Description

　　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 Functions

　　Identify 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 Functions

　　Hospice Role: Understands 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

　　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 and intervention of complications.

　　Other related duties as assigned.

　　Required Qualifications

　　Graduate of an accredited Nursing Program required.

　　Bachelors of Science in Nursing (BSN)

　　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 Qualifications

　　Mental Health RN- Minimum of two years’ experience in the past three years in a psychiatric hospital, mental health unit of a hospital, a partial hospital program, an outpatient psychiatric clinic or psychiatric home health

　　One (1) to two (2) years’ RN experience

　　One (1) to two (2) year’s prior hospice and/or oncology experience; Hospice and Palliative Care Certification

　　License, Certification & Clearances

　　Current 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 renewal

　　Act 34 with renewal

　　Act 73 FBI Clearance

　　Valid 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 Responsibilities

　　This 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 Work

　　Regular, 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.

　　LEAN

　　Actively 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/EEO

　　Excela 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 Environment

　　Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

　　When 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 Condition

　　Essential

　　Marginal

　　Constantly

　　Frequently

　　Occasionally

　　Rarely

　　Never

　　Extreme Heat

　　X

　　Extreme Cold

　　X

　　Heights

　　X

　　Confined Spaces

　　X

　　Extreme Noise(>85dB)

　　X

　　Mechanical Hazards

　　X

　　Use of Vibrating Tools

　　X

　　Operates Vehicle

　　X

　　Operates Heavy Equipment

　　X

　　Use of Lifting/Transfer Devices

　　X

　　X

　　X

　　Rotates All Shifts

　　X

　　X

　　8 Hours Shifts

　　X

　　X

　　10-12 Hours Shifts

　　X

　　X

　　On-Call

　　X

　　X

　　Overtime(+8/hrs/shift; 40/hr/wk)

　　X

　　X

　　Travel Between Sites

　　X

　　Direct Patient Care

　　X

　　X

　　Respirator Protective Equipment

　　X

　　X

　　Eye Protection

　　X

　　X

　　Head Protection (hard hat)

　　X

　　Hearing Protection

　　X

　　Hand Protection

　　X

　　X

　　Feet, Toe Protection

　　X

　　Body Protection

　　X

　　X

　　Latex Exposure

　　X

　　X

　　Solvent Exposure

　　X

　　Paint (direct use) Exposure

　　X

　　Dust (sanding) Exposure

　　X

　　Ethylene Oxide Exposure

　　X

　　Cytotoxic (Chemo) Exposure

　　X

　　Blood/Body Fluid Exposure

　　X

　　X

　　Chemicals (direct use) Exposure

　　XX

　　Mist Exposure

　　X

　　Wax Stripper (direct use)

　　X

　　Non-Ionizing Radiation Exposure

　　X

　　Ionizing Radiation Exposure

　　X

　　Laser Exposure

　　X

　　Physical Demands

　　When 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 Condition

　　Essential

　　Marginal

　　Constantly

　　Frequently

　　Occasionally

　　Rarely

　　Never

　　Bending (Stooping)

　　X

　　X

　　Sitting

　　X

　　X

　　Walking

　　X

　　X

　　Climbing Stairs

　　X

　　X

　　Climbing Ladders

　　X

　　Standing

　　X

　　X

　　Kneeling

　　X

　　X

　　Squatting (Crouching)

　　X

　　X

　　Twisting/Turning

　　X

　　X

　　Keyboard/Computer Operation

　　X

　　X

　　Gross Grasp

　　X

　　X

　　Fine Finger Manipulation

　　X

　　X

　　Hand/Arm Coordination

　　X

　　X

　　Pushing/Pulling(lbs. of force)

　　X

　　10#

　　50#

　　Carry

　　X

　　25#

　　Transfer/Push/Pull Patients

　　X

　　X

　　Seeing Near w/Acuity

　　X

　　X

　　Feeling (Sensation)

　　X

　　X

　　Color Vision

　　X

　　X

　　Hearing Clearly

　　X

　　X

　　Pulling/Pushing Objects Overhead

　　X

　　X

　　Reaching Above Shoulder Level

　　X

　　X

　　Reaching Forward

　　X

　　X

　　Lifting Floor to Knuckle

　　X

　　10#

　　Lifting Seat Pan to Knuckle

　　X

　　50#

　　Lifting Knuckle to Shoulder

　　X

　　20#

　　Lifting Shoulder to Overhead

　　X

　　10#

　　When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required

　　Qualifications

　　Education

　　Required

　　Graduate Accre Nurs Prog or better in NURSING

　　Bachelors or better in NURSING

　　Licenses & Certifications

　　Required

　　REGISTERED NURSE

　　BLS

　　Preferred

　　ACLSEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities

　　The 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)