Job Description

The Home Health Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients in their home setting.

Responsibilities

PATIENT CARE

1. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards.
2. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management.
3. Integrates relevant assessment and intervention skills in the delivery of nursing care.
4. Collaborates with the patient, prescribing provider and interdisciplinary team members in the development, implementation, and evaluation of the plan of care.
5. Provides nursing care as per provider orders including but not limited to establishing peripheral intravenous access, administering intravenous therapy, collecting laboratory samples and providing wound care.
6. Establishes individualized, measurable goals in consultation with the patient, family and other health care providers in order to achieve appropriate home health standards of care and patient outcomes; evaluates progress toward established goals.
7. Prioritizes all aspects of patient care including teaching, coaching, and planning for post-discharge care, and delegating to others as appropriate.
8. Educates patients and caregivers while anticipating needs and readiness to learn about their plan of care, transition of care, promotion of health, and prevention of disease.
9. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team.

PATIENT EXPERIENCE

1. Considers the patient's values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care.
2. Establishes and maintains a therapeutic relationship with the patient and family.
3. Uses evidence-based practices to increase understanding of patients' perceptions of care.
4. Initiates service recovery for patients and family members who have concerns and escalates to the appropriate members of the leadership team.
5. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.
6. Supports the use of evidence-based practices to increase understanding of patients' perceptions of care.

QUALITY AND SAFETY

1. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement.
2. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served.
3. Implements process improvement strategies based on institutional, evidence-based ensure and procedures.
4. Engages in formal and informal peer and institutional review processes.
5. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies.
6. Contributes to quality and safety practices and required compliance measures.
7. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients.
8. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol.
9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives.

OPERATIONS

1. Manages a designated caseload of patients to ensure that all active patients are making progress towards established care goals and that services provided are in accordance with treatment orders and the plan of care.
2. Coordinates with the prescribing provider to ensure that all patients have necessary services, supplies and DME in their homes to facilitate optimal health outcomes.
3. Provides instruction and supervision for Home Health Aides (HHA) and Personal Care Aides (PCAs) to ensure that services provided are in compliance with the plan of care.
4. Demonstrates patient focused and cost effective approaches to patient care in terms of equipment, staff, supplies and all other resources.
5. Documents in an accurate and thorough manner in compliance with health system, regulatory and legal requirements and standards of care.
6. Facilitates patient throughput on an episode basis.

PROFESSIONAL DEVELOPMENT

1. Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team.
2. Advances clinical competence in nursing practice to progress from novice to expert.
3. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy.
4. Incorporates ethical principles into decision making for patients and family.
5. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
6. Acquires knowledge and skills related to role, patient population, clinical specialty and local and/or global health community needs.
7. Participates in shared decision making through specialty practice councils, nursing department committees and initiatives.
8. Serves as a professional role model and preceptor for new staff and students.
9. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care.
10. Contributes to the profession of nursing through participation in professional organizations.

Qualifications

• Graduation from an accredited Nursing program. Bachelor's Degree in Nursing. (BSN) Associate's Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate's Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO.
• Relevant clinical competence in area of nursing practice assigned; a minimum of two years of experience employed as a Registered Nurse is required.
• Licensed as a registered nurse with current registration in New York State
• Name: Basic Life Saver (BCLS) Issuing Agency: AHA

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $87,692.00 - $131,538.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.