skilled high tech nursing care to technology‑dependent individuals in a home care setting and in accordance with an established nursing plan of care. Work may include evenings, weekends or holidays.

• I.
  
  Education:
  
  Associate degree or higher in nursing (or other appropriate discipline)
• II.
  
  Experience:
  
  Minimum two or more years of directly related home/public health, hospice and/or high tech nursing experience
• III. License Requirements: Current RN or LPN licensure or compact licensure recognized by the State of Vermont is required.
• IV. General Requirements:
  • Must demonstrate and maintain any required competency
  • Able to speak, read and write in English
  • Be honest, self‑directed, possess initiative, display good judgment and a positive attitude toward daily activities
  • Have the ability to communicate clearly and effectively both orally and in written work
  • Be able to work cooperatively and in a productive manner with organization’s employees, clients, customers and the general public
  • Maintain satisfactory standing with the Adult Abuse Registry, Child Abuse & Neglect Registry, Vermont Criminal Information Center and OIG
  • Be free from the illegal use and effects of drugs and alcohol in the workplace
  • Be able to carry out the functions of this job without risk of harm to the health and safety of self and others
  • Hold a valid driver’s license and have a reliable, registered vehicle with insurance as required by the organization, and appropriate to position

• Traveling may be required
• May work in community based settings, clients’ homes and outdoors
• May work during non‑business hours
• May experience hostile and emotionally upset clients, family members, visitors and staff
• Stress due to a demanding profession
• Exposure to blood‑borne pathogens
• Environmental exposures such as inclement weather, animals, firearms, tobacco use, dust, and other client‑based activities and preferences

• Must walk, sit, stand, bend, lift and move intermittently during working hours
• Ability to push, pull and lift from the floor, up to a total of 50 pounds and be able to move with the weight, as to organization’s standards
• Climbing – be able to navigate stairs of varying heights and degrees
• Balancing – be able to maintain balance
• Kneeling, crouching, stooping, twisting, reaching below waist level, reaching overhead and reaching torso level
• Manual finger dexterity – need dexterity to perform duties and use equipment
• Visual acuity – need sufficient eyesight to drive a car, use office equipment and perform duties
• Auditory acuity – will need to assist individuals in person and by telephone

• Provide direct high tech nursing care to patients under minimal personal and procedural clinical supervision, following an established nursing plan of care, including: ongoing assessment of patient’s physical and family’s psycho/social health status; ventilator monitoring and care, tracheostomy care, use and care of feeding tubes, and other technical procedures; administration of medications, assisting with general exercise and specific physical therapy regimens;
  
  family teaching and support, exercise and physical therapy needs, medical procedures they can do at home and methods of carrying out daily living activities
• Discuss patients’ status, problems, and needs with family members, and educate family members similarly about patients’ illnesses, treatment and care
• Confer regularly with case manager and/or other clinical staff (physical/occupational/speech therapists, etc.) involved with cases to discuss changes in patient status and care plan
• Report changes in patients’ status to clinical manager and physician as appropriate
• Prepare all required clinical and administrative documentation related assigned activities, adhering to all relevant legal regulations, technical requirements of government Agencies, internal procedures, and professional standards
• Participate in a variety of formal and informal orientation, training and staff development programs and activities in order to expand clinical nursing knowledge and skills pertinent to home care nursing in…