Vascular Access Rn Jobs in Nebraska (NOW HIRING)

Description

The Registered Nurse (RN), Home Infusion is responsible for providing skilled, professional 

nursing care to patients receiving non-chemotherapy specialty infusion therapies in the 

home setting. The RN applies clinical expertise in vascular access management, infusion 

therapy administration, patient assessment, and education to ensure safe, high-quality care.

This position functions in accordance with physician orders, organizational policies, state 

Nurse Practice Act, and applicable regulatory and accreditation standards. The RN promotes 

optimal patient outcomes through clinical excellence, education, collaboration, and 

adherence to safety and infection prevention standards.

Requirements

 PRN Position with opportunity to go Fulltime*

ESSENTIAL KEY RESPONSIBILITIES

Clinical Assessment and Patient Care Performs comprehensive initial and ongoing nursing assessments, including head-to toe evaluations and focused assessments related to therapy specific needs. Assesses patient appropriateness for home infusion therapy. Evaluates and documents pain, symptom management, and response to treatment. Develops, implements, and updates the plan of care in collaboration with the ordering provider and interdisciplinary team. Interprets clinical data and identifies patient-specific needs across the lifespan (adult and geriatric populations). Evaluates patient outcomes and adjusts care plans as clinically indicated.
Infusion Therapy and Vascular Access Management Initiates and manages peripheral IV access. Accesses, de-accesses, and maintains central venous access devices including:

Performs sterile central line dressing changes in accordance with evidence-based standards.

Administers prescribed infusion therapies including, but not limited to:             

                o IV antibiotics              

                o Biologic agents               

                o IVIG  

                o Hydration therapy               

                o TPN (as applicable)

Monitors for and manages infusion-related complications, including:               

                o Hypersensitivity reactions                

                o Anaphylaxis               

                o Extravasation              

                o Occlusions            

                o Line infections

Initiates emergency interventions per protocol and notifies provider as appropriate. Maintains competency consistent with standards from the Infusion Nurses Society.  

Patient and Caregiver Education

Educates patients and caregivers on:             

                o Medication purpose and potential side effects             

                o Aseptic technique              

                o Line flushing and maintenance              

                o Infusion pump operation (ambulatory, elastomeric, gravity, subcutaneous)            

                o Storage and handling of medications               

                o Signs and symptoms requiring medical attention

Assesses caregiver competency prior to independent administration.

Develops individualized teaching plans and evaluates effectiveness of learning.

Home Environment and Safety

Assesses home environment for safety and appropriateness of therapy.

Ensures proper storage, handling, and disposal of medications and biohazardous waste.

Adheres to infection prevention standards in the home setting.

Maintains sharps safety and bloodborne pathogen precautions.

Documentation and Regulatory Compliance

Completes timely, accurate documentation including:            

                 o Comprehensive assessments           

                 o Infusion start/stop times            

                 o Medication verification             

                 o Patient response and tolerance            

                 o Adverse events Documents in accordance with:              

                 o State Nurse Practice Act             

                 o Organizational policies          

                 o CHAP Accreditation standards 

Participates in Quality Assurance and Performance Improvement (QAPI) activities.

Reports incidents, adverse drug events, and safety concerns per policy.

Maintains HIPAA compliance and patient confidentiality.

Professional Responsibilities

Collaborates effectively with physicians, pharmacists, and interdisciplinary team members.

Demonstrates cultural sensitivity and respect for psychosocial, spiritual, and individual patient needs.

Maintains required competencies and participates in continuing education.

Maintains current knowledge of medications and infusion therapies.

Demonstrates flexibility, organization, and ability to function independently in the home setting.

Participates in on-call rotation and after-hours support as required. Performs other duties as assigned.
 

REQUIRED LICENSURE AND CERTIFICATIONS

Current Registered Nurse (RN) License in state of practice.

Current BLS certification

Valid driver's license and reliable transportation

REQUIRED MINIMUM KNOWLEDGE, SKILLS, ABILITIES AND TRAINING

Strong clinical assessment and critical thinking skills

Proficiency in vascular access and infusion therapy techniques.

Ability to work independently in varied home environments.

Excellent verbal and written communication skills.

Strong documentation and electronic medical record proficiency.

Ability to maintain confidentiality and professionalism.

Physical ability to lift and transport equipment and supplies (25-50 lbs).