Address
Form of workOur Transition Team is a supplemental care unit of skilled nurses whose primary function is to quickly and efficiently get cases home while primary nursing staff are actively recruited. The team also supports the local office by covering potential missed opportunities.
Transition Team nurses provide care for all authorized hours in a home during a provisional period between 1-90 days. During this time, our office staff will be recruiting to identify full-time, replacement home healthcare nurses. The new caregivers will have an opportunity to train and shadow in the home with the Transition Team caregivers prior to working independently with the patient. Once the replacement nurses are trained and have a schedule, the Transition Team are then phased out of the home.
This supplemental care model improves quality by placing highly-trained temporary staff in the home, shifting to
equally-qualified long-term staff.
Our team reduces time spent in the hospital waiting for agencies to secure full staffing of authorized hours prior to discharge. With the Maxim model, full staffing can be secured
on the initial call to us.
If there is an occasional fill-in need for a long-term caregiver, our Transition Team will step in to cover any gap shifts.
Responsibilities
Utilizes the nursing process to assess, plan, implement and evaluate patient care.
Assess signs and symptoms indicating physiologic and psychosocial changes in the patient's condition.
Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses.
Documents the patient's plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions.
Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard.
Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions.
Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor including establishing priorities.
Other Registered Nurse (RN) duties as assigned.
Requirements
Current Registered Nurse (RN) License for the state in which the nurse practices.
Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).
Current PPD or Chest X-Ray.
Current BLS card.
One year prior Registered Nurse (RN) experience preferred.
