Homecare RN - Northfield

Company : Centers For Dialysis Care

Job Description - 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

Provides leadership in management of the home care program through supervision of training and development of the program policy procedure

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
Understands CDC’s drug free work place program and utilizes procedures when appropriate
Reviews and assure appropriate documentation and follow-up of all employee/patient injuries occurring in their program

Provides for an on-going professional growth and development

Completes a yearly self-evaluation
Maintains CEU’s and licensure requirements to practice in the state of Ohio
Formulates goals for personal and professional growth
Participates in the preceptor program
Identifies learning needs and seeks resources to meet these
Shares knowledge and experience with peers
Completes CDC ongoing education requirements including Healthstream modules as assigned
Continues to enhance understanding of home care modalities by attending programs and courses focused on these areas

Adheres to nursing and CDC policy and procedures to ensure quality patient care and safety

Administers care according to CDC policy and procedure
Demonstrates knowledge of CDC’s Disaster and Hazmat plans
Assesses patients in crisis and initiates emergency response plan as necessary including CPR measures
Provides reporting on home care quality indicators and leads the quality team in addressing quality are related issues
Provides day to day management of vascular access issues and provides patient education when needed
Demonstrates a basic knowledge and understanding of the importance of water treatment for dialysis and its safety
Monitors the use of anticoagulation therapy on all patients assigned and utilizes nursing judgment to hold doses or contact the MD for dose adjustment when necessary
Share in the responsibility of promoting CDC as a center of quality
Maintains a professional appearance and demeanor at all times

Manages CDC resources in an efficient fiscally responsible manner

Follows protocols for equipment supply use and evaluation of new equipment/supplies
Utilizes supplies in a cost conscious manner
Assures CDC practices are designed to enhance efficiency in practice
Provides all necessary documentation to support billing for patient training, medication administration and home therapy
Assures the home care supply budget is managed in a fiscally responsible manner
Schedules ancillary staff in the program in a cost effective manner
Works with non-compliant patient and the business to remedy financial issues in relation to their care and determine patient need for discharge based on failure to obtain payment or compliance
Oversees the adherence to CDC salary and non-salary budgets

Assists with the maintenance of physiologic functions through the conscientious training, initiation, monitoring, and discontinuation of CAPD or home hemo therapy

Demonstrates a basic knowledge and understanding of the objectives of home dialysis therapy
Provides CAPD and home hemodialysis one on one training with patients
Oversees training provided to home care patients by ancillary staff i.e. PCT or LPN to assure patient competency is achieved
Troubleshoots machine alarm states and cannulation difficulties
Troubleshoots emergent CAPD issues i.e. infections or failure to drain
Demonstrates assessment skills of the home care patient throughout delivery of either modality
Administers, dates and signs off all medications as ordered
Assures thorough documentation of all patient competency checklists and training assessments
Documents all pertinent data per CDC documentation standards
Communicates with all staff involved in the program to assure smooth operations
Records treatment information pertinent observations and data onto the electronic medical record or flow sheet accurately and legibly

EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS:

Graduate from an accredited school of nursing
Current Ohio licensure
Current CPR certification
Independent decision-making skills
Good leadership and interpersonal qualities
Home Care in the ESRD field preferred

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Homecare RN - Northfield

Job Description - Homecare RN - Northfield

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