Registered Nurse (RN - Hospital) - Home Health & Hospice

Participates in orientation of new personnel and peer performance evaluations of nursing staff.

Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.

Establishes and maintains communications and utilizes teaching opportunities with patients and other significant individuals.

Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest.

Participates in the maintenance of a clean and safe environment.

Participates in staff development programs.

Delegates and supervises Home Health Aide per CMS Conditions of Participation and Nursing Standard of Practice.

The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.

Requirements

Qualifications/Requirements for This Position Preparation and Training - Work requires a professional level of knowledge acquired by completing an accredited RN nursing education program. Must hold RN licensure from the ND State Board of Nursing for the current year. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist. Work Experience - Requires 1 year general Medical/Surgical nursing experience. Preferable 1 year Home Health or Community Health experience. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule. Analytical Ability - Demonstrates strong clinical judgment and critical thinking to assess patient conditions, interpret clinical data, and develop and evaluate individualized care plans. Recognizes changes in patient status, evaluates the effectiveness of interventions, and makes timely, informed decisions to ensure safe, high-quality, and compliant patient care. Applies problem-solving skills to manage complex clinical situations and support coordination with the interdisciplinary team. Independent Judgement - Exercises independent clinical judgment in the home and hospice setting to prioritize care, implement appropriate interventions, and adjust plans based on patient needs and responses. Effectively manages symptom control and care coordination while recognizing when to escalate concerns to physicians or leadership. Maintains accountability for delivering safe, effective, and compliant patient care. Contact and Interpersonal Skills - Aware of high degree of visibility in community representing JRMC Home Health Agency. Considerable contact with physicians and personnel from other departments and residents of area served. Supervising the Work of Others - May be required to plan, assign work to and check the work of 1 to 5 nursing personnel doing related work on the shift. Supervision is provided to LPNs, Nurse Techs, Nursing Aides and Ward Clerks. Responsibility for Welfare of Others - High frequency with which work performed by the staff RN may result in very serious physical or emotional harm to others. It is the responsibility of the professional RN to continuously uphold the highest degree of performance within currently defined and acceptable nursing practice standards. Responsibility for Making Decisions and Recommendations - Independent nursing judgment is often required by the professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill. Mental / Visual Effort - Must be able to work with terminally ill patients and their families to effectively cope with death and dying. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons. Working Conditions - Exposure to patients with infectious diseases, unsanitary conditions within patient's residence. Exposure to elements at higher risk than usual due to extensive travel by car and working in adverse conditions in residences. Promotion - No formal line of promotion. Background Check - A comprehensive background check and drug screening will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. EMPLOYEE REQUIREMENTS - Visual Observation - Continuously Standing - Rarely Walking - Rarely Sitting - Continuously Hands and Finger Dexterity - Frequently Reaching with Hands and Arms - Rarely Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Rarely Hearing/Listening - Continuously Tasting or Smelling - Rarely Working Inside - Continuously Working Outside - Rarely Working in Extreme Heat - Rarely Working in Extreme Cold - Rarely Working with Hazardous Materials - Rarely Noise - Continuously Working in Dirt/Dust - Never Driving - Never

Lifting / Carrying / Pushing / Pulling

Up to 10 pounds - Occasionally Up to 25 pounds - Rarely Up to 50 pounds - Never Up to 75 pounds - Never Up to 100 pounds - Never Over 100 pounds - Never