Rn Home Health - We

Registered Nurse, Home Health Homecare And Hospice Overview

Covenant Health Home Care and Hospice is the area’s largest locally owned home health and hospice provider, with one of the largest rehabilitation departments in East Tennessee. Our Home Care and Hospice services are part of Covenant Health, East Tennessee’s largest nonprofit health system and a Becker’s “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.

Covenant Health Home Care and Hospice is the area’s largest locally owned home health and hospice provider, with one of the largest rehabilitation departments in East Tennessee. Our Home Care and Hospice services are part of Covenant Health, East Tennessee’s largest nonprofit health system and a Becker’s “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.

Provides professional nursing care to an assigned group of homebound and terminally ill patients; coordinates care planning with other disciplines. The RN-Home Health will work 12 hours each day on the two assigned worked days, starting each day at 4 pm. Two twelve-hour on-call shifts are also required starting at 4 am on the two assigned worked days. The RN-Home Health reports to the assigned Nursing Clinical Supervisor.

• Reviews patients records, determines home care needs including OASIS assessments at appropriate time points, develops care and discharge plans, revising as necessary, coordinates and refers other services and participates in case conferences with other disciplines.
• Performs and records cardiovascular assessments, pulmonary assessments, neurological assessments, GI assessments, skin assessments, intake and output assessments, and pain assessments.
• Performs treatment procedures which include but are not limited to insertion of nasogastric/gastrostomy tube, replacement of gastrostomy tube, giving medications by N/G tube, gastrostomy tube and JeJunostomy tubes, providing teaching, training for patient/caregiver on care of feeding tube, insertion of weighted feeding tube, and provides care for patients with bolus tube feeding method and tube feeding per enteral pump.
• Performs intravenous procedures such as inserting peripheral IV line, calculates and maintains correct rate if IV infusion, labels and changes tubing, and performs venipuncture. Access central lines.
• Provides colostomy care, tracheostomy care, and suctioning.
• Administers IM and sub-q medications, administers medications through IV push, and IV piggyback per Home Care Policy. Clearly documents administration of medications. Checks for allergies and MD orders before administering medications.
• Properly uses and/or maintains equipment such as infusion pumps, ventilators, manual resuscitators.
• Received instruction and demonstrates competency in declotting VAD’s in the home.
• Removes and provides care for PICC lines.
• Initiates appropriate preventive and rehabilitative nursing procedures and regularly re-evaluates patient needs.
• Acts as liaison between MD and patient/family. Communicates to MD, orders received and processed and communicated to family. Informing the MD and other staff of changes in the patient’s needs.
• Completes MD orders and sends to MD for signature in a timely manner.
• Prepares and submits daily documentation, contacts MD, contact note, mileage, etc.
• Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines.
• Provides patient/family education and counseling regarding the disease process, self-care techniques and prevention strategies. Promotes patient/family independence.
• Makes appropriate referrals.
• Follows appropriate admission,…