Department:

34124 Carolinas Medical Center - Pediatric: Hospital at Home

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

12pm - 11pm / 3 days per week / every 3rd to 4th weekend

Pay Range

$37.50 - $56.25

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-home evaluation 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 and promotes 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 patient and 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 demonstrate knowledge 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 patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs, and to provide the care needed as described in the departments 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

Work Experience

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

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 workday in 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.

DISCLAIMER

All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammates job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.