Registered Nurse (Experienced RN) Hospice Home Team

Duke University

Duke Homecare & Hospice Duke Homecare & Hospice affords hospice, residence well being and infusion providers in addition to serves as the house for the Duke Caregiver Help Program. Our Hospice crew works carefully with a affected person’s doctor to offer complete, individualized care within the consolation their residence or at our inpatient hospice facility positioned in Durham. Our crew of nurses, therapists, social staff, counselors, and chaplains assist sufferers and their households handle superior medical circumstances. Duke House Well being supplies providers in a affected person’s residence that embody expert nursing, bodily remedy, occupational remedy, speech remedy, social service, residence well being aides, and ache and wound administration. Our infusion crew involves a affected person’s residence to manage intravenous medicines, together with antibiotics and chemotherapy, to kids and adults. Our nurses, pharmacists, dietitians, and affected person providers coordinators work underneath the path of a affected person’s physician to observe wants and remedy.

Duke Nursing Highlights:

  • Duke College Well being System is designated as a Magnet group
  • Nurses from every hospital are persistently acknowledged annually as North Carolina’s Nice 100 Nurses.
  • Duke College Well being System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being sturdy advocates of specialty nursing certification.
  • Duke College Well being System has 6000 + registered nurses
  • High quality of Life: Residing within the Triangle!
  • Relocation Help (based mostly on eligibility)

To have the chance to talk to somebody additional about this place, please click on this hyperlink to schedule with a recruiter:

**Eligible for a Dedication Bonus

Our crew is energetic in delivering exemplary look after every affected person to make sure a superb affected person expertise, each time. As a nurse with Hospice House and Companions at Duke you’re going to get to stay out Duke’s mission of caring for our sufferers, their family members, and one another in a really valuable approach.  Whereas working with our Hospice division, you should have the chance to actually look after individuals at their most susceptible state of being in addition to assist them and their family members study to let go in peace and luxury. 

Shifts/Hours: 5-8 hour days (8:30 AM- 5:00 PM)

Duke HomeCare and Hospice differs from different residence well being corporations in many wonderful methods. Please see an inventory of a few of these causes beneath:

  • No name or weekend necessities
  • Manageable caseloads and territories
  • Dedication to security for each sufferers and staff
  • Mileage reimbursement price equal to the present federal price
  • In depth orientation of 12+ weeks based mostly on particular person wants

    Performs skilled nursing look after sufferers in a major care setting (the house or alternate-site setting) in response to nursing practices, company insurance policies and rules. Present nursing providers to sufferers and households in accordance with the scope of the RN as outlined by the North Carolina Board of Nursing.


  • Plan, present, supervise and doc skilled nursing care using the nursing course of for sufferers in accordance with the NC nurse observe act, doctor orders and established insurance policies and procedures.  Makes use of skilled nursing judgment to individualize the plan of care based mostly on evaluation of the affected person’s baseline wants and response to care.
  • Make the most of complete evaluation abilities to plan priorities and to set real looking outcomes; collaborate with healthcare crew within the analysis and price effectiveness of affected person care.
  • Assess academic wants of sufferers/households regarding alterations in well being, the illness course of, and plan of care.
  • Develop and implement an efficient discharge plan for sufferers to start on the initiation of providers.
  • Acquire or develop applicable academic assets for sufferers/households; plan and implement applicable academic interventions; consider effectiveness and outcomes of affected person/household educating.
  • Function mannequin skilled nursing via conduct, look, communication, mutual respect, moral decision-making, crucial considering, and problem-solving abilities.
  • Take part in weekly interdisciplinary crew conferences and case conferences, as obligatory, to guarantee applicable care and repair are supplied to the affected person.
  • Keep updated information of Medicare/Medicaid/JCAHO requirements via inservices and workshop attendance.
  • Assesses the severity of affected person signs, talk to the doctor and document vital findings, intervenes as applicable.
  • Doc care and providers supplied in accordance with DHCH Coverage and Procedures and regulatory requirements.
  • Full documentation precisely, well timed, concisely.
  • Remedy reconciliation and training to forestall adversarial occasions and readmission to hospital
  • Observe affected person’s reactions to medicines and experiences vital incidents to the physicians.
  • Talk usually with crew members, caregivers, and physicians.
  • Comply with an infection management customary precautions and makes use of private protecting gear as required.
  • Delegate and supervise care given by NCA’s/LPN’s.
  • Develop plan of look after aides, assign care to aides based mostly on the abilities of the aide, the supply of the aide for affected person care continuity, affected person desire (when attainable), and different concerns as decided by the affected person’s care wants.
  • Determine private studying wants and implements corrective motion: assists in planning and conducting employees growth packages to enhance DHCC effectiveness.
  • Take part in personal skilled growth by sustaining required competencies, figuring out studying wants and in search of applicable help or academic choices.
  • Implement company coverage, procedures and goals.
  • Work carefully and collaboratively with company billing employees to make sure accuracy of billing.
  • Keep confidentiality of worker and affected person info.
  • Exhibit an angle which promotes concord and goodwill within the office.
  • Show a clear, neat, skilled look.
  • Take part in Efficiency Enchancment Program.
  • Promote high quality, complete providers via a crew strategy.
  • Carry out different duties as assigned.

    Carry out Affected person care primarily within the affected person’s residence or expert nursing facility (>50%)

    Journey to and from affected person residence


    Training and Formal Coaching

    • Affiliate Diploma or Diploma, Nursing required
    • Registered Nurses are usually not required however inspired to enroll in a DUHS accredited BSN program after finishing two years of service of their begin date.
    • BSN will not be required for Well being System Scientific Ladder

    Licensures, Certifications

    • Should have a present North Carolina RN Licensure or compact RN licensure in taking part state
    • Present State of North Carolina Cardio-Pulmonary Resuscitation Certificates (CPR) (American Coronary heart Affiliation solely)

    Skilled Work Expertise & Necessities

    • Two years of med-surgical, crucial care or residence well being/hospice/infusion
    • Legitimate driver’s license and present vehicle insurance coverage protection
    • Prior expertise in House Well being, Hospice or Infusion most popular
    • Prior OASIS and PDGM expertise most popular for residence well being

    Data, Expertise & Skills

    • Working information of Medicare and Medicaid rules, together with JCAHO and DFS requirements, ICD-9 Coding.
    • Data of scope of the registered nurse, licensed sensible nurse and NCA
    • Data of and applicable utility of the nursing course of
    • Capability to evaluate nursing wants of acute and chronically unwell sufferers and their households
    • Capability to independently hunt down assets and work collaboratively
    • Capability to determine and preserve efficient working relationships
    • Capability to speak clearly with sufferers, households, guests, healthcare crew, physicians, directors, management and others
    • Capability to show sufferers and households in accordance with the nursing plan of care
    • Capability to make use of sensory and cognitive capabilities to course of and prioritize info, remedy, and follow-up
    • Capability to make use of high quality motor abilities
    • Capability to document actions, doc assessments, plan of care, interventions, analysis and re-evaluation of affected person standing
    • Capability to make use of laptop and study new software program packages and know-how
    • Capable of doc and talk pertinent info utilizing laptop and/or paper documentation instruments
    • Data in wound identification and coverings, infusion and different superior nursing abilities
    • Crucial considering abilities and group abilities
    • Working information of an infection management procedures and security precautions
    • Sturdy laptop abilities together with MS Outlook, Phrase, Excel, most popular
    • Wonderful rapport, understanding, and communication with the sufferers and their relations
    • Capability to work autonomously and independently in various environments.
    • Capable of stand up to driving lengthy distances, stooping, bending, lifting 20 plus kilos, and climb stairs

    Duke is an Affirmative Motion/Equal Alternative Employer dedicated to offering employment alternative with out regard to a person’s age, coloration, incapacity, gender, gender expression, gender id, genetic info, nationwide origin, race, faith, intercourse, sexual orientation, or veteran standing.

    Duke aspires to create a group constructed on collaboration, innovation, creativity, and belonging. Our collective success is dependent upon the sturdy alternate of concepts—an alternate that’s finest when the wealthy range of our views, backgrounds, and experiences prospers. To realize this alternate, it’s important that every one members of the group really feel safe and welcome, that the contributions of all people are revered, and that every one voices are heard. All members of our group have a duty to uphold these values.

    Important Bodily Job Features: Sure jobs at Duke College and Duke College Well being System could embody essentialjob capabilities that require particular bodily and/or psychological skills. Further info and provision for requests for cheap lodging will likely be supplied by every hiring division.

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