Admission Nurse; RN Hospice Home Care

About Duke Home Care & Hospice

At Duke Health, we are driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Join us to advance health together.

• Duke University Health System is 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.
• Duke University Health System has 6,000+ registered nurses.
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility).

We are active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke, you will live out Duke’s mission of caring for our patients, their loved ones, and each other in a very precious way. You will truly care for people at their most vulnerable state of being and help them and their loved ones learn to let go in peace and comfort.

Shifts:

(5) 8‑hour day shifts or (4) 10‑hour day shifts.

• Manageable caseloads and territories.
• Commitment to safety for both patients and employees.
• Mileage reimbursement rate equal to the current federal rate.
• Extensive orientation of 16+ weeks based on individual needs.

Performs professional nursing care for patients in a primary care setting (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 and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
• 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 are provided to the patient.
• 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.
• Medication reconciliation and education to prevent adverse events and readmission to 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 as determined by the patient’s care needs.
• Identify personal learning needs and implement corrective action: assist in planning and conducting staff…