Registered Nurse; RN Home Health

About Duke Home Care & Hospice

Pursue your passion for caring with Duke Home Care & Hospice, which offers hospice, home health, and infusion services across the region, and serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient’s physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000+ registered nurses
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility)

• No call or weekend requirements
• Manageable territories
• Commitment to safety for both patients and employees
• Mileage reimbursement rate equal to the current federal rate
• Extensive orientation of 20 weeks based on individual needs

Performs professional nursing care for patients in a primary care setting (the home or alternate site) according to nursing practices, agency policies and regulations. Provides nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

• Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies.
• Utilize comprehensive assessment skills to plan priorities and set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
• Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem‑solving skills.
• Participate in weekly interdisciplinary team meetings and case conferences as necessary, to assure appropriate care and service.
• Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards through in‑services and workshop attendance.
• Assess the severity of patient symptoms, communicate to the physician and record significant findings, intervene as appropriate.
• Document care and services provided in accordance with DHCH policy and procedures and regulatory standards.
• Complete documentation accurately, timely, concisely.
• Medication reconciliation and education to prevent adverse events and readmission to the hospital.
• Observe patient’s reactions to medications and report significant incidents to the physicians.
• Communicate regularly with team members, caregivers, and physicians.
• Follow infection control standard precautions and use personal protective equipment as required.
• Delegate and supervise care given by NCA’s/LPN’s.
• Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations.
• Identify personal learning needs and implement corrective action; assist in planning and conducting staff development programs.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Implement agency policy, procedures and objectives.
• Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
• Maintain confidentiality of employee and patient information.
• Exhibit an attitude that promotes harmony and…