Northern Light Home Care and Hospice

　　Department: Hospice - Ellsworth

　　Position is located: Northern Light Home Care and Hospice Ellsworth

　　Work Type: Full Time

　　FTE: 1.0 (40 hours)

　　Work Schedule: 8:00 AM to 5:00 PM

　　Summary:

　　The Registered Nurse- Hos Outreach is a fully proficient practitioner of nursing. The incumbent is responsible for the practice of nursing according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse- Hos Outreach is responsible for the delivery of patient care to assigned patients, and for the supervision of other qualified staff to whom the Registered Nurse- Hos Outreach has delegated patient care in the exercise of his/her independent judgment. The nurse plans and evaluates the nursing care for patients and families and exercises independent judgment in implementing the care him/herself or assigning the care to other qualified staff. The nurse addresses physical, spiritual, emotional and educational needs of the patient, and coordinates the plan of care with other healthcare professionals. The incumbent performs duties and tasks in accordance with performance standards established for the job.

　　Responsibilities:

　　Patient Safety - Promotes a safe and therapeutic environment by understanding and complying with agency policies/procedures and national safety goals and identifying and communicating workarounds that have a potential impact on patient safety. Recognized by peers as a resource in location, operation, care and troubleshooting of agency equipment independently

　　Clinical Assessments - Performs and documents comprehensive and holistic assessments. Interprets and responds to abnormal diagnostic data. Anticipates potential emergency situations and intervenes safely with assistance if needed

　　Caring & Code of Conduct - Begins to incorporate the principle of “nursing presence” in patient encounters by recognizing each patient as a unique human being.

　　Critical Thinking - Applies critical thinking skills as a routine part of practice and questions appropriateness/effectiveness of treatment and outcomes. Seeks evidence based alternative methods to achieve optimal outcomes

　　Documentation - Documentation is done timely in a concise, accurate, and complete manner reflecting adherence to agency, regulatory and legal requirements. Participates in development, evaluation, or improvement of documentation tools

　　Population Specific Competency - Completes and assists in the development of population-specific mandatory education competencies as defined by the agency specific scope of service. Actively researches and implements multidisciplinary care plans for patients with population-specific care needs. Is accepting of differences posed by patients and families while cognizant of personal biases

　　Evidenced Based Practice & Research - Practice is consistent with Northern Light Health policy and procedures. Incorporates research and evidence into policy development to enhance clinical practice and collaborates with interdisciplinary colleagues as needed. Active in communication of practice changes

　　Leadership and Professional Conduct - Utilizes and role models appropriate time management skills and meets the expectations for punctuality and attendance. Assists with the coordination of daily staffing, while demonstrating personal scheduling flexibility to support the needs of patient care areas. Contributes to a healthy work environment by encouraging effective communications amongst all members of the interdisciplinary team. Takes leadership in identifying and actively resolving interdisciplinary conflict

　　Collaboration and Teamwork - Actively implements and updates multidisciplinary plan of care while proactively anticipating potential patient care needs. Facilitates the coordination of internal and external resources to meet patient care needs. Able to reassess and reprioritize the needs of the department in collaboration with colleagues. Contributes to a healthy work environment by consistently exhibiting professional behaviors and addressing interpersonal conflicts with the right person, at the right time, in the right location. Supports and mentors’ peers in the care of complex patients/family interactions. Identify gaps within multidisciplinary care delivery

　　Resource Management - Improves workflow efficiency in the department by appropriately utilizing resources

　　Professional Development - Takes responsibility for meeting education and mandatory programs, by completing clinical evidence-based competencies (CBO) and department specific competencies. Provides clinical and professional support for colleagues in the promotion and advancement of professional growth. Actively serves on and contributes to the work of local or agency-based committees. Critically analyzes evidence-based literature and communicates gaps in current nursing practice. Maintains an up-to-date personal educational file to demonstrate compliance with educational requirements. Actively participates in Quality Improvement activities

　　Performance Improvement - Recognized as a resource to staff regarding department performance improvement priorities and nurse sensitive outcomes. Identifies safety issues and makes recommendations for the development of performance improvement initiatives

　　Productivity - Provides service and produces work at or above expected levels of quality and consistent with agency defined quantitative standards for position and level of practice

　　Performs additional duties as required or assigned

　　Other Information:

　　Valid driver's license with reliable transportation and agency required auto liability insurance. Must be able to travel within assigned region as directed.

　　BLS certification for Healthcare Providers required

　　Certification as a CHPN by the certified Hospice and Palliative Care Nursing Certification Board or willing to obtain within one year of position acceptance

　　Competencies and Skills

　　2+ years of relative work experience required.* Two years of experience, one of which is in Hospice

　　Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.

　　Arithmetic

　　Basic Life Support

　　Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.

　　Catheterization

　　Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.

　　Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.

　　Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.

　　Develops Self and Others:Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.

　　Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.

　　Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.

　　Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.

　　Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.

　　Human Capital, Supply Chain and Financial Software.

　　Injection Administration

　　IV Placement

　　Ability to understand the language used to precisely describe the human body including its components, processes, conditions affecting it, and procedures performed upon it.

　　Email application with the ability to manage email as well as calendars, managing tasks and contacts, note taking, journaling, and web browsing.

　　MS Teams

　　Multi-line Phone

　　Obtain Vital Signs

　　Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

　　Promotes Health and Safety: Promotes a healthy and safe environment for patients, employees and visitors. Advocates and models healthy physical and mental health behaviors even in challenging circumstances. Sets high quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near misses and safety issues.

　　Provides Patient-Centered Care: Demonstrates understanding of patient care quality and service as organizational priority. Proactively supports change to improve patient experience and results. Exhibits the ability and willingness to find out what the patient wants and needs and to act accordingly, taking the organizational and outside resources into account. Cooperates, collaborates, communicates, and integrates care within and between teams to ensure that care is continuous and reliable.

　　Resolves Conflict: Promptly acts to find alternatives/solutions when team members disagree. Addresses issues in a direct, honest, and appropriate manner. Handles conflicting interests diplomatically and helps to solve them. Transforms difficult situations into teachable moments using respect and accountability .

　　Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.

　　Specimen Collection

　　Sterile Gloving Technique

　　Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees progress and makes adjustments when necessary. Appropriately delegates work, sets clear direction and manages workflow and time.

　　Wound Care

　　Zoom

　　Credentials

　　Required Basic Life Support

　　Required Registered Nurse

　　Education

　　Required Associate's Degree Bachelors' Degree preferredWorking Conditions

　　Potential exposure to abusive and/or aggressive people.

　　Potential exposure to diseases or infections.

　　Need to drive to perform responsible duties.

　　Potential exposure to hazardous materials.

　　Potential exposure to noxious odors.

　　Potential exposure to very hot or cold temperatures.

　　Work with computers, typing, reading or writing.

　　Prolonged periods of sitting.

　　Prolonged periods of standing.

　　Prolonged periods of walking.

　　Work beyond the regularly scheduled hours.

　　Extend body and limbs to reach items.

　　Prolonged periods of kneeling.

　　Alternate shift schedules (day, evening, nights, weekends).

　　Lifting, moving, and loading over 50 pounds.

　　Position Registered Nurse- Hos OutreachLocation Req ID null