REGISTERED NURSE RN - HOME HEALTH

The RN assesses, plans, implements and evaluates the care for a designated group of patients in their home. The RN coordinates, directs and promotes positive patient outcomes, and contributes to efficient agency operation. In addition, the Hospice RN provides palliative care and support to terminally ill patients and their families.Essential Job FunctionsIdentify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers.Promote patient's independence by establishing patient care goals; teaching patient/caregiver to understand condition, medications, and self-care skills; answering questions.Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel as indicated.Document patient care services by charting in patient and department records.Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results.Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients' homes, in accordance with federal regulation and accrediting bodies.Resolve patient problems and needs by utilizing multidisciplinary team strategies.Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods.Contribute to team effort by accomplishing related results as needed.Specialty Job FunctionsHospice Role: Understand the Hospice philosophy and performs care accordingly to enhance the quality of life of the terminally ill patient.Maintain and demonstrate an understanding of the Hospice benefit and complies with regulatory conditions of participation.Follow established guidelines for pain and symptom management to enhance quality of life.Educate patients / caregivers regarding the care needs at the end-of-life, including palliative care measures.Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional, and spiritual needs of the terminally ill patient and their family.Assess eligibility for Hospice care and obtains the informed consent prior to the initiation of services.Mental Health Role - In conjunction with the physician, implements mental health concepts and psychiatric nursing principles in the plan of care.Provide supportive psychotherapy.Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources.Make appropriate referrals based on the nursing assessment and in collaboration with the physician.Function as a resource for Agency staff with patients demonstrating mental health issues as a secondary diagnosis.Provide overall guidance to Agency staff and managers related to day-to-day operations and long-term use of laptop computers.Ensure the process includes education about safely and effectively using medication, pain and pain management.Acquire and distribute educational resources to Agency staff.Complete medical conditions reports and forwards to physician for signature.Complete non-medical nursing visits for private duty division as required (i.e. medication pre-fills).Complete care plans for Options consumers for Westmoreland County area of aging, consumers of the Veteran's Administration H/HHA program and Community Health Choice participants.Complete assessments for private duty consumers and completes all associated documentation as requested.Function as a liaison between consumers and participants, families, physician, allied health personnel.Supervises Direct Care Partners as requests to assure performance of quality care and adherence to care plans and services delivery plans. Documents supervisor visits per regulatory guidelines.Provide guidance and training for Direct Care Partners as needed.Interpret extent and limitations of services available from the Private Duty Division of the agency.Maternal / Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications.Maternal / Child Nurse Role: Instruct and assess the newborn and child's physical and emotional development, adjustment, and / or abnormalities and reports to the physician.Maternal / Child Nurse Role: Provides prenatal nursing services, which includes instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection.Other related duties as assigned.Required QualificationsGraduate of an accredited Nursing Program required.Strong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice.Preferred QualificationsOne (1) to two (2) years' RN experienceOne (1) to two (2) year's prior hospice and/or oncology experience; Hospice and Palliative Care CertificationBachelor of Science Degree in NursingLicense, Certification & ClearancesCurrent licensure to practice as a Registered Nurse in the State of Pennsylvania required.Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.Act 33 with renewalAct 34 with renewalAct 73 FBI ClearanceValid Pennsylvania Driver's License (if out of state hire current Department of Motor Vehicle record report required and obtain PA Current Driver License within 30 days of hire).Supervisory ResponsibilitiesThis position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.Position Type/Expected Hours of WorkRegular, consistent, on-site and timely attendance.Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).Travel may be expected locally between Excela Health locations.LEANActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one's own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela's missions, vision and values.AAP/EEOExcela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.Work EnvironmentEffective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelinesWhen lift requirement is in excess of 50, lift assistance (2 person) and/or transfer device is required.Essential - Absolute Necessity.Marginal - Minimal Necessity.Constantly - 5.5 to 8 hours or more or 200 reps/shift.Frequently - 2.5 to 5.5 hours or more or 32-200 reps/shift.Occasionally - 0.25 to 2.5 hours or 2-32 reps/shift.Rarely - Less than 0.25 hours or less than 2 reps/shift.Physical ConditionEssentialMarginalConstantlyFrequentlyOccasionallyRarelyNeverExtreme HeatXExtreme ColdXHeightsXConfined SpacesXExtreme Noise(>85dB)XMechanical HazardsXUse of Vibrating ToolsXOperates VehicleXOperates Heavy EquipmentXUse of Lifting/Transfer DevicesXXXRotates All ShiftsXX8 Hours ShiftsXX10-12 Hours ShiftsXXOn-CallXXOvertime (8/hrs./shift; 40/hrs./wk.)XXTravel Between SitesXDirect Patient CareXXRespirator Protective EquipmentXXEye ProtectionXXHead Protection (hard hat)XHearing ProtectionXHand ProtectionXXFeet, Toe ProtectionXBody ProtectionXXLatex ExposureXXSolvent ExposureXPaint (direct use) ExposureXDust (sanding) ExposureXEthylene Oxide ExposureXCytotoxic (Chemo) ExposureXBlood/Body Fluid ExposureXXChemicals (direct use) ExposureXXMist ExposureXWax Stripper (direct use)XNon-Ionizing Radiation ExposureXIonizing Radiation ExposureXLaser ExposureXPhysical DemandsWhen lift requirement is in excess of 50, lift assistance (2 person) and/or transfer device is required.Essential - Absolute Necessity.Marginal - Minimal Necessity.Constantly - 5.5 to 8 hours or more or 200 reps/shift.Frequently - 2.5 to 5.5 hours or more or 32-200 reps/shift.Occasionally - 0.25 to 2.5 hours or 2-32 reps/shift.Rarely - Less than 0.25 hours or less than 2 reps/shift.Physical ConditionEssentialMarginalConstantlyFrequentlyOccasionallyRarelyNeverBending (Stooping)XXSittingXXWalkingXXClimbing StairsXXClimbing LaddersXStandingXXKneelingXXSquatting (Crouching)XXTwisting/TurningXXKeyboard/Computer OperationXXGross GraspXXFine Finger ManipulationXXHand/Arm CoordinationXXPushing/Pulling(lbs. of force)X1050CarryX25Transfer/Push/Pull PatientsXXSeeing Near w/AcuityXXFeeling (Sensation)XXColor VisionXXHearing ClearlyXXPulling/Pushing Objects OverheadXXReaching Above Shoulder LevelXXReaching ForwardXXLifting Floor to KnuckleX10Lifting Seat Pan to KnuckleX50Lifting Knuckle to ShoulderX20Lifting Shoulder to OverheadX10When lift requirement is in excess of 50, lift assistance (2 person) and/or transfer device is requiredEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)