Logo
Caring for People Services

Registered Nurse- Home Health Infusions

Caring for People Services, Omaha, Nebraska, us, 68197

Save Job

Join to apply for the

Registered Nurse- Home Health Infusions

role at

Caring for People Services

2 days ago Be among the first 25 applicants

JOB SUMMARY The Infusion RN provides safe, evidence‑based infusion therapy on an intermittent basis in the home or ambulatory setting. The Infusion RN will follow the Infusion Nurses Society (INS) Standards of Practice, CHAP Home Infusion Standards, Nebraska Nurse Practice Act, and all relevant Nebraska state home health and pharmacy regulations under the supervision of the Director of Infusion Services.

RESPONSIBILITIES Direct Patient Care

Conduct comprehensive nursing assessments prior to initiation of infusion therapy.

Insert, manage, and maintain peripheral IVs, midlines, PICCs, tunneled catheters, and implanted ports in accordance with INS and CHAP standards.

Access ports and implanted devices using sterile technique; manage continuous and intermittent infusion systems.

Administer IV, subcutaneous, and injectable medications including antimicrobial therapy, biologics, hydration, specialty medications, and parenteral nutrition.

Use SASH flushing protocols as appropriate to device type and agency policy.

Perform blood draws from central or peripheral access per provider order and Nebraska practice act and INS guidelines.

Observe patients for infusion reactions, medication side effects, or device complications; intervene and be knowledgeable of emergency management protocols.

Educate patients and caregivers on medication administration, line care, infection prevention, equipment operation, and safe handling of supplies.

Provide ongoing reinforcement of safe infusion practices, aseptic technique, and line care.

Teach signs/symptoms requiring immediate reporting (infection, fever, catheter issues, adverse reactions and delayed reactions).

Teach proper disposal of sharps and biohazard materials.

Document return demonstrations and competency of the patient/caregiver.

Clinical Documentation

Complete timely and accurate documentation of assessments according to company policy including comprehensive assessment, medication administration, patient response to therapy, line care, education, complications, and coordination of care.

Record documentation in accordance with CHAP standards, Nebraska regulatory requirements, and agency policy.

Update the Plan of Care every 60 days or sooner with condition changes and report clinical changes promptly to the ordering provider or pharmacist.

Care Coordination

Collaborate with pharmacists, prescribers, case managers, home health teams, and other care partners.

Communicate clinical changes, adverse events, equipment issues, or therapy concerns promptly.

Participate in interdisciplinary meetings, case reviews, and quality improvement activities.

Communicate damaged/malfunctioning equipment or supply needs/changes in patient schedule with dispensing pharmacy.

Safety & Compliance

Maintain competence in infusion therapy and vascular access device management in accordance with INS Standards of Practice.

Follow all CHAP safety, infection control, and medication management standards.

Comply with the Nebraska Nurse Practice Act, including scope of practice, delegation, and supervision requirements.

Adhere to Nebraska home health and home infusion regulatory requirements.

Maintain safe handling, storage, and disposal of medications and sharps.

Participate in infection prevention surveillance and reporting (e.g., CLABSI tracking).

Report incidents, variances, and near‑misses per agency policy.

Participate in internal audits, equipment calibration checks, and quality improvement initiatives.

Maintain knowledge of new INS standards, CHAP updates, and state rule changes.

Follow emergency preparedness protocols and ensure patients understand how to respond during an outage, pump failure, or disaster scenario.

Professional Responsibilities

Maintain competency through continuing education in infusion therapy, vascular access, and home‑based care.

Maintain proficiency in sterile technique for all line care procedures.

Support precepting or mentoring new staff when appropriate.

Maintain professional boundaries, confidentiality, and adherence to the Nurse Practice Act.

Administrative Responsibilities

Provide visit frequency recommendations based on clinical assessment and therapy type.

Communicate with prescribers regarding plan of care updates, lab needs, scheduling and therapy changes.

Complete timely communication notes, visit notes, and any required teaching documentation.

Ensure regulatory compliance with Nebraska state requirements, CHAP standards, and INS guidelines for infusion therapy.

WORKING ENVIRONMENT

Work is performed in patient homes or clinic/infusion suite environments.

Possible exposure to bloodborne pathogens, hazardous medications, and infusion‑related risks.

Ability to drive between patient homes in urban, suburban, and rural areas across the agency’s service region.

RN must be comfortable navigating a variety of home environments (temperature variability, pets, environmental allergens, limited workspace) and geographic conditions.

May require occasional travel to the office, pharmacy, or training sites.

Ability to carry equipment and supplies from the vehicle into the patient’s home safely and efficiently.

VEHICLE REQUIREMENTS

Must have reliable transportation that is safe, well‑maintained, and capable of transporting nursing supplies, infusion equipment, and documentation tools to patient homes.

Vehicle must be equipped to handle variable driving conditions, including rural travel, inclement weather, and long distances common within Nebraska service areas.

Must maintain valid driver’s license, up‑to‑date vehicle registration, and appropriate auto insurance as required by agency policy and state regulations.

Must ensure a clean, organized space in the vehicle to safely store and transport sterile supplies, medications (when permitted), and equipment without contamination or damage.

LIFTING REQUIREMENTS

Must be able to lift, carry, push, and pull up to 35–50 lbs of supplies and equipment (e.g., infusion pumps, solution bags, supply kits).

Must be able to lift and transport supply bags or pump cases from the vehicle into patient homes and safely lift and position equipment on tables, counters, or IV poles as required for therapy setup.

Must use proper body mechanics and follow agency safety protocols for lifting and handling equipment.

Frequent walking, standing, bending, stooping, reaching, and crouching required during patient assessments and line care.

Ability to climb stairs and navigate uneven surfaces or tight home environments with equipment.

Ability to sit, stand, or drive for extended periods depending on visit schedule and geographic area served.

Ability to perform fine motor tasks required for sterile technique, IV insertion, syringe manipulation, and pump programming.

RISK EXPOSURE Clinical & Biological Exposure Risks

Potential exposure to bloodborne pathogens (HIV, hepatitis B/C), body fluids, and sharps while performing IV insertion, blood draws, and central line care.

Exposure to infectious diseases, including respiratory illnesses, multidrug‑resistant organisms (MDROs), and communicable conditions in patient homes.

Risk of exposure to biohazardous waste, including used needles, tubing, dressings, and contaminated supplies.

Medication & Chemical Exposure Risks

Exposure to hazardous medications, such as chemotherapy agents, biologics, immunotherapies, and certain antivirals, depending on caseload.

Possible contact with sterile solutions, disinfectants, alcohol‑based products, adhesives, and skin prep chemicals.

Exposure to cleaning agents used in patient homes or utilized for equipment sanitation.

Environmental Exposure Risks

Working in homes with pets, smoke, allergens, mold, pests, or unsanitary conditions.

Navigating cluttered, cramped, or structurally unsafe environments.

Exposure to extreme heat or cold when traveling between homes in Nebraska weather conditions.

Ergonomic & Physical Risks

Risk of musculoskeletal strain from lifting and transporting infusion supplies, pumps, and equipment.

Risk from repetitive tasks (e.g., IV manipulation, pumping syringes, keyboarding documentation).

Potential slips, trips, or falls in unfamiliar or uneven home environments.

Travel‑Related Risks

Driving long distances in snow, ice, high winds, rural roads, or unpredictable weather.

Occasional exposure to late‑evening or early‑morning travel, depending on therapy timing.

Risks associated with transporting equipment and supplies in a vehicle.

Workplace Safety Responsibilities

Required to follow OSHA standards, all agency safety policies, and use appropriate PPE for all clinical care.

Must identify and report unsafe home conditions and participate in risk mitigation steps.

Must maintain awareness of situational safety when entering and exiting homes.

REQUIREMENTS

Active, unrestricted RN license in Nebraska.

Minimum 3 years of clinical nursing in infusion, critical care, ER, or related specialty.

Proficiency in peripheral and central vascular access management.

Current BLS certification.

Valid driver’s license and reliable transportation.

PREFERRED QUALIFICATIONS

CRNI or IGCN certification.

2+ years’ experience with home infusion therapy, specialty medications, and infusion pumps.

Seniority level

Entry level

Employment type

Full‑time

Job function

Health Care Provider

Industries: Individual and Family Services

Location: Omaha, NE

#J-18808-Ljbffr