Resource Team Nurse Hospital at Home

Responsibilities

• Utilizes monitoring, assessment, planning, intervention and critical thinking skills to care for acute care patient populations in the home.
• Ensures all interventions are implemented efficiently with a patient-centered approach.
• Leverages the resources and expertise of the interdisciplinary care team and our supplier partners to implement collaborative workflows, standards, policies, protocols, guidelines and documentation systems to support safe, reliable, high-quality, evidence-based care with clinical protocols as the foundation.
• Congducts home visits per schedule defined by nursing care plan (at least 2/24 hours per patient) and in response to urgent need (within 30 minutes).
• Maintains contact with the Command Center during a visit, participates in video visits, and confirms plan with the Command Center.
• Conducts initial and ongoing home and patient safety assessments, provides intervention should the home environment change or pose a safety risk for patients or staff.
• Documents all assessment findings, interventions and response to interventions in the inpatient EMR (Epic- Penn Chart).
• Conducts home visits for Penn Home Infusion Team and Penn Medicine Home Health when operationally appropriate to fill in for vacancies or other operational needs.
• Documents all assessment findings, interventions, and response to interventions in the outpatient EMR (Epic- Remote Client).
• May flex into the Virtual Nurse Role, assessing patient and developing/maintaining the nursing plan of care in alignment with the medical plan of care. Monitors patients using remote monitoring tools and dashboard. Responds to alerts, communicates directly with patients to resolve alerts. Provides assessment, intervention and evaluation per nursing care plan carried out through virtual visits using video or audio communication.
• Ensures patient communication regarding daily schedule and plan of care. Documents all assessment findings, interventions and response to interventions in the inpatient EMR (Epic- Penn Chart).

Qualifications

• A registered nurse - PA.
• Basic Cardiac Life Support through the AHA.
• Car Insurance.
• Bachelor's of Nursing OR Nursing Diploma or ASN from an accredited school of nursing.
• More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program.
• ICU, ED, or acute care experience.