RN Field Nurse - Hospital at Home (Full-time)

About the Role

Reporting directly to the Hospital at Home Director of Nursing, the Hospital at Home Staff RN is responsible for providing high-quality patient care to various patient populations within the framework of the BILH Hospital at Home program. The program provides inpatient-level care for patients in the comfort of their home. The Hospital at Home Staff RN is a Field Based Nurse with some virtual nursing in a centralized command center located in Charlestown. This is a fully on site position. Field assignments can be within a 25 mile radius of any BILH hospital.

Essential Duties & Responsibilities

• Utilizing monitoring, assessment, planning, intervention and critical thinking skills to care for acute care patient populations in the home
• Navigating patients and families across the continuum of care
• Monitoring and responding to biometric data per Hospital at Home Command Center protocols
• Conducting audio/visual patient care visits as directed by the care team and/or protocol
• Ensuring all interventions in the patient's care plan are implemented efficiently with a patient centered approach
• Leveraging the resources and expertise of 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
• Adhering to the clinical protocols and be willing to obtain the necessary training to provide care within the context of the providing evidence-based care
• Promoting professional practice and a culture of safety; willingness to engage in process improvement efforts

Clinical Roles And Responsibilities

• Providing protocol driven assessment, care coordination and interventions as appropriate informed by Hospital at Home protocols for diverse patient populations with a focus on oncology, medicine and post-operative care
• Exhibiting sound clinical decision making and critical thinking skills
• Maintain and practice in accordance with nursing guidelines per state and hospital regulations
• Facilitating admissions to Hospital at Home utilizing Hospital at Home guidelines
• Serving as a role model for professional nursing practice
• Utilizing nursing knowledge to identify, prevent and/or solve complex acute and/or recurring patient care problems
• Sharing expertise with the multidisciplinary team and serve as a resource to staff in area(s) of expertise
• Supporting research efforts to advance knowledge and promote evidence-based practice
• Performing other duties and responsibilities as assigned by the Senior Director of Nursing

Quality And Safety Responsibilities

• Ensure compliance with reporting requirements for Sentinel Events and Serious Incidents
• Participate in quality and safety investigations and root cause analyses
• Take appropriate action to ensure patient safety as a result of any investigation
• Serve as a resource in quality improvement processes and technique

Organizational Requirements

• Maintains strict adherence to the Lahey Hospital and Medical Center Confidentiality Policy
• Incorporates Lahey Hospital and Medical Center Guiding Principles, Mission Statement and Goals into daily activities
• Complies with all Lahey Hospital and Medical Center Policies
• Complies with behavioral expectations of the department and Lahey
• Maintains courteous and effective interactions with colleagues and patients
• Demonstrates an understanding of the job description, performance expectations, and competency assessment
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards
• Participates in departmental and/or interdepartmental quality improvement activities
• Participates in and successfully completes Mandatory Education
• Performs all other duties as needed or directed to meet the needs of the department

Education

• Nursing Diploma or ASN, BSN preferred

Licensure, Certification, Registration

• A current Massachusetts RN license
• BLS certification

Experience

• Three (3) years RN experience

Skills, Knowledge & Abilities

• Clinical knowledge
• Able to promote patient safety and a positive patient experience
• Flexible and comfortable with a changing and dynamic work environment and schedule across all shifts and days
• Team player who also works well independently
• Participates in ongoing learning and continuing education to care for a variety of patient populations
• Collaborate, advocate and mentor others with a professional, non-condescending manner
• Model collaborative, respectful team relationships with colleagues and customers; lead by example
• Strong interpersonal, inter-professional communication and collaboration capabilities
• Ability to analyze, interpret and problem solve quickly with well-articulated action planning
• Strong verbal/written communication and conflict resolution skills
• Strong empathy to deliver compassionate, patient centered care
• Demonstrates critical thinking, service excellence and good interpersonal communication skills
• Ability to read/comprehend written instructions
• Ability to follow verbal instructions
• Strong computer skills

Work Schedule

• On Call: No
• Shift Rotation: Yes
• Weekends: Yes

Essential Requirements & Attributes

Task or Function Performed Frequency:

• Sitting: Frequently
• Standing: Occasionally
• Walking: Occasionally
• Stooping (bending at waist): Occasionally
• Twisting: Occasionally
• Crouching (bending at knees): Occasionally
• Climbing: Rarely
• Pushing/Pulling: Occasionally
• Kneeling: Occasionally
• Reaching: Occasionally
• Bending: Occasionally
• Lifting: Occasionally
• Lifting & positioning patients – weight varies significantly: Rarely
• Driving: Rarely
• Fine finger movement: Occasionally
• Using keyboard: Frequently
• Telephone use: Frequently
• Object Handling: Frequently
• Viewing PC monitor: Frequently

Working Conditions Exposure Frequency:

• Bodily Fluids: Rarely
• Infectious disease hazards: Rarely
• Hazardous Materials: Rarely
• Auditory hazards: Rarely
• Dust, Fumes, Gas, or Radiation: Rarely
• Mechanical hazards: Rarely
• Temperature extremes: Rarely
• Weather extreme: Rarely

Sensory Requirements:

• Visual Acuity: Close Paper work, Computer use, Color vision/perception, Visual monotony
• Auditory: Conversation, Monitoring Equipment, Telephone, Background Noise
• Sensory Discrimination: Hot/Cold, Sharp/Dull
• Communication: Written Communication, Oral Communication
• Motor Coordination: Equipment Moving

Patient Care/Patient Contact Designation

Position has a direct impact upon health outcomes of the patient.

Pay

$37.00 - $95.74