Home Health Infusion RN (HOME HEALTH NURSE 2)
Job Summary
Registered Nurses in the Home Infusion department at UC Davis Health provide infusion care to adult and pediatric patients with a variety of health needs. The HH RN 2 identifies and implements nursing interventions and evaluates results for a wide variety of patient populations, directs and acts as resource to other members of the nursing team as assigned and promotes compliance and support for policies. The primary responsibilities for this position consist of providing total, comprehensive, continuous and patient centered care which includes: assessing, documenting, planning, implementing, teaching, developing, and evaluating a comprehensive nursing plan of care; delivering direct patient care; ensuring patient satisfaction; training and delegating duties; and adhering to University policies and procedures as well as federal, state and local regulations.
Autonomous nursing care is the ability of a nurse to assess and provide nursing actions as appropriate for patient care populations based on competence, professional expertise, and knowledge. The nurse is expected to practice autonomously consistent with ANA Standards of Practice and Professional Performance. Independent judgment is expected to be exercised within the context of interdisciplinary and multidisciplinary approaches to patient care.
Key Responsibilities
- Nursing Process and Practice - 80%
- Quality - 10%
- Professional Development - 5%
- Nursing Research - 5%
Minimum Qualifications
- Valid California Registered Nurse License without restriction
- American Heart Association (AHA) or American Red Cross Basic Life Support (BLS), or UC Davis Health CPR
- Required to hold a valid California driver's license, have a driving record that is in accordance with local policies/procedures, and/or enroll in the California Employer Pull Notice Program
- Graduation from an accredited school of nursing
- One (1) year of Home Infusion Pharmacy experience
- One (1) year of experience administering specialty IV medications including biologics
- Two (2) years of Vascular Access Device experience including accessing, maintaining, and blood sampling
- Two (2) years of experience placing peripheral IVs and performing peripheral blood draws
- Ability to administer first-dose medications in the home-setting
- Advanced assessment skills required to recognize early signs and symptoms of an infusion reaction and take necessary steps to prevent patient harm
- Knowledge and ability to administer anaphylactic medications in an emergency
- Ability to start peripheral IVs in patients with varying vasculature
- Ability to admix medications in the home-setting required
- Ability to read, write, speak, and understand the English language
- Ability to utilize medical terminology appropriately
- Knowledge of current trends in nursing
- Demonstrated commitment to excellence in patient care
- Effective interpersonal skills
- Demonstrated ability in assessment, planning, implementing and evaluating patient care, taking into consideration protective interventions, development (behavioral and physical) and physiological characteristics specific to the patients
- Demonstrated accountability and professionalism
- Ability to adapt to change in a positive, professional and productive manner
- Knowledge of legal implications in clinical practice and documentation
- Knowledge of performance improvement and evidence-based practice
- Basic computer skills
- Ability to drive distances and shift priorities based on patient care needs
- Ability to work in an autonomous and professional manner in unique environments
- Exceptional verbal and non-verbal communication skills, and ability to present with an open and adaptable demeanor when faced with challenges
Preferred Qualifications
- Certified Registered Nurse Infusion (CRNI)
- Vascular Access-Board Certified (VA-BC)
- Oncology Certified Nurse (OCN)
- Pediatric Nursing Board Certification (PED-BC)
- Bachelor of Science in Nursing
- One (1) year of inpatient bedside nursing experience
- Oncology experience
- One (1) year of infusion clinic experience
Department Overview
UC Davis Health is a nationally recognized leader in the provision of high-quality, patient-centered care, based in the Greater Sacramento area of Northern California. UC Davis Health has a Comprehensive Cancer Center, internationally recognized MIND Institute, and a nationally ranked pediatric hospital. The UC Davis acute care hospital has 646 beds and an ambulatory care service area spanning north to the Oregon border, east to Nevada, and down the Central Valley to Fresno, California, covering 65,000 square miles across 33 counties.
The Department of Pharmacy is a dynamic, integral, and critical part of patient care provided by UC Davis Health. As a department of greater than 600 professional, technical, and administrative support personnel, we focus on providing patient-centered medication management that optimizes outcomes through practice, education, research, and leadership through the continuum of care. We also have the largest pharmacy residency program in the country with 46 total residents in 13 different programs. The Department of Pharmacy offers comprehensive pharmaceutical services (unit dose, IV admixtures, clinical services, infusion pumps, and teaching) throughout the health system complex 24 hours a day, 7 days a week. The pharmacy services encompass inpatient pharmacy services as well as an expansive footprint in the ambulatory care space where we have clinical pharmacists embedded within our clinics and specialty care locations. Our operational teams support the health system enterprise with three inpatient pharmacies, five outpatient pharmacies, two infusion pharmacies, a home infusion service line, and the full complement of pharmacy purchasing, stores, and distribution.
Department Specific Job Scope
UCDH Home Infusion is a new department aimed at bringing advanced infusion care to patients in the comfort of their homes. Our purpose and values are centered from a patient-driven perspective and in partnership with physicians and other providers. The department prides itself on its delivery of user-friendly Home Infusion care for all patients, caregivers, and members of the health care team. The role of the Home Infusion RN is to provide exemplary infusion care to patients in their homes. The position requires travel to patient's homes and administration of intravenous and subcutaneous infusions to support patients' health goals. Home Infusion RNs are experts in vascular access care and employ a wide range of techniques to ensure patients receive an exceptional care experience. Home Infusion RNs provide standard and progressive infusion therapies such as immunotherapies, enzymes, and other specialty medications and must have the knowledge and skills necessary to respond to infusion reactions autonomously in the home.
Position Information
Salary or Pay Range: $77.41 - $104.16
Salary Frequency: Hourly
Salary Grade: 114
UC Job Title: HOME HEALTH NURSE 2
UC Job Code: 009117
Number of Positions: 1
Appointment Type: Staff: Career
Percentage of Time: 100%
Shift (Work Schedule): 4 x 10 hr shifts, 0800-1830
Location: Pharmacy Shared Service Center (BLDG108)
Union Representation: NX-Nurses
Benefits Eligible: Yes
This position is hybrid (mix of on-site and remote work)
Benefits
- High quality and low-cost medical plans to choose from to fit your family's needs
- UC pays for Dental and Vision insurance premiums for you and your family
- Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
- Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
- Access to free professional development courses and learning opportunities for personal and professional growth
- Work, Life and Wellness programs and resources
- On-site Employee Assistance Program including access to free mental health services
- Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
- Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
- Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans
Physical Demands
- Standing - Continuous 6 to 8+ Hours
- Walking - Continuous 6 to 8+ Hours
- Sitting - Frequent 3 to 6 Hours
- Lifting/Carrying 0-25 Lbs - Frequent 3 to 6 Hours
- Pushing/Pulling 0-25 Lbs - Frequent 3 to 6 Hours
- Pushing/Pulling 26-50 lbs - Occasional Up to 3 Hours
- Pushing/Pulling over 50 lbs - Occasional Up to 3 Hours
- Bending/Stooping - Continuous 6 to 8+ Hours
- Squatting/Kneeling - Occasional Up to 3 Hours
- Twisting - Continuous 6 to 8+ Hours
- Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
- Reaching overhead - Occasional Up to 3 Hours
- Keyboard use/repetitive motion - Frequent 3 to 6 Hours
Environmental Demands
- Loud noise levels - Occasional Up to 3 Hours
- Uneven Surfaces or Elevations - Occasional Up to 3 Hours
Mental Demands
- Sustained attention and concentration - Continuous 6 to 8+ Hours
- Complex problem solving/reasoning - Continuous 6 to 8+ Hours
- Ability to organize & prioritize - Continuous 6 to 8+ Hours
- Communication skills - Continuous 6 to 8+ Hours
- Numerical skills - Continuous 6 to 8+ Hours
- Constant Interaction - Continuous 6 to 8+ Hours
- Customer/Patient Contact - Continuous 6 to 8+ Hours
- Multiple Concurrent Tasks - Continuous 6 to 8+ Hours
Work Environment
- Some restricted vacation due to program needs is possible
- Must work evening, on-call, weekends, holidays and overtime as defined by the collective bargaining agreements
- Will act as relief night charge nurse on occasion
- Must be able to speak well enough to communicate over the telephone and hear well enough to take vital signs
- References reflect an overall meet or exceeds