Registered Nurse-Hospital At Home Part Time Days

Northwesternmedicine; Lake Forest (IL); Remote; USD 70,000 - 110,000; Full time

Job summary

Northwesternmedicine Home Health is seeking a Home Hospital RN to provide hospital-level acute care in a patient’s home as part of the Hospital at Home team. The role emphasizes interdisciplinary teamwork, ethical practice, and patient-centered care with coordinated discharge planning.

Responsibilities include comprehensive assessments, timely communication of changes, care plan adjustments, and education for patients and families.

Qualifications

• Performs a comprehensive assessment on all assigned patients as evidenced by completed documentation.
• Communicates changes in patient's condition promptly.
• Uses nursing diagnoses and assessment data to set measurable goals and adjusts the care plan as needed.
• Identifies and prioritizes patient needs and documents them.
• Collaborates with patient and health care team; assesses discharge needs and makes referrals.
• Evaluates and documents patient responses to nursing interventions and updates the plan of care.
• Assesses discharge planning and makes referrals including palliative care.
• Ensures discharge instructions, medication reconciliation, and patient/family information including the patient portal.

Responsibilities

• Care Coordination: see responsibilities above.
• Patient Education/Ethic and Diversity: supports patient/family education, documents learning readiness, uses teach-back for medication education, utilizes Krames materials, respects cultural needs, and upholds ethical standards.
• EBP and Research: implements interventions based on evidence and participates in ladder/project improvement; advances nursing science through evidence sources.
• Healing Safe Environment: safe medication administration, protects patient health and safety, communicates at hand-offs, rounds with care techs, supports quality metrics, prevents ulcers/falls and infections, and participates in safety initiatives.
• Relationship to Colleagues and Shared Leadership: leads and directs care teams and demonstrates strong interpersonal leadership.

Job description

The Home Hospital RN reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Registered Nurse embodies the attributes of the Relationship Based Care model and performs to PPM core functions. Under the direction of the department leadership, consistently reflects the mission, vision, and values of NM, adheres to the State of Illinois Nurse Practice Act, the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Home Hospital Nurse treats acutely ill patients in the home as a substitute for in-hospital care. The Home Hospital Nurse is a forward-thinking, creative individual who wants to practice in an innovative clinical setting and values interdisciplinary teamwork and patient-centered care. The Nurse will provide hospital-level acute care in a patient's home and will be part of the NM Hospital at Home team including (depending on each patient's needs) Physicians, Paramedics, Advanced Practice Providers, Pharmacists, Case Managers, Social Workers, Home Health Aides, Physical Therapists, and other operational staff. Provides home visits within defined radius around site hospitals according to Hospital at Home care Model

RESPONSIBILITIES:

Care Coordination

• Performs a comprehensive assessment on all assigned patients as evidenced by completed documentation.
• Communicates changes in patient's condition promptly.
• Utilizes appropriate nursing diagnosis and data from the assessment to derive realistic outcomes and documents them as measurable goals on the plan of care; modifies care plan, if indicated, in order to identify realistic patient goals.
• Identifies and prioritizes patient needs and/or nursing diagnosis for patients and documents.
• Collaborates with patient, family, and other members of the health care team when planning patient care and documents accordingly. Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary.
• Evaluates and documents the patient response to nursing interventions and alters the plan of care as necessary.
• Assesses patients with regard to discharge planning and makes the appropriate referrals as necessary, including palliative care.
• Assures completed discharge instructions, medication reconciliation and provide information to patient/family regarding the use of the patient portal and other pertinent resources.

Patient Education/Ethic and Diversity

• Supports patient/family/spiritual/cultural needs when assessing the patient and family needs for teaching; identifies the patient's learning level and readiness, and documents education record.
• Utilizes the teach back methodology for advancing patient education about medication side effects and new medication education.
• Utilizes and distributes Krames for patient education /clinical condition.
• Utilizes culture vision as a resource in care planning and delivery.
• Treats patients, families and staff in a caring manner with respect and dignity.
• Acknowledges and values the contributions of patient's significant others as an integral part of the plan of care.
• Adheres to ethical standards of practice.
• Calls for an ethics consult when appropriate.

EBP and Research

• Implements nursing interventions consistent with the established plan of care based on evidenced based care.
• Maintains and advances the professional image and science of nursing and the practice of professional nursing through use of best available evidence utilizing resources such as Ovid/Joanna Briggs, Up to Date, Culture Vision, and other reliable sources of evidence.
• Demonstrates active involvement in clinical LADDER project or process improvement at the unit/organization level.

Healing Safe Environment

• Demonstrates safe medication administration through the use of bar coding
• Promotes and strives to protect the health, safety and rights of the patient
• Conveys complete, timely, and accurate information at bedside shift report/hand-off
• Rounds hourly in collaboration with patient care technician
• Protects patients by maintaining a safe environment of excellence
• Demonstrates innovation and participation in meeting unit based and organizational quality metrics on the exceptional care dashboard
• Ensures clinical practice excellence that focuses on preventing pressure ulcers, falls, CAUTI's and central line infections (as appropriate to area of practice).
• Participates as a unit safety facilitator or as identified resource for quality initiatives as requested
• Participates in unit huddles

Relationship to Colleagues

Shared Leadership

• Oversees and directs the work of patient care or support techs; maintains overall accountability for the care of assigned patients.
• Demonstrates effective interpersonal skills in leading and directing others;