Job Objective :
Responsible for the successful clinical coordination of care for patients requiring Outpatient IV therapy. Facilitated communication between Antelope Valley Medical Center (AVMC), the patient and/or family, and the Infusion Services. Collaborates with prescribing providers and affiliated staff and pharmacy staff to facilitate the coordination of care for patients.
Essential Duties and Responsibilities:
- Patient Care Education and Coordination
- Identification of appropriate patient for outpatient infusion services.
- Provide patient education and training regarding therapy and supplies, as well as clarifying expectations of care provided.
- Educate the patient/family about the patient’s care needs and disease prevention.
- Use the nursing process to plan and provide patient/family care. This includes assessing and evaluating needs and implementing effective care plans which are kept up to date, evaluated and documented.
- Coordinate patient care activities and maintain communication with other disciplines including nursing agency, pharmacist and physician.
- Evaluates current and future clinical and service needs for patients and prescribing clinicians.
- Documentation
- Appropriately documents the coordination of care activity, including but are not limited to:
- Infusion Nursing services utilized.
- Obtains radiology report for PICC placement and reviews/submit to pharmacy.
- All communication with patients, referral sources, physicians, and infusion staff.
- All patient and/or caregiver education and training.
- Maintains up to date records, as well as any other requested records in accordance with business goals.
- Communication
- Coordinates and communicates all discharge planning activities for new patient referrals, including, but not limited to:
- Intake
- Clinical Operations: Pharmacy and/ or Nursing
- Reimbursement
- Maintain effective lines of communication between hospital staff, physicians, and infusion staff.
- Obtains and inputs orders from physicians and verifies accuracy of the order. Inputs pharmacy protocol for saline/heparin flushes and PICC line removal once therapy is complete.
- Checks lab results for availability of blood culture reports and communicates results to the physician.
- Reviews patient history for illicit drug use and develops a safety contract if indicated.
- Case Management
- Acts as a resource to physicians and nursing staff regarding patient’s transition of care.
- Coordinates with staff and pharmacy to ensure initial dose of medication is provided to the patient prior to discharge and/or arrange an anaphylactic kit delivery if first dose is not administered in the hospital.
- Coordinates IV medications schedule prior to discharge.
- Coordinates with OPTC to ensure PICC line is scheduled and in place prior to inpatient discharge.
- Coordinates with pharmacy regarding delivery of medications.
- Develops, maintains, and grows core therapy and service line admissions.
Non-Essential Duties:
- Participates in Quality Improvement (QAPI) process as requested in utilization review (UR), chart audits and Performance Improvement committees.
- As appropriate and/or required, participates in continuing education programs and in-services regarding therapy programs.
Knowledge, Skills, and Abilities:
Knowledge
- Knowledge of in-patient processes, nursing care and discharge planning.
- Knowledge of home health care and IV Therapy.
- Knowledge of medications, indications, dosage ranges, side effects and potential toxicities.
- Payor knowledge, along with the ability to navigate Medicare, Medicaid and commercial insurance plans to assist with the intake benefit and authorization process.
Skills
- Skill and ability to effectively communicate.
- Proficient computer skills.
- Care of peripheral and central lines.
Abilities
- Ability to demonstrate personal motivation and initiative.
- Ability to troubleshoot problems that may arise in IV Therapy.
- Ability to follow appropriate infection control measures.
- Strong willingness to stay abreast of developments in the market related to infusion therapies.
- Ability to accurately and professionally document all records necessary to patient transition of care.
- Ability to communicate and work professionally and compassionately with varied audiences including patients, caregivers, patient families, physicians, nurses, hospital staff, and others involved in a patient’s care.
Core Competencies: All AVMC employees will effectively demonstrate these behaviors:
- Accountability
- Action Oriented.
- Client-driven.
- Compassion
- Effective Communication.
- Teamwork
- Ethics & Values.
- Integrity & Trust.
Education and Experience:
Education
- Associate degree in nursing from an accredited college or school of nursing.
Experience
- At least one (1) year of Case Management experience preferred.
- Experience in and knowledge of Home Health or, three (3) years clinical nursing experience in the acute care setting required.
- Two (2) to three (3) years IV related experience preferred.
Required Licensure and/or Certifications:
- Current licensure as an RN in California.
- Current BLS/BCLS certification.
- Maintains a valid California driver’s license.
Key Physical Requirements and Working Conditions:
- Must meet job physical standards: vision, hearing, and manual dexterity, ability to walk and meet lifting requirements.
- Must be able to tolerate repetitive hand and arm movements.
- Able to walk to and from patient home and employee vehicle.
- Able to lift and/or carry up to 10 pounds.
A detailed description of the physical requirements of this job is maintained in the Employee Health Department.
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