This Home-Based Primary Care Nurse (RN) position is located in Geriatrics & Extended Care Service at the Bangor, ME CBOC. This is a full-time position at 40 hours per week. HBPC is a home care program under the Geriatric and Extended Care Service Line, designed to meet the longitudinal, primary care needs of an aging Veteran population with complex, chronic, disabling disease. HBPC provides a patient centered approach to care and treatment in the patient's home. The HBPC RN is a foundational member of the interdisciplinary care team for reasonably home bound, chronically ill Veterans. The HBPC RN functions as a care manager for the HBPC assigned Veterans and is responsible for continuous assessment of the Veteran and caregiver needs; delivering nursing care in the home; and supervising the care of home health technicians if applicable. Duties Include: Accurately performs assessments/screens for: nutrition, pain, tobacco use, alcohol, spirituality and depression and SLUMS. Coordinates outcome focused interdisciplinary care plans that reflect the team's assessments, interventions, evaluations and follow-up. Implements appropriate nursing/team plans of care reflecting the patients' functional capacity changes, living arrangements, financial resources and support systems. Demonstrates ability to care manage HBPC clients through the timely completion of screening tools, referrals to other services, coordination with VA/Community providers and assessment and documentation of patient/family education. Administers medications following established Medical Center and Service Line Policies and Procedures. Assesses patients for abnormal or non-therapeutic reactions to these medications and initiates appropriate interventions. Demonstrates ability to do wound care according to treatment orders. Educates caregiver in techniques for turning and positioning of patient. Demonstrates ability to train patient/family in suctioning/care for NG tube. Demonstrates ability to integrate telehealth technology into practice. Applies evidence-based standards to screen, immunize and promote health activities in the HBPC patient. Demonstrates the ability to perform phlebotomy in the home (see annual lab competency sheet) and Transport blood draws to the Lab. (see lab competency sheet) Maintains government vehicle and mileage reports. Accurately completes required workload reports. Work Schedule: 7:30am - 4:00pm, Monday - Friday. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.