RN Clinical Nurse II - Hemophilia Treatment Center Pharmacy

- Chapel Hill, NC
Posted: July 20, 2022
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Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.
*This position qualifies for a $10,000 commitment incentive, paid in six (6) equal installments over a three (3) year commitment. Payment is made after each six (6) month period of work completed. Learn more here:
Skilled Nursing Coordination:

Contract with home health/nursing agencies to arrange for skilled nursing services in the outpatient setting, generate authorizations at contracted rates for skilled nursing services in the outpatient setting. Review of nursing notes prior to approving invoices for payment. Collaborate with the patient/family and interdisciplinary health care team members in planning, implementing, and evaluating treatment regimen. Provide professional nursing care and treatment of adult and pediatric home infusion patients in accordance with the prescribed plan of care and with company policies and procedures, all applicable accreditation, federal, state, and local regulations. Apply appropriate ethical, legal, confidentiality and advocacy principles to the planning and delivery of patient care. Ensure correct, appropriate and timely physician orders for the provision of nursing care in the home setting. Develop and maintain an active, dynamic database of preferred home health agencies.

Identify learning needs of patient and/or caregiver in the outpatient setting. Provide appropriate intervention and instruction for patient/caregiver to safely administer care at home. Train patients and families in appropriate self-administration of oral and parenteral treatments, and how to recognize and respond to adverse reactions. Ensure patient competence and compliance with all self-care, including venous access, subcutaneous access, central line procedures and infection control; re-educate as necessary, and document/communicate the need for re-education with hemophilia center staff. Provide consultation & education to schools, hospitals, and other community resources that may provide services to patients with hemophilia. Provide training to pharmacy staff, HTC personnel and other clinicians as necessary.

Prepare clinical and progress notes according to assessment of the patient. Appropriate documentation of patient care activity, provision of home skilled infusion nursing services in the outpatient setting and all communication with patient/family, HTC clinical staff and HTC Pharmacy staff. Documentation must be legible, accurate, complete, and compliant with and procedure for electronic and paper patient clinical record entries. Maintain HTC Pharmacy patient files according to policies and standards set by regulatory and accrediting agencies of the HTC Pharmacy.
3-5 years clinical nursing experience to include pediatrics is preferred. Home infusion skills preferred. Strong venous access skills; PICC and/or CRNI certification preferred. Some travel required; participates in on-call services with other clinical staff as necessary. Experience with peripheral and central line access; infusion experience with both adult and pediatric patients. Experience performing venipuncture; accessing central catheters and PICC lines. CPR/BLS required Must possess computer skills including Microsoft Office/Outlook. Must possess a valid and current driver's license and have car available for work use; auto insurance

1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

Other Information Other information:
Education Requirements:
? Graduation from a school of professional nursing.
Licensure/Certification Requirements:
? Licensed to practice as a Registered Nurse in the state of North Carolina.
? Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
? One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:

Job Details Legal Employer: STATE
Entity : UNC Faculty Physicians

Organization Unit : Hemophilia Treatment Center
Work Type : Full Time

Standard Hours Per Week : 40.00
Work Schedule : Day Job
Location of Job : US:NC:Chapel Hill
Exempt From Overtime : Exempt: No

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Chapel Hill, NC

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