Clinical Nurse Home Care
Performs the functions of a registered nurse in direct and indirect patient care in the home setting. Utilizes the nursing process in the delivery of developmentally appropriate care. Patients seen in home care setting are assessed according to their presenting diagnosis, status, need, and the defined assessment components of the service by which they are being seen. Responsible for documentation of findings, referrals to other services based on assessment findings, and completes on-going patient care coordination requirements. Works effectively with members of the health care team in the provision of care to patients and families. Serves as a mentor and/or supervisor to licensed vocational nurses, students, and novice/beginner professionals. Provides care to patients requiring enteral tube feeding. The RN in this position collaborates with physicians, residents, registered dieticians, mid-level providers, registered nurses and other allied health staff members to provide home health care using a team approach. The Enteral RN provides care to patients utilizing home health face to face visits and potentially tele health nursing as well. Patient visits include, but are not limited to: review of patient health issues, medication review, and patient education related to equipment set-up and administration of home enteral nutrition and care of feeding tube as appropriate. The RN collaborates daily with providers and other health care staff members. The Enteral nurse will also be responsible for taking a lead role for informing and educating other staff members within HME on enteral products, calculation of formula's, order completion, and proper way to bill orders within CPR+ workflow system.
Job Specific Responsibilities
Provides competent care for families based on practice patterns which reflect new levels of awareness of suffering, patient/family psychosocial needs, and complexity of clinical judgment. Assesses and collects data in a comprehensive manner identifying underlying family needs to implement an individualized plan of care for the home setting. Evaluates and revises plan of care based on evolving needs of the patient and the home setting. Provides comprehensive, individualized teaching based on identified learning needs of families. Identifies safety concerns in the patient's home environment which could limit patient's progress of jeopardize patient's safety. Rotating on-call responsibility.
Assess patient needs for rehabilitation therapy services, social services, and medical equipment and shares information with appropriate service provider. Communicates with other healthcare professional involved in the patient's plan of care. May inclue communication with providers from outside agencies and contract staff. Communicates changes in patient status to necessary entities or other service providers (i.e., hospital, therapist, physicians, etc.) Participates in case conferences for patient caseload.
Demonstrates competence in professional practice. Complies with state, federal, and other regulations. Maintains working knowledge of state regulations and Joint Commission standards for Home Care nursing services. Serves on various committees in the organization and participates in establishing the nursing excellence standards for the home care department. Is proactive in department initiatives surrounding documentation of medical necessity; measures to identify fraud, waste, abuse, patient safety, emergency preparedness planning; and all organizational performance improvement objectives.
Participates in the development of professional and educational activities. Seeks evaluation of self from peers and clinically advanced professionals to improve professional practice. Applies nursing research to clinical practice. Reads and evaluates current nursing research that has implications for clinical practice. Modifies own practice based on nursing research and quality improvement findings. Supports and/or maintains membership in a professional organization. Shares pertinent information gained from professional seminars, conferences, books, or journals.
Preceptor for novice/beginners, students, and LVN staff. Provides supervision of Licensed Vocational Nurses in the field. Directs the LVN to ensure correct methods are used patient care to meet the plan of care objectives. Assists in identifying learning needs and developing strategies to meet identified learning needs of staff nurses and other healthcare workers.
Position Specific Responsibilities
Develop and grow HME Enteral Program
Provides Enteral products and services to internal and external patients
Knowledge and understanding of Enteral nutrition including care for feeding tubes
Good communication Skills: verbal, written, and listening
Ability to work independently or within a group
Ability to use sound judgement and has an organized approach to work and time management
Knowledge and understanding of Medication Management
Ability to ensure confidentiality of patient information
Required: Minimum of 1 years of related experience.
Required: Minimum two years experience as a practicing nurse (GI specialty preferred)
Preferred: Home Care experience highly desired
Preferred: Previous clinical nursing experience in pediatric setting
Preferred: Previous clinical nursing experience in pediatric home care setting
The organization is moving towards a BSN workforce. Interested candidates should have a BSN or be in the process of obtaining BSN as this will be required of all direct patient care nurses effective 1/1/2021.
Licenses and Certifications
Required: Current license to practice professional nursing in the State of Texas
Required: Current Texas Driver's License
and families begin to trust you and think of you as a family member. It feels less medical to them because they are at home. I really do love my job and I am super proud to work here and be part of such a wonderful team.
Speech Language Pathologist