Jobs search

JOB DETAILS

Hospital at Home RN D/N 36HR Every 3rd Weekend

Boston Medical Center • Full-time • Boston, Massachusetts, United States • 1w ago

POSITION SUMMARY:

The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, assessment, planning, and critical thinking skills to provide acute care within this framework. This role involves conducting virtual patient care visits as directed by the care team and protocol.

The RN utilizes their nursing knowledge to solve complex patient problems and collaborates with the Medically Home team and service providers to ensure evidence-based care with clinical protocols. Delegating patient care activities is part of their responsibility, with a focus on maintaining patient safety and adherence to institutional standards and documentation guidelines.

They establish therapeutic relationships with patients and caregivers, guiding them through the Hospital at Home care phases. This role acts as a professional nursing practice role model, promoting a culture of safety and participating in quality and safety investigations. Compliance with state and hospital regulations, along with participation in quality improvement and chart review audits, are also essential aspects of this role.

Position: Registered Nurse

Department: Hospital at Home

Schedule: 36 Hour, Every 3rd Weekend, D/N

ESSENTIAL RESPONSIBILITIES / DUTIES:

Core Responsibilities

Responsible for providing high-quality patient care to various patient populations within the framework of Hospital at Home and includes the following key elements:
Utilizes monitoring, assessment, planning, intervention, and critical thinking skills to care for acute care patients in the Hospital at Home program
Conducts virtual patient care visits for diverse patient populations as directed by the care team and protocol
Utilizes nursing knowledge to identify, solve, and prevent complex patient problems
Leverages the resources and expertise of the Medically Home team and service provider network to implement collaborative workflows, policies, protocols, and guidelines that support safe, reliable, high-quality, evidence-based care with clinical protocols as the foundation
Delegates activities or tasks related to patient care while retaining accountability for the outcome and responsibility for the delivery of nursing care Monitors and responds to biometric data per health system protocols
Promotes adherence to institutional standards and documentation guidelines
Ensures all interventions in the patient’s care plan are implemented efficiently and with a patient-centered approach.
Takes appropriate action to ensure patient safety
Establishes therapeutic relationships with patients and caregivers. Guides patients and caregivers across the continuum of the Hospital at Home phases of care
Serves as a role model for professional nursing practice
Promotes a culture of safety, participates in quality and safety investigations, root cause analyses, and other process improvement efforts
Ensures compliance with reporting requirements for Sentinel Events and Serious Incidents
Actively facilitates new patient admissions to Hospital at Home; assumes additional patient intake responsibilities as directed by program leadership; implements Medically Home guidelines throughout intake process
Shares expertise with the multidisciplinary team and serves as a resource to staff in area(s) of expertise
Supports research efforts to advance knowledge and promote evidence-based practice
Maintains and practices in accordance with nursing guidelines per state and hospital regulations
Performs other duties and responsibilities as assigned by the Director of Nursing

Quality & Safety Responsibilities

Ensures compliance with reporting requirements for all levels of safety events (those which resulted in harm, and those where harm was not present)
Participates in quality and safety investigations and root cause analyses as required by leadership
Takes appropriate action to ensure patient & family safety
Participates in quality improvement processes activities
Participates in chart review audits.

Standards of Professional Performance

Systematically evaluates the quality, cost, and effectiveness of nursing practice.
- Participates/leads quality improvement and/or research activities as appropriate to the individual’s position, education, skills, and practice environment.
Uses the results of patient satisfaction, quality improvement and/or research data to initiate changes in practice.
Accounts for completing daily patient classification data and incident reports in a timely manner.
Participates in cost containment initiatives and practices.
When two or more practice options exist that achieve the same quality of expected patient outcome, evaluates factors related to safety, effectiveness and cost when selecting the appropriate option.
Acts in a professional manner relative to practice standards, statutes, and regulations.
- Practices in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations (example: DPH, JCAHO, Fire Code, OSHA, and DEA).
- Functions without supervision in a manner appropriate for level of experience and education.
- Responsible for seeing things through to completion and for informing appropriate staff of outcomes.
- Offers, seeks out and acts upon constructive feedback regarding professional practice to improve daily practice and to achieve goals identified during performance appraisal.
Takes appropriate steps to effectively resolve peer conflicts or investigate questionable activities. Discusses such with individuals involved and seeks assistance from nurse manager when appropriate.
Maintains accurate annual professional development record.
Demonstrates flexibility and ability to positively adapt to changing staffing/clinical/patient census needs including but not limited to offering assistance to others, adjusting patient assignments, floating to other areas/units, etc.
Demonstrates reliability in regard to attendance and punctuality standards.
Maintains a presentable appearance in accordance with dress code requirements including wearing a visible identification badge that identifies one’s self as a registered staff nurse.
The nurse acquires and maintains current knowledge in nursing practice.
- To maintain clinical competence in appropriate practice area, participates in ongoing educational activities to enhance clinical knowledge and update requisite skills.
- Independently identifies need for in-service/educational sessions and seeks experience to meet such needs and to maintain clinical skills.
- Completes the following mandatory requirements: annual BLS certification, institutional mandatory education, e.g., safety regulations, infection control standards, etc., and departmental/unit specific competencies.
- Actively participates on unit or departmental based task forces, councils, or committees.
The nurse contributes to the professional development of peers, colleagues, and others.
- Takes initiative to share knowledge and skills willingly with colleagues, students, and novice practitioners in a collegial manner.
- Provides peers with constructive feedback regarding their practice and professional skills.
- Acts as a resource for new employees, float staff, and other unit team members.
- Assists in the orientation and/or acts as preceptor for new employees and/or nursing students.
The nurse’s decisions and actions on behalf of patients are determined in an ethical manner.
- Delivers care in a manner that preserves/protects client autonomy, dignity, confidentiality, and rights.
- Acts as a patient advocate in order to facilitate meeting identified patient needs.
- Delivers care in a non-judgmental and nondiscriminatory manner that is sensitive to and demonstrates respect for patient diversity.
- Seeks available resources to help formulate ethical decisions.
The nurse collaborates with client, significant others and health care providers in delivering client care.
- Communicates and consults with client, significant others and members of the health care team regarding required patient care.
- Works cooperatively and constructively with all departments and health care team members to establish an environment that supports the process of collaboration.
- Participates as an integral member of the health team during family/staff meetings, formal/informal shift rounds/reports, and medical/grand rounds.
- Coordinates appropriate internal and external referrals to assist patients to gain access to services, pre-approvals, etc.
- Coordinates discharge activities including arranging for home/agency referrals when necessary.
Other duties
- Interprets/translates for patient/family/visitors when conversant in their native language as needed.
- Acts as a shift charge nurse when requested/ne
- Performs all other related duties as assigned.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

Graduate of a nursing degree program; BSN preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Active Registered Nurse License (BSN & current license)

Active Basic Life Support (BLS) certification

EXPERIENCE:

Two (2) years RN experience in specialty fields such as acute care, medical/surgical, home-based care, ER, oncology, or geriatrics desirable.

KNOWLEDGE AND SKILLS:

Clinical knowledge
Able to promote patient safety and 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
Model collaborative, respectful team relationships with colleagues and customers; lead by example
Experience with telemedicine, nursing informatics, and/or clinical trials desirable

Equal Opportunity Employer/Disabled/Veterans

Related Jobs

RN Registered Nurse Case Manager Home Health

AccentCare • Full-time • Burlington, Massachusetts, United States • 2d ago

RN Home Health

Overview Find Your Passion and Purpose as an RN Registered Nurse Case Manager. Bonus: $20,000 Rate: $86,000 - $100,000 salary / year OR $50/hr orientation, transition to Per Visit Rates Schedule: 4... more

2d ago

VIEW JOB

Registered Nurse, RN - Homecare

Bayada • Full-time • Roxbury, Massachusetts, United States • 1w ago

RN Home Health

$5,000 Sign on Bonus Weekday Day Shifts Available Come for the Flexibility, Stay for the Culture BAYADA Home Health Care was founded on the principle that health care gets better when clients get bet... more

1w ago

VIEW JOB

Non-Certified Home Care RN - Part Time or Full Time

Guardian Angel Senior Services • Full-time • Lynn, MA • 1m ago

RN Home Health

" Guardian Angel Senior Services employ people with heart, patience, and understanding. We truly pride ourselves in the remarkable people that make up our staff. They are the ones responsible for creating the compassi... more

1m ago

VIEW JOB

Baylor RN Registered Nurse Home Health

AccentCare • Full-time • Burlington, Massachusetts, United States • 2w ago

RN Home Health

Overview Find Your Passion and Purpose as a RN Registered Nurse Baylor $20,000 Sign-On Bonus Rate: $50/hr training & orientation - transition to Per Visit Rates Territory: Wilmington, Burlingto... more

2w ago

VIEW JOB

RN Home Health: Cambridge Area

Beth Israel Lahey Health • Full-time • Cambridge, Massachusetts, United States • 1w ago

RN Home Health

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: What You’ll Do : The registered nurse plans, organizes and directs home care... more

1w ago

VIEW JOB

RN - Home Health

Enhabit Home Health & Hospice • Full-time • Norwood, MA, US • 1w ago

RN Hospice Home Health

Overview Are you in search of a new RN career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E... more

1w ago

VIEW JOB

Hospital at Home RN Perm Night 36hrs Every 3rd Weekend

Boston Medical Center • Full-time • Boston, Massachusetts, United States • 1w ago

RN Home Health

POSITION SUMMARY: The Hospital at Home Registered Nurse works in the Hospital at Home program and is responsible for delivering high-quality patient care across diverse populations. They employ their monitoring, asse... more

1w ago

VIEW JOB

Baylor RN Registered Nurse Home Health

AccentCare • Full-time • Quincy, Massachusetts, United States • 2w ago

RN Home Health

Overview Find Your Passion and Purpose as a RN Registered Nurse Weekend-Baylor Bonus: $20,000 Rate: $50/hr to transition to Per Visit or Salary $86,000 - $100,000 / year Territory: Brockton / Rando... more

2w ago

VIEW JOB

Registered Nurse - RN - Dialysis

Fresenius Medical Care • Full-time • Boston, MA • 1m ago

RN Home Health

This position will cover the Home Program Hours will mainly be 8am-4pm, but an ideal candidate will have flexibility with scheduling required Open to training in PD and home dialysis. One-on-one patient... more

1m ago

VIEW JOB

Home Care Based Clinical Nurse Specialist

Hebrew Senior Life • Full-time • Dedham, MA, US • 1m ago

RN Home Health

Overview Hebrew SeniorLife employees set the highest standard in our commitment to redefine the experience of aging. With compassion, resilience, and determination, we make a difference in the lives of patients, resid... more

1m ago

VIEW JOB