Registered Nurse - Hospice Home Care

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke HomeCare & Hospice

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Qualityof Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

The Duke HomeCare, Hospice and Infusion Services team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Must have home-based, hospice care experience for this PRN RN role.

Shifts: PRN 8 hour shifts

JOB SUMMARY:

Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

MAJOR JOB RESPONSIBILITIES:

1. Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures.  Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
2. Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
3. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
4. Develop and implement an effective discharge plan for patients to begin at the initiation of services.
5. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
6. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
7. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
8. Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards thru in-services and workshop attendance.
9. Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
10. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
11. Complete documentation accurately, timely, concisely.
12. Medication reconciliation and education to prevent adverse events and readmission to hospital
13. Observe patients’ reactions to medications and reports significant incidents to the physicians.
14. Communicate regularly with team members, caregivers, and physicians.
15. Follow infection control standard precautions and uses personal protective equipment as required.
16. Delegate and supervise care given by NCA’s/LPN’s.
17. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
18. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
19. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
20. Implement agency policy, procedures and objectives.
21. Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
22. Maintain confidentiality of employee and patient information.
23. Exhibit an attitude which promotes harmony and goodwill in the workplace.
24. Display a clean, neat, professional appearance.
25. Participate in Performance Improvement Program.
26. Promote quality, comprehensive services through a team approach.
27. Perform other duties as assigned.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%)

Travel to and from patient's residence

Education and Formal Training

• Associate Degree or Diploma, Nursing required
• Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.

Licensures, Certifications

• Must have a current North Carolina RN Licensure or compact RN licensure in participating state
• BLS Certification, may be recertified during orientation

• Valid driver’s license and current automobile insurance coverage is required

Professional Work Experience & Requirements

• Two years of med-surgical, critical care or home health/hospice/infusion
• Prior experience in Hospice required