RN

POSITION SUMMARY:
Assumes delivery of wide range of basic nursing care to individual clients in their homes and other community settings; Care is family centered, age specific and culturally appropriate. The CHN I provides nursing care to clients utilizing the Nursing Process and within the framework of ANA standards of Practice for Home Health Nursing, and Specialty Specific Standards of Patient Care. (CWOCN, APA, etc.) This is an entry level position to nursing care and nursing care in the homecare setting. Duties and skills are assumed over a one year period according to VNIP competencies
MINIMUM QUALIFICATION STANDARDS:
I. Education:
BSN or higher preferred
II. Experience:
Minimum one year or less of nursing experience in any setting
III. License Requirements:
Current RN licensure or compact licensure recognized by the State of Vermont is required.
IV. General:
• Must demonstrate and maintain any required competency
• Able to speak, read and write in English
• Be honest, self-directed, possess initiative, display good judgment and a positive attitude toward daily activities
• Have the ability to communicate clearly and effectively both orally and in written work
• Be able to work cooperatively and in a productive manner with organization’s employees, clients, customers and the general public
• Maintain satisfactory standing with the Adult Abuse Registry, Child Abuse & Neglect Registry, Vermont Criminal Information Center and OIG
• Be free from the illegal use and effects of drugs and alcohol in the workplace
• Be able to carry out the functions of this job without risk of harm to the health and safety of self and others
• Hold a valid driver’s license and have a reliable, registered vehicle with insurance as required by the organization, and appropriate to position
WORKING CONDITIONS:
1. Traveling may be required
2. May work in community based settings, and clients’ homes and outdoors
3. May work during non-business hours
4. May experience:
• Hostile and emotionally upset clients, family members, visitors and staff
• Stress due to a demanding profession
• An exposure to blood-borne pathogens
• A variety of environmental exposures such as inclement weather, animals, firearms, tobacco use, dust, and other client based activities and preferences
ESSENTIAL PHYSICAL REQUIREMENTS:
1. Must walk, sit, stand, bend, lift and move intermittently during working hours
2. Must have the ability to push, pull and lift from the floor, up to a total of 50 pounds and be able to move with the weight, as to organization’s standards
3. Climbing-be able to navigate stairs of varying heights and degrees
4. Balancing-be able to maintain balance
5. Kneeling, crouching, stooping, twisting, reaching below waist level, reaching overhead and reaching torso level
6. Manual finger dexterity-will need dexterity to perform duties and use equipment
7. Visual acuity-will need sufficient eyesight to drive a car, use office equipment and perform duties
8. Auditory acuity- will need to assist individuals in person and by telephone
PERFORMANCE REQUIREMENTS:
I. Performance Standards:
• Incorporates appropriate assessment and intervention skills in all interactions and delivery of nursing care:
o Safety and protection; assessment; interventions skills; evaluation; equipment use/management
• Communicates with clients, team members, and management in an accurate and timely manner:
o Talks with, listens to clients, team members, others; must be able to distinguish subtle changes in auscultation of breath sounds, heart sounds, blood pressure, etc.; reports pertinent, concise information; good basic writing skills to complete accurate and timely charting; computer charting if applicable; protects confidentiality of patient/colleagues
• Applies critical thinking skills and considers alternatives:
o Organizes multitask workload; prioritizes tasks/work; seeks assistance; collects/integrates data from multiple sources; organizes/delivers care for multiple client assignment. Manages a caseload of up to 10-15 patients.
• Develops and maintains human care relationships:
o Integrates the influence of the human experience of health and healing, illness or dying and death; adapts care management for diverse populations and environments; advocates for needs of clients; assesses for abuse, neglect and exploitation and refers as appropriate; provides care in ethical and legal manner; refers concerns/ issues to appropriate resources.
• Manages self and resources effectively:
o Acknowledges limits of experience and capability; identifies learning needs and seeks resources; utilizes equipment and supplies appropriately; uses effective time management strategies including triage and prioritization; maintains clean, orderly environment of care; seeks out and accepts feedback; requests assistance appropriately
• Applies leadership skills:
o Verbalizes scope of practice for self and others; interacts with others in professional manner; manages conflict; effectively delegates and assigns care; coordinates care within multidisciplinary team including varied professional, paraprofessional and unlicensed staff
• Incorporates teaching in delivery of care with a focus on health promotion:
o Assesses for barriers to learning, including age and cultural considerations; provides appropriate information to client; basic teaching skills; ability to explain medical problems and treatments in accurate and understandable lay language; uses colleagues as a learning resource; provides counseling about health behaviors; supports the Preceptor Program and Internship Model
• Applies knowledge integration skills for the client populations served within the area of hire:
o Provides age specific care; applies knowledge of expected norms in planning care (i.e. – VS, lab values, assessment, etc); applies new data to improve care; integrates technical, psychological, social, intellectual, and physical skills
• Demonstrates the team/department specific skills required for assigned service area
o See team/department specific competency verification form
• Meets organization standards related to:
o Telephone etiquette, customer service; attendance; punctuality; comportment; inter/intra departmental relations; confidentiality, code of conduct; client/provider rights
o Participates in a variety of formal and informal orientation, training and professional development programs and activities in order to acquire a solid understanding of general principles and practices to keep abreast of relevant new clinical/technical developments in the field
• Clinical supervision of several Licensed Nursing Assistants
• Any other duties as assigned by supervisor
II. Professional Accountability:
• Demonstrates a commitment to the mission and values of the organization
• Complies with all organization policies and procedures
• Demonstrates respectful and effective communication in all interactions
• Protects the privacy and confidentiality of clients, co-workers and organization’s operations
• Complies with organization’s policies to protect confidentiality, integrity, availability and security of all protected health information
• Organization’s security official
• Conducts him/herself in a safe manner by adhering to all safety practices, rules and standards
• Demonstrates a commitment to quality and proactively seeks to make improvements to systems and processes
• Reports to work on time, provides advance notice for time off, accurately reports time and attendance and appropriately manages paid time off (if applicable) in accordance with organization’s policy
• Demonstrates a commitment to integrity in work habits and use of organization’s resources
• Performs duties as assigned that may be outside his/her principle responsibilities
• Meets own learning needs. Participates in educational programs of the organization, including completion of all mandatory competencies, education or training
• Effectively communicates to transfer information, provide guidance and resolve conflicts
• Reports concerns and complaints regarding abuse, neglect and exploitation in accordance with Vermont State Law and the organization
• Enhance or improve organization’s services by participating in team meetings, projects and committees
• Contributes to a positive work environment and responds in a constructive manner to change
• Documents the provision care and services in accordance to organization’s policy

Requirements:

• Current RN licensure recognized by the State of Vermont required.
• Appropriate experience in specific clinical area. Varies by unit.

Our Total Rewards Package includes:

• Health Care (Medical, Dental, Vision)
• Flexible Spending Account
• Retirement Benefits (403b)
• Insurance Benefits (Life, Long-Term, Short-Term)
• Paid time Time Off

Joining our team has its perks:

• We encourage professional growth and development
• We ensure our nurses are truly happy and feel valued
• We offer structured preceptorships and continuing education
• We are committed to great patient ratios
• Our team culture is unlike what you'll find at other hospitals
• We've made significant investments in safe patient handling and mobility equipment
• Nurses truly have a voice here through our shared governance

About Home Health and Hospice:

For more than 100 years, we have provided high-quality, compassionate care wherever our community members call home. We support individuals and families at every age and stage of life, from pregnancy and early childhood care to adults with acute and chronic illnesses and those at the end of life.

With exciting signing incentives and relocation assistance, moving to Vermont has never been an easier decision.