Kaiser Permanente Home Health Nurse - Oahu in Honolulu, Hawaii
Provides home health care to Kaiser Permanente's Home Health patients in coordination w/ physician orders & nursing interventions. Maintains professional, clinical, technical, & interpersonal skills to provide best possible service.
Essential Functions:- Establishes & coordinates plan of care for patients assessing educational, equipment, skilled & nonskilled services & needs. Maintains productivity levels per agency standard.- Evaluates patients, families, & home environment on admission & subsequent home visits. Determines if home environment is safe & appropriate for provision of home health services. Assesses patient's physical & psychosocial needs. Develops &/or revises an appropriate plan of care. Communicates & coordinates plan of care w/ physician(s), patients & family, & other health care providers. Implements care, as ordered. Identifies problems accurately. Establishes reasonable/measurable goals. Establishes discharge planning in conjunction w/ the care planning process. Prepares & delivers medical supplies & orders equipment necessary for provision of prescribed care/service.- Provides comprehensive nursing care as prescribed by patient's physician & in compliance w/ Home Health Services established standards, policies, & procedures. Evaluates patient's response to identified interventions. Reviews & interprets laboratory values. Demonstrates knowledge & skill in providing wound care. Provides all care according to established, written plan of care. Modifies/updates/changes plan of care when indicated by patient's condition &/or physician orders. Obtains physician orders as required by State & Federal laws. Initiates appropriate preventative & rehabilitative nursing procedures.- Recognizes & interprets significant physiological & behavioral changes in patient's condition. Reports findings appropriately to physician, Home Health Manager &/or other individuals involved in care of patient. Demonstrates critical thinking such as problem-solving, reflective practice, clinical reasoning, prioritizing, etc. Determines in conjunction w/ physician, when patient care needs to be shifted into another setting. Re-evaluates patient's nursing needs regularly when licensed practical nurse furnishes services.- Instructs patient, family, & other caregivers on nursing & aide-related care to promote independence & self-care.- Provides case management, as caseload assigned. Coordinates all necessary services to be provided to patients. Integrates all services into plan of care.- Documents all care provided to patients & plans pertaining to care according to Home Health Services standards, federal & state regulation(s). Assures that medical record is accurate, legible, & complete; & completes accurate daily visit log. Completes assessments & documentation per State & Federal law (e.g. OASIS) for all applicable patients assigned. Submits documentation in timelines specified by Home Health Standards, Federal & State regulation(s).- Develops area of clinical expertise w/in Home Health Nursing, & provides instruction/supervision in area to others in agency, as requested. Provides guidance & supervision to licensed practical nurse. Supervises care provided by Home Care Aides (HCA). Prepares HCA assignments. Coordinates patient care. Makes HCA evaluation visits, & provides feedback to HCA. Documents HCA supervision.- Plans for & participates in professional development activities to keep current of trends in home health nursing &/or clinical nursing skills.- Participates in multidisciplinary team conferences (formal & informal) to coordinate, discuss, & evaluate services provided to patient. Communicates w/ other Home Health personnel, other departments & w/ community resources to coordinate care & services for Home Health Services patients.- Participates in Home Health Services functions such as staff meetings, staff in-services, & committees, as assigned. Participates in orientation of new personnel to Home Health Services & precepts students as assigned.- Participates in performance improvement. Identifies & presents improvement opportunities to organization & implements Quality Improvement process(es). Identifies & reports infections of patients. Assists w/ development & implementation of department's annual work plan. Performs clinical record audits, as assigned. Maintains educational record & provides evidence of competency.- Prepares weekly schedule of patient visits for self, & licensed practical nurse, & keeps Referral Center apprised of schedule changes & openings for new admissions & other added visits. Rotates weekend, holiday & after hour coverage w/ other Home Health nurses, as required.- Notifies Home Health Manager &/or designee of unusual circumstances or abnormal conditions which might result in schedule change for self or other employees. Reports problems, incidents &/or concerns to Home Health Manager in timely manner.- Follows all applicable laws, rules & recommendations for safe driving while on duty.- Provides verification of current licensure/certification.- Maintains, uses, & responds to (as applicable): voicemail, pager, e-mail, & computer.- May perform patient care to the extent necessary to maintain clinical expertise, competency & licensing necessary to fulfill job responsibilities & to direct the provision of care on the unit.- Provides direct patient care on an as needed basis. Provides services that are w/in scope of license & in compliance w/ all legal, regulatory, & policy requirements relevant to clinical role performed.- Incorporates the KP Nursing Vision, Model & Values through out their Nursing Practice.
Basic Qualifications:Experience- Two (2) years medical/surgical nursing experience, including experience or successful completion of training program (pre-hire, post-hire, or on-the-job) in area of specialty, if applicable.Education- Associate's degree from accredited school of nursing.License, Certification, Registration- Valid driver's license.- Valid Hawaii RN license (must meet education requirement(s) for Hawaii State licensure).- Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification. Additional Requirements:- Demonstrated knowledge of and skill in oral communication, written communication, interpersonal relations, customer service, problem solving, systems thinking, decision making, adaptability, and change management.- Talking to co-workers, customers, outside vendors, and on the telephone.- Reading, writing, speaking and understanding English.- Training/giving and receiving instructions.- Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertness.
Preferred Qualifications:- Home Health agency (Medicare certified agency) experience.
- Bachelor's degree in nursing.- Certified Home Health Nurse by the American Nurses Association (ANA).- Demonstrated knowledge of venipuncture and IV therapy, antibiotic therapy, respiratory therapy, patient assessment (physical and psych/social), hyperalimentation and TPN, colostomy and ileostomy care, and catherization (male and female), bowel and bladder training, wound care, diabetic care, transfer skills, care of terminally ill, and patient teaching.
TITLE: Home Health Nurse - Oahu
LOCATION: Honolulu, Hawaii
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.