Hospital at Home Staff RN Per Diem Days-Hopewell

SUMMARY (Basic Purpose of the Job) 

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 in Nursing (BSN) preferred. 

Experience: 

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

Other Credentials: 

AHA BLS - Healthcare Provider, Registered Nurse NJ or Registered Nurse NLC multi-state 

Driver's License 

Requires ATCN or TNCC (or must obtain within 1 year of hire) AND 8 hours of Trauma related Continuing Nursing Education (CNE) contact hours annually if assigned to: RMC ICU/CCU, RMC Surgical Trauma Unit, RMC PACU, Emergency Department (all campuses)  

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  

CPR Requirements: 

• Requires ACLS (or must obtain within 6 months of hire date) if assigned to: Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation, Hospital at Home.  

• Requires NRP (or must obtain within 6 months of hire date) if assigned to: Maternity Services, Emergency Room RMC/Deborah  

• Requires PALS (or must obtain within 6 months of hire date) if assigned to: Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED.  

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. 

Special Training: 

Demonstrates knowledge of nursing skills, hospital practices, procedures and standards. 

Mental, Behavioral and Emotional Abilities: 

Usual Work Day: 

12 Hours   

Reporting Relationships 

Does this position formally supervise employees? No 

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 & procedures. 

• Provides appropriate support for pain management, pharmacological and non-pharmacological measures. Assist 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 patient's 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. 

• Operate and troubleshoot remote monitoring devices (telehealth platforms, vitals tracking) 

• Conduct home safety assessments 

• Ensure proper handling and disposal of medical supplies 

• Recognize early signs of clinical deterioration and escalate 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. 

• Participates in performance improvement activities at the unit and/or hospital wide level. 

• Participates 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. 

IND123.