Registered Nurse

Company: Duke Health
Location: Morrisville
Posted on: September 26, 2024

Job Description:

Job Summary: Provide compassionate care to patients in their homes, working closely with physicians and healthcare teams to deliver individualized care and support.

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. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

Job Responsibilities:

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• 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.
  
• Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
  
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
  
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
  
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
  
• Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
  
• Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
  
• Assesses the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
  
• Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
  
• Complete documentation accurately, timely, concisely.
  
• Medication reconciliation and education to prevent adverse events and readmission to hospital
  
• Observe patient's reactions to medications and reports significant incidents to the physicians.
  
• Communicate regularly with team members, caregivers, and physicians.
  
• Follow infection control standard precautions and uses personal protective equipment as required.
  
• Delegate and supervise care given by NCA's/LPN's.
  
• 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.
  
• Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
  
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
  
• Implement agency policy, procedures and objectives.
  
• Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
  
• Maintain confidentiality of employee and patient information.
  
• Exhibit an attitude which promotes harmony and goodwill in the workplace.
  
• Display a clean, neat, professional appearance.
  
• Participate in Performance Improvement Program.
  
• Promote quality, comprehensive services through a team approach.
  
• Perform other duties as assigned.
  
  
  Work Environment and Requirements:
  
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  • Perform Patient care primarily in the patient's residence or skilled nursing facility (> 50%)
    
  • Travel to and from patient residence
    
    
    Preferred Qualifications:
    
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    • 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:
      
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      • Must have a current North Carolina RN Licensure or compact RN licensure in participating state
        
      • Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)
        
        
        Professional Work Experience & Requirements:
        
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        • Two years of med-surgical, critical care or home health/hospice/infusion
          
        • Valid driver's license and current automobile insurance coverage
          
        • Prior experience in Home Health, Hospice or Infusion preferred
          
        • Prior OASIS and PDGM experience preferred for home health
          
          
          Knowledge, Skills & Abilities:
          
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          • Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
            
          • Knowledge of scope of the registered nurse, licensed practical nurse and NCA
            
          • Knowledge of and appropriate application of the nursing process
            
          • Ability to assess nursing needs of acute and chronically ill patients and their families
            
          • Ability to independently seek out resources and work collaboratively
            
          • Ability to establish and maintain effective working relationships
            
          • Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
            
          • Ability to teach patients and families in accordance with the nursing plan of care
            
          • Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
            
          • Ability to use fine motor skills
            
          • Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
            
          • Ability to use computer and learn new software programs and technology
            
          • Able to document and communicate pertinent information using computer and/or paper documentation tools
            
          • Knowledge in wound identification and treatments, infusion and other advanced nursing skills
            
          • Critical thinking skills and organization skills
            
          • Working knowledge of infection control procedures and safety precautions
            
          • Strong computer skills including MS Outlook, Word, Excel, preferred
            
          • Excellent rapport, understanding, and communication with the patients and their family members
            
          • Ability to work autonomously and independently in varying environments.
            
          • Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs
            
            
            About Duke Health:
            Duke Health is a leading academic health system that is committed to providing compassionate care to patients and their families. Our team is dedicated to delivering high-quality, patient-centered care that is guided by the latest medical research and evidence-based practices.
            
            Equal Employment Opportunity:
            Duke Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all individuals, regardless of their background, culture, or identity.

Keywords: Duke Health, Cary , Registered Nurse, Healthcare , Morrisville, North Carolina