Registered Nurse (RN) Brooks Home Health, PRN

Overview: For 50 years, Brooks Rehabilitation, headquartered in Jacksonville, Fla., has been a comprehensive source for physical rehabilitation services. As a nonprofit organization, Brooks operates one of the nation’s largest inpatient rehabilitation hospitals in the U.S. with 160 beds, one of the region’s largest home healthcare agencies, 41 outpatient therapy clinics, a Center for Inpatient Rehabilitation in partnership with Halifax Health in Daytona Beach, the Brooks Rehabilitation Medical Group, two skilled nursing facilities, assisted living and memory care. Brooks will treat more than 60,000 patients through its system of care each year. In addition, Brooks operates the Clinical Research Center, which specializes in research for stroke, brain injury, spinal cord injury and more to advance the science of rehabilitation. Brooks also provides many low or no cost community programs and services such as the Brooks Clubhouse, Brooks Aphasia Center and Brooks Adaptive Sports and Recreation to improve the quality of life for people living with physical disabilities. Brooks Rehabilitation proudly employs over 2,500 clinicians and staff across the state of Florida. We are looking for exceptional people to join our culture of caring and bring our mission to life.
Position Summary: Responsible for nursing care planning and management of patients in collaboration with the multidisciplinary team. This is a non-supervisory position following the Florida Nurse Practice Act and chain of command. Exposure to infectious diseases, body excrements, and dirty wounds. Possibility of physical harm from a combative patient, physical strain or needle puncture.

Use of PERSONAL PROTECTIVE EQUIPMENT (PPE): Potential for exposure to infectious and chemical materials may require personal protective equipment including but not limited to: mask, goggles, gown, gloves, shoe covers, and hair covers.

Responsibilities:

Demonstrates critical thinking in application of the nursing process.

• Utilizes basic physical and psychosocial skills by identifying actual/potential nursing/clinical problems based on bio-psycho-social- spiritual assessment data of the client and their families or caregivers and documents findings.
• Initiates and establishes comprehensive individualized nursing plan of care within 24 hours, reflecting admission through discharge planning;
• Develops patient centered goals , in collaboration with clients, their families and the rehabilitation team that are oriented to wellness behavior, are reality based, encourage socialization with others and promote maximal independence for patients with disabilities or chronic conditions .
• Develops and documents the teaching and discharge plan including complex and needs of patient and family. Documents progress according to outcomes.
• Designs and implements the nursing plan of care and treatment strategies based on scientific nursing theory related to self-care and that promote physical, psychosocial and spiritual health.
• Applies nursing research to clinical practice and utilizes evidence based practice guidelines and interventions that are patient/family centered.
• Independently completes all appropriate nursing skills and interventions according to specialty competency based skills checklist. Updates skills. Teaches new skills.
• Intervenes and attempts to resolve patient and family problems by providing psychosocial and emotional support; contacts other resources as necessary and documents appropriately.
• Consistently delivers patient care according to the established plan of care; modifies plan of care in response to actual and anticipated changes in patient needs.
• Completes an updated OASIS when Significant Changes in Condition occurs
• Recognizes and documents subtle changes in patient’s condition, including complex patient care situations, and follows through with appropriate nursing action.
• Functions independently and effectively in emergency situations. Acts as a resource to other members of the health care team.
• Completes documentation according to guidelines and regulations
• Evaluates the outcome of care and revises the plan of care appropriately to achieve desired outcomes.
• Plans own work and the work of assigned staff in appropriate priorities and sequences; delegate’s tasks as appropriate; coordinates patient care efforts to be completed during the designated shift in a timely manner.
• Administers medications and treatments as prescribed, evaluates patient response and documents appropriately. Anticipates adverse reactions.
• Demonstrates professional communication skills.
• Demonstrates therapeutic communication skills when interacting with patients and families;
• Functions as a patient advocate with other members of the health care team.
• Maintains professional communication skills when interacting with others; facilitates a harmonious working environment.
• Initiates formal/informal patient care conferences as needed to coordinate direct patient care efforts and optimize outcomes.
• Collaborates with the interdisciplinary team in care planning and care delivery
• Participates in the interdisciplinary team process at team conference/case conference and other team meeting
• Identifies and intervenes for peer, patient and family education needs.
• Supports unit orientation for new staff members and ancillary personnel by acting as a preceptor.
• Assists in the assessment of unit educational needs; plans, develops and presents unit in-service programs.
• Professional development; maintains skills appropriate to practice and experience.
• Promotes professionalism based on the established scope and standards of Rehabilitation Nursing Practice and the American Nurses Association
• Participates in team/unit/hospital based committees.
• Participates in staff meetings.
• Consistently recognizes own limitations, seeks resources/ consultation and incorporates suggestions into practice.
• Troubleshoots during equipment malfunction and identifies appropriate resources as needed.
• Uses equipment and supplies in a cost effective manner and identifies cost saving measures when providing patient care

Qualifications:

• Registered Nurse with a State of Florida license.
• Associate, Bachelors, or Master’s degree from an approved school of Nursing.
• Basic Life Support (BLS) certification required.
• Hands-on BLS certification.
• All RN’s eligible for Clinical II placement must first be a Clinical Nurse I and must be Clinical Nurse II before Clinical Nurse III for a minimum of 3 months.
• Exposure to infectious diseases, body excrements, and dirty wounds. Possibility of physical harm from a combative patient, physical strain or needle puncture. Maintains confidentiality of patient information.
• Adheres to policies and procedures specific to patient rights.
• Maintains a clean and safe environment; identifies and reports hazards.
• Maintains BLS certification and assumes responsibility for maintaining required continuing education and unit specific credentials.
• Meets all required mandatory in-services.
• Adheres to policies/procedures specific to universal precautions when delivering patient care.
• Adheres to policies regarding attendance, conduct, grooming, and dress code.
• Promotes a positive image of the hospital to outside agencies and the public.
• Participates in performance improvement activities as needed.
• Exhibits excellent service to patients, visitors, physicians, and co-workers.
• Exhibits values of the organization.
• Will consider sponsorship. Must have:
  • 2 years’ applicable experience
  • Current Florida Nursing license or evidence of having passed NCLEX Exam
  • English proficiency

Additional Information: You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations are considered in providing reasonable accommodations. The duties and responsibilities herein describe the general nature and level of work required. They are not intended to be construed as a complete list of all duties, responsibilities and skills required to meet requirements for this position. Disclaimer: This job description describes the general nature and level of work only. It is not an exhaustive list of all responsibilities, duties, and skills. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Location : Name: BRHH/BCC_ Gainesville_ 0035 Type: PRN