Discharge Registered Nurse - Rehab Center Valley

Discharge Registered Nurse - Rehab Center Valley

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.

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