Admission Nurse; RN Hospice Home Care

About Duke Home Care & Hospice

Duke Home Care & Hospice offers hospice, home health, and infusion services across the region and serves as the home of the Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses
• American Board of Nursing Specialties Award for Nursing Certification Advocacy
• 6000+ registered nurses
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility)

Performs professional nursing care for patients in a primary care setting (the home or alternate-site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

• Plan, provide, supervise, and document professional nursing care utilizing the nursing process for patients in accordance with the NC Nurse Practice Act, physician orders and established policies and procedures.
• Utilize comprehensive assessment skills to plan priorities and set realistic outcomes; collaborate with healthcare team in the evaluation and cost‑effectiveness of patient care.
• Assess educational needs of patients/families concerning health alterations, disease process, and plan of care.
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness.
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision‑making, critical thinking, and problem‑solving skills.
• Participate in weekly interdisciplinary team meetings and case conferences to assure appropriate care.
• Maintain up‑to‑date knowledge of Medicare/Medicaid/JCAHO standards through in‑services and workshops.
• Assess severity of patient symptoms, communicate to the physician and record findings, intervene as appropriate.
• Document care and services in accordance with DHCH policy and regulatory standards; complete documentation accurately, timely, concisely.
• Medication reconciliation and education to prevent adverse events and readmission.
• Observe patient reactions to medications and report significant incidents to physicians.
• Communicate regularly with team members, caregivers, and physicians.
• Follow infection control standard precautions and use personal protective equipment as required.
• Delegate and supervise care given by NCA’s/LPN’s.
• Develop plan of care for aides, assigning care based on skill, availability, and patient preference.
• Identify personal learning needs and implement corrective action; assist in staff development programs.
• Pursue own professional development by maintaining required competencies and seeking educational opportunities.
• Implement agency policy, procedures, and objectives.
• Work closely with agency billing staff to ensure billing accuracy.
• Maintain confidentiality of employee and patient information.
• Exhibit an attitude that promotes harmony and goodwill in the workplace.
• Display a clean, neat, professional appearance.
• Participate in performance improvement programs.
• Promote quality, comprehensive services through a team approach.
• Perform other duties as assigned.

Perform patient care primarily in the patient's residence or skilled nursing facility (>50%). Travel to and from patient residences.

• Associate Degree or Diploma, Nursing required.
• Registered nurses encouraged to enroll in a DUHS approved BSN program after two years of service.

• Current North Carolina RN Licensure or compact RN licensure in a participating state.
• Current North Carolina Cardio‑Pulmonary Resuscitation Certificate (CPR) (American…