Home Health RN - Home Health

Schedule: Casual position, every 4th Saturday and Sunday 0800-1730

At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

A Brief Overview
Provides professional intermittent skilled nursing and individualized, family centered care to pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and home healthcare policies and procedures. Varied schedules to include weekend and holiday patterns, and required call.

Essential Functions

• Conducts a complete individualized age-specific patient/family assessment according to defined home healthcare scope and nursing practice standards, nursing diagnoses, or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, environmental, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission Assessment: 
  • Collects and documents data related to patient’s individualized care. This will be completed either within 48 hours of the referral or on the physician ordered start of care date. 
  • The initial assessment reflects information received from the referral source, interviews with caregivers and other team members and direct physical assessment of the patient and the environment. 
  • Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. 
  • Assesses patient/family need for education and uses an individualized approach in delivery style. 
  • Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. 
  • Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. 
  • The initial patient assessment will be documented within 1 day of the start of care.
• Incorporates individualized patient/family plan of care guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) 
  • Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. 
  • Utilizes individualized assessment data to develop the patient/family’s plan of care. 
  • Formulates goals and outcomes based on assessment data. 
  • Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. 
  • Demonstrates ability to prioritize patient interventions based on assessments/reassessments.
• Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. 
  • Oversees that the plan of care and goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (Nurse Manager, Pharmacist, Physician, Respiratory Therapist, Product / Purchasing Specialist) to ensure that clinical outcomes are achieved. 
  • Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. 
  • Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. 
  • Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. 
  • Verifies that caregivers feel competent and independent to perform all necessary functions to care for the child, and offers ongoing support with each nursing visit. 
  • Responds appropriately to emergency patient needs—demonstrates the ability to function independently in the home setting.
• Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and interventions. 
  • Entries in the medical record follow organization’s documentation policy (i.e., date, time, use of appropriate abbreviations, and legibility). 
  • Documentation is completed within established timeframes including, but not limited to: Initial Assessment form, Client Rental Equipment Agreement, CHHC Parent Handbook and Privacy Receipt, Appropriate Care Plan with Goals, Advanced Beneficiary Notice (as appropriate), Medication Profile, Appropriate Flow Sheets and Assessment Forms, Teaching Checklists and Growth Charts when indicated. 
  • Reviews and updates Care Plans, Orders, Medication Profile to accurately reflect the plan of care. 
  • Ensures that discharge instructions clearly state patient care needs after discharge, and Discharge Summaries accurately reflect current and ongoing services.
• Accepts assignments to share knowledge, provide clinical support, and assist new staff through the orientation process in accordance to all designated policies and procedures. 
• Professionally seeks opportunities to help teammates during work day as needed. 
• Accepts and completes other assigned tasks in a timely and professional manner. 
• Participates in the on-call rotation as specified by Nurse Manager.

Education Qualifications

• Associate's Degree from an accredited school of nursing Required or
• Bachelor's Degree from an accredited school of nursing Required

Experience Qualifications

• Minimum two years nursing experience Required and
• Experience with pediatric patients Preferred and
• Experience in homecare environment Preferred

Skills and Abilities

• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
• Basic Computer Skills
• Oral and written communication skills (bilingual skills preferred)

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure valid in the state of Nebraska Required and
• Current and valid Basic Life Support (BLS) through the American Heart Association is Required
• Program Specialty certification or nursing leadership certification within 1 Year Preferred and
• A valid driver’s license and an acceptable motor vehicle record/driving record Required

Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!