RN Home Health Hospice PRN
The Registered Nurse demonstrates clinical competence by utilizing the nursing progress. The nurse must assess and identify patient problems/needs, establish a plan of care, and implement and evaluate nursing care for a specific patient or group of patients in the home environment.
1. Performs physical and psychosocial assessment of patient and demonstrates competency in the delivery, evaluation and documentation of nursing care. Accurately documents patient assessments.
2. Assesses learning needs of patients/family and collaborates with others health team members in planning, implementing, and evaluating a teaching plan.
3. Develops a plan of care to meet identified patient problems or needs, writes measurable expected outcomes, specific nursing interventions, and coordinates patient transfers/discharge needs.
4. Evaluates presents plan of care, and revises and updates care plan according to the patient’s progress toward expected outcomes. Documents evaluation of nursing care plan.
Service Delivery Standards:
1. Values Behaviors: it is essential that all employees are able to support the values of St. Anthony Hospital and Catholic Health Initiatives. Each person is expected to interact effectively with physicians, patients, visitors, and staff as well as demonstrate a commitment to service, hospital values, and professionalism though appropriate conduct and demeanor at all times.
Pass a Smile! (First Impressions)
§ Introduce yourself
§ Initiate greetings with a smile, eye contact, open body language, and a handshake or touch.
§ Use patient or co-worker’s name in conversation. Be genuine.
§ Listen attentively and confirm back to customer what you have heard.
§ Always say “hello” with a smile to patients, visitors, and co-workers in hallways and elevators.
Celebrate Differences! (Diversity)
§ Treat all Patients, visitors, and co-workers with respect as unique, valued.
§ Provide the highest level of service to everyone, regardless of who they are.
§ Create a supportive environment and encourage people to freely express themselves.
§ Behave in a professional, collaborative, supportive manner, regardless of personal feelings.
Look The Part! (Professional Image)
§ Make sure employee badge in visible and appropriately placed.
§ Stay well groomed
§ Keep clothing neat, clean, and in accordance with the department and hospital policy.
§ Ensure that personal conversation, demeanor, and all behaviors present and “on-stage” appearance.
§ Maintain an attitude of confidence and proficiency.
Make it Right (Service Recovery)
§ Anticipate and correct problems before they become complaints.
§ Acknowledge mistake when they occur, without placing blame.
§ Apologize for the mistake, even if you are not at fault.
§ Make amends for mistakes by taking corrective action as a tangible indication of our sincere regret.
Let’s Talk (Communication)
§ Follow through on all requests and promises in a timely manner.
§ Whenever you see a person who needs help, ask then “What can I do for you?”
§ Respond in a timely manner to all requests – conveying clear, concise, and accurate information.
§ Answer all phones and call lights promptly. State name, department, and give an appropriate greeting.
§ Always use a friendly voice.
Lean on Me! (Teamwork)
§ Balance personal agenda with team and organizational goals.
§ Value all team members and their options by teaching everyone equally and with respect.
§ Seek to resolve conflicts in a respectful way. Do so directly with the individual(s) involved and
§ Arrive in time to report and listen quietly.
§ Fully share information that people need to do their job.
§ Express ideas, opinions and reactions constructively.
Welcome to our Home! (Safe/Healing/Calm Environment)
§ Maintain a safe, neat, clutter-free work environment.
§ Pick up linen and put away.
§ Keep voice down on and around “On-stage” areas.
§ Recommend changes to policies, procedures, and environment to enhance everyone’s ability to
provide optimum service to all patients, visitors, and employees.
Keep in Touch! (Provide information and explanations)
§ Apologize for delays and inconveniences.
§ Communicate anticipated timelines for procedures and keep family updated.
§ Use easily understood and appropriate language when giving information to patients, visitors, and co-
§ Avoid technical and professional jargon and acronyms.
Privacy Matters! (Privacy/Confidentiality)
§ Always knock before entering.
§ Be sensitive to individuals privacy needs.
§ Always speak kindly and positively about patients and co-workers. Show in all ways that patients is
the first priority.
§ Maintain strict confidentially at all times with patients, visitors, co-workers, physician information, and
with proprietary organizational information.
Thank somebody! (Recognition/Appreciation)
§ Find ways to specifically recognize and appreciate a co-worker.
§ Catch people doing something special and let then know you appreciate it.
§ Commend a team member when they demonstrate one or more of our customer service standards and
§ Openly praise and acknowledge the good work of co-workers by announcing specific professional and
Show the Way! (Give Directions)
§ Make it your job to know where services are at the facility.
§ If someone appears to need directions, offer to help.
§ Offer to escort patients and visitors to their destination.
§ If unable to personally escort, take him/her to someone who can, or show him/her the way with a
§ Do chart reviews, stocking department, etc. with free time.
Keep Growing! (Technical Competency)
§ Maintain a high level of competence; continue to grow in skill and encourage others to do the same.
§ Consistently demonstrate excellent technical knowledge on the job.
§ Encourage and contribute innovative ideas and ways of doing things that increase effectiveness.
2. Performance Improvement: Understands and actively supports the organizational and departmental Performance Improvement Plans.
a. Can verbalize employee’s overall responsibility and role in St. Anthony’s Performance Improvement Plan.
b. Can identify plan, do, check, and Act as St. Anthony hospital’s method for performance Improvement.
Participate in patient team conference.
3. Participate in patient team conference.
4. Assume accountability for knowledge and implementation of Medicare guidelines and regulations related to the provisions of patient care in the home.
5. Provides case management that includes planning, implementation, care delivery, coordination and evaluation, as well as utilization and financial oversight.
6. Provides clear documentation that includes all parameters of Medicare regulations e.g. Hospice, OASIS, homebound statues, medical necessary and skill provided.
7. Accepts evening, weekend, and holiday call responsibility as assigned.
8. Practices time management skills for effective self-scheduling and care management with in discipline and department productivity standards.
9. Maintain prompt, open and positive communication with staff, medical staff, and other hospital personnel, as well as with patients/families and significant others.
10. Follow all applicable Federal, State, and local Confidentiality Regulations in regard to disclosing patient information.
11. Provides patients/family education.
12. Reviews laboratory reports and report to primary care provider and other home care staff.
13. Able to perform visits for Hospice patients.
14. Participates in activities that contribute to the on-going development of the profession’s body of knowledge in order to remain abreast of changes in nursing practices and procedures.
15. Performs other related duties as assigned or required.
Age Specific Population Served:
ⓧ Neonatal (0-28 days) ⓧ Infant (28 days- 1yr.) ⓧ Pediatric (1-12 yrs.)
ⓧ Adolescent (12-20 yrs.) ⓧ Adult (20-61 yrs.) ⓧ Geriatric (62yrs +)
Knowledge, Abilities, and skills: Advanced nursing clinical skills, as demonstrated by previous nursing experience. Previous home health experience is proffered. Effective interpersonal communication skills in order to effectively collaborate with physicians and to provide appropriate instruction to patients and family members. Must be able to function in a field setting autonomously with a high level of critical thinking.
PHYSICAL AND MENTAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully performed the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee id regularly required to stand. The employee is required to walk, talk, read, write, and hear. The employee is frequently required to sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; and smell. The employee must frequently lift and /or move up to 50 pounds and occasionally lift and/or move up to 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust and focus.
The work environment characteristics described here are responsible of those and employee encounters while performing the essential functions of this job. Responsible accommodations may be made to individuals with disabilities to perform the essential functions.
Security Access: HIGH – Incumbent has access to restricted or confidential patient information and must comply with the terms of the St. Anthony Hospital security policies as it applies to their job roles.
While performing the duties of this job, the employee is regularly exposed to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and risk of radiation. The noise level in the work environment is usually moderate.
Will make home visits much of the day, and in travel. Subject to variable environmental conditions, this may include: cigarette smoke, vicious animals, vermin, poor sanitation, domestic violence, traffic and driving hazards, and inclement weather.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be constructed, as an exhaustive list of all the responsibilities, duties, and skills required of personnel so classified
Education and Experience: Must be a graduate of an accredited school of nursing, minimum of one year of acute care, ER, ICU, or SNF experience. BSN preferred.
Licensure: Must possess a current active nursing license to practice in the state of Oregon, current CPR card, current Oregon state drivers license and auto liability insurance