Discharge Registered Nurse - Rehab

Good Shepherd Rehabilitation Network • Center Valley, Pennsylvania, United States • 20h ago

JOB SUMMARY
- The Discharge Registered Nurse (RN) plays a critical role in the transition of patients from inpatient care to home or other care settings within a rehabilitation hospital. This position is responsible for ensuring a smooth, effective, and safe discharge process, with a focus on the coordination of care, patient education, and collaboration with the multidisciplinary team. The ideal candidate will have a strong background in rehabilitation nursing, discharge planning, and patient advocacy.
ESSENTIAL FUNCTIONS
- DISCHARGE PLANNING AND COORDINATION
  - Collaborate with physicians, case managers, therapists, and other healthcare professionals to ensure timely and appropriate discharge planning.
  - Assess patients' readiness for discharge, considering physical, emotional, and social factors that may impact the transition.
  - Coordinate and assist with the development of individualized discharge plans, including recommendations for home health care, follow-up appointments, medications, and durable medical equipment needs.
- ESTABLISHES A COMPASSIONATE ENVIRONMENT
  - By providing emotional, psychological, and spiritual support to patients, friends, and families.
- PROMOTES PATIENT'S INDEPENDENCE
  - By establishing patient care goals
    - Explain discharge instructions, medication regimens, wound care, and any necessary lifestyle adjustments.
    - Offer emotional support and address patient/family concerns regarding the discharge process.
    - Educating patient, friends, and family to understand post-discharge care, medications, and self-care skills and rehabilitation goals achieved
    - Answering questions by applying rehabilitation principles to patients served.
    - By demonstrating competence in providing age specific care to pediatric patients, adult patients and geriatric patients.
- ASSURES QUALITY OF CARE
  - By adhering to therapeutic standards
    - Monitor patient outcomes related to discharge, including follow-up care and readmission rates, and contribute to quality improvement initiatives. Identify and address potential issues that could delay discharge, ensuring that patient safety and care quality are maintained.
    - Making or recommending necessary adjustments.
    - Following hospital and nursing division's philosophies and standards of care set by state board of nursing, State Nurse Practice Act, and other governing agency regulations.
    - By participating in performance improvement activities involving discharge.
- RESOLVES PATIENT PROBLEMS AND NEEDS
  - By utilizing multidisciplinary team strategies
    - By utilizing established communication methods to ensure resolution of patient problems and needs for discharge.
    - By communicating patient status and barriers to discharge to the interdisciplinary team.
- DOCUMENTS PATIENT CARE SERVICES
  - Ensure that all discharge-related documentation is completed accurately and in compliance with hospital policies, regulatory standards, and insurance requirements.
  - Maintain updated patient records in accordance with HIPAA regulations.
- MAINTAINS PATIENT CONFIDENCE AND ORGANIZATIONAL CONFIDENTIALITY
  - By keeping information confidential.
- MAINTAINS SAFE AND CLEAN WORKING ENVIRONMENT
  - By complying with procedures, rules, and regulations
    - calling for assistance from health care support personnel
    - by maintaining a clean and safe unit environment
    - keeping patient rooms, supply rooms and hallways free from clutter
    - by complying with procedures, rules and regulations
    - by adhering to infection control policies and procedures, medication administration and storage procedures and controlled substance regulations.
  - By maintaining compliance with professional, regulatory and governmental standards of care.
  - By demonstrating knowledge of responsibilities in an emergency situation.
- ENSURES OPERATION OF EQUIPMENT
  - By following manufacturer's instructions
    - troubleshooting malfunctions
    - entering work orders for equipment repairs
    - evaluating new equipment and techniques.
- DEMONSTRATES FINANCIAL ACCOUNTABILITY
  - By checking stock to determine inventory level
    - anticipating needed supplies
    - using equipment/supplies as needed to accomplish job results
    - By minimizing overtime by work prioritization and delegation
    - recognizes and complies with RN’s role in reimbursement for patient care services.
  - By identifying and providing input to Nurse Managers on work methods that reduce the cost and/or time required to deliver patient care.
  - By maintaining awareness of unit budget.
- MAINTAINS PROFESSIONAL AND TECHNICAL KNOWLEDGE
  - By identifying personal educational needs and opportunities
    - attending educational workshops
    - completing mandatory educational requirements
    - reviewing professional publications
    - establishing personal networks
    - participating in professional organizations
    - sharing new knowledge with teams
    - attending unit meetings
    - reading unit memos
    - participating in committees, projects and PI activities.
  - By maintaining responsibility for own professional development through active participation in in-services and/or continuing education programs.
- MAINTAINS A COOPERATIVE RELATIONSHIP AMONG HEALTH CARE TEAMS
  - By communicating information
    - responding to requests
    - building rapport
    - participating in team problem-solving methods
    - by communicating patient care or team issues to the nurse manager or supervisor
    - holding each team member accountable for patient and team outcomes
    - participate in team meetings
    - offering suggestions for improvement to the program director
    - utilizing the chain of command to present issues or concerns
    - demonstrate positive conflict resolution skills with all associates
    - treat all associates with dignity and respect.
- CONTRIBUTES TO ORGANIZATIONAL TEAM EFFORT
  - By arriving on duty as scheduled, maintaining attendance, punching in and out as per Good Shepherd policy and maintaining etime sheet.
  - Serve as the primary point of contact for patients and families regarding discharge questions or concerns.
  - Communicate effectively with the interdisciplinary team to ensure continuity of care post-discharge.
  - Ensure seamless transition of care to outpatient services, home health providers, or long-term care facilities, as appropriate.
    - By attending meetings as requested by organizational leaders.
    - By positively representing the profession and organization at work and away from work.
    - Promoting and participating in organizational goals.
  - By mentoring channels of communication among nursing shifts, disciplines, departments, and external customers.
  - By utilizing multidisciplinary team strategies, to assure resolution of patient problems and needs.
QUALIFICATIONS
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  - Education
    - Associate's Degree in Nursing or Nursing Diploma required
    - Bachelor's Degree in Nursing preferred
  - Work Experience
    - 2 Years rehabilitation experience Required.
    - 2 years patient discharge experience.
  - Licenses / Certifications
    - Registered Nurse license required
    - Basic Life Support / CPR, as a healthcare provider, per the American Heart Association required
    - Certification in Rehabilitation Nursing Preferred Or acquired within the first year of this position.

PI271938775

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