Field Nurse - Atrium Health Pediatric Hospital at Home (8a-8p) PT

Major Responsibilities

• Uses the nursing process to assess the needs of the patient, plan and implement individualized interventions in the home and evaluate the effectiveness of the plan of care. Includes the patient and family in planning and implementing care and develops and maintains a therapeutic relationship throughout the healthcare continuum.

• Anticipates and recognizes significant changes in the patient’s condition, status, and need for care escalation that may be need in the in-home care setting. Provides in home assessment of the patient and takes appropriate actions when changes occur. Anticipates and alters the plan of care as needed, mobilizes appropriate resources, and collaborates with other health care team members to coordinate patient centered care.Implements trategies to reduce patient risk and increase patient safety while in the home.

• Actively coordinates the discharge plan utilizing an interdisciplinary approach. Applies evidence-based practice to deliver patient care in the home. Consistently incorporates nursing and regulatory standards of care into practice.

• Provides ongoing in-homeevaluation of patient, team, and unit outcomes and is empowered to take appropriate action when changes are needed while providing care in the home. Supports shared governance activities and initiatives to improve processes and patient outcomes.

• Demonstrates effective communication andpromotes collaboration among healthcare team members virtually and in-person. Assumes a leadership role in the care team and delegates appropriately to unlicensed personnel.

• Promotes a culture of safety through identifying threats to patientand in-home care team’s safety and intervening to prevent harm. Reports patient safety events and near misses in a timely manner. Seeks to identify potential safety issues and assists in the implementation of corrective actions.

• Applies ethical decision making,demonstrates respect and understanding for peers, and other clinical disciplines. Participates as an effective member of the patient care team while working in the home to formulate an integrated, unbiased, individualized approach to care.

• Participates in quality/process improvement initiatives to improve the functions of the department and the in-home patient care experience.

• Participates in professional activities which contribute to personal professional development and the development of others. Seeks opportunities to be taught, coached, and mentored. Attends required meetings/educational programs and completes annual competencies in a timely manner.

• Must be able to demonstrateknowledge and skills necessary to provide in-home care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Minimum Job Requirements)

Education

• Completion of an accredited or approved program in Nursing.

Certification / Registration / License

• Registered Nurse license issued by the state in which the team member practices

• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA).

• Required to have a valid driver’s license issued by the Division of Motor Vehicles and acceptable vehicle operator record

• Travel required within designated geographic area
  

• Pediatric Advanced Life Support (PALS) issued by the American Heart Association (AHA) preferred

Work Experience

• Minimum of two-years of recent nursing experience in an acute bedside setting or emergency nursing

• Pediatric experience strongly preferred within the last 3 years

Knowledge / Skills / Abilities

• Demonstrates progression to provide holistic patient care in the home and the ability to view clinical situations from a patient and family focus.

• Demonstrates progression to recognize situational changes while providing care in the home that requires unplanned or unanticipated interventions, and responds to situations with confidence, timeliness and flexibility.

• Proficiency in phlebotomy skills, IV insertion, and Midlines required.

• Proficient technology skills, use of electronic mail, electronic medical records systems, and remote patient monitoring equipment

• Excellent communication (written and verbal), listening and interpersonal skills.

• Ability to work independently while in the patient’s home in collaboration with the virtual care team.

• Provides comprehensive nursing assessment in an untraditional nursing environment.

• Demonstrates human relation skills with the ability to develop rapport and maintain positive, professional relationships with a variety of patients, team members and physicians while providing care in the home. Ability to take initiative and work collaboratively with others.

• Demonstrated ability to effectively make critical, independent decisions.

• Excellent organization, prioritization and problem-solving skills.

• Demonstrates time management skills with an ability to multi-task and prioritize in an environment with frequent interruptions.

• Demonstrates coordination, collaboration, delegation and team building skills.

Physical Requirements and Working Conditions

• Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workdayin possible confined spaces.

• Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations.

• Must be able to:

• lift up to 50 lbs. from floor to waist.

• lift up to 20 lbs. over the head.

• carry up to 40 lbs. a reasonable distance.

• Must be able to:

• push/pull with 30 lbs. of force.

• May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary.

• Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions.

• Operates all equipment necessary to perform the job.

• Work environment includes probability of exposure to adverse, hazardous, or unpleasant conditions while caring for the sick

• Must be able to travel to all areas within the Advocate service area in all extremes of weather on all types of roads

• Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families.

• Required to make visits to private residences which may not be accessible to people with disabilities.