Full-Time Pediatric Private Duty Nurse (RN) – In-Home Care

Job Overview

The Good Care Helpers is seeking a compassionate, dependable, and experienced Pediatric Registered Nurse (RN) to provide full-time, one-on-one private duty nursing care to a medically complex child in the patient’s home.

The RN will provide continuous skilled nursing care during assigned shifts in accordance with the physician-approved plan of care. Responsibilities may include NG-tube care and feedings, medication administration, neurological and respiratory monitoring, seizure precautions, positioning, personal care, and other patient-specific nursing interventions.

This is a full-time, direct-care position with regularly scheduled in-home shifts.

Primary Responsibilities

• Provide continuous, one-on-one pediatric private duty nursing during assigned in-home shifts.
• Follow and implement the physician-approved plan of care and all current clinical orders.
• Complete focused nursing assessments at the beginning of the shift and throughout the shift as clinically indicated.
• Monitor and document the patient’s vital signs, neurological status, respiratory status, pain, nutrition, hydration, intake and output, skin integrity, mobility, and response to treatment.
• Administer prescribed medications, enteral feedings, water flushes, respiratory treatments, and other ordered interventions.
• Provide NG-tube or gastrostomy-tube care, including placement verification, feeding-pump operation, aspiration precautions, and tube-site monitoring, as applicable.
• Follow physician orders and agency procedures if a feeding tube becomes clogged, displaced, damaged, or cannot be safely verified.
• Provide seizure monitoring and implement the patient-specific seizure action plan when applicable.
• Provide tracheostomy care, suctioning, oxygen therapy, ventilator care, nebulizer treatments, and other respiratory interventions when ordered and competency-validated.
• Assist with positioning, transfers, mobility, hygiene, toileting, skin care, and other activities of daily living.
• Observe for changes in condition and promptly notify the parent or guardian, clinical supervisor, physician, and emergency services as appropriate.
• Initiate emergency interventions within the RN’s scope of practice and follow the patient’s emergency preparedness plan.
• Verify medications, supplies, and medical equipment at the beginning of each shift and report shortages, discrepancies, malfunctions, or safety concerns.
• Maintain infection-prevention, medication-safety, and environmental-safety standards in the patient’s home.
• Reinforce approved education with the patient’s parent or caregiver regarding medications, treatments, equipment, and emergency procedures.
• Communicate professionally with the family, agency clinical leadership, physicians, therapists, case managers, school personnel, and other members of the care team.
• Complete accurate and timely electronic shift documentation, medication records, treatment records, and incident or change-in-condition reports.
• Participate in orientation, case conferences, competency evaluations, supervisory visits, and plan-of-care reviews.
• Maintain patient confidentiality and comply with HIPAA, agency policies, professional nursing standards, and applicable state and federal requirements.
• Remain awake, attentive, and immediately available to the patient throughout the assigned shift.
• Perform other patient-specific nursing duties authorized by the plan of care and within the RN’s scope of practice.

Required Qualifications

• Current, unrestricted Registered Nurse license in Tennessee.
• Graduate of an accredited registered nursing program.
• Current CPR/BLS certification.
• At least three years of professional nursing experience.
• Ability to safely perform all nursing skills required by the assigned patient’s plan of care.
• Successful completion of patient-specific training and competency validation before working independently.
• Knowledge of pediatric assessment, medication administration, infection prevention, enteral nutrition, emergency response, and clinical documentation.
• Ability to recognize and respond appropriately to changes in a pediatric patient’s condition.
• Strong clinical judgment, communication, organization, and time-management skills.
• Ability to work independently in a patient’s home while maintaining appropriate communication with agency clinical leadership.
• Ability to complete accurate electronic documentation within required timeframes.
• Reliable transportation, a valid driver’s license, and current automobile insurance.
• Ability to successfully complete all required background checks, health screenings, orientation, and employment requirements.

Preferred Qualifications

• Five or more years of professional nursing experience.
• Five or more years of pediatric nursing experience strongly preferred.
• Pediatric home-health or private-duty nursing experience.
• Experience providing extended-shift, one-on-one nursing care.
• Experience caring for children with cerebral palsy, neurological disorders, developmental disabilities, or complex chronic conditions.
• Experience with NG tubes, gastrostomy tubes, feeding pumps, enteral nutrition, and aspiration precautions.
• Experience with seizure management and neurological monitoring.
• Experience with tracheostomies, ventilators, oxygen, suctioning, or other respiratory equipment.
• Familiarity with pediatric plans of care and home-health documentation requirements.

Benefits: Benefits may be available to eligible full-time employees in accordance with the terms, eligibility requirements and waiting periods of the applicable agency benefit plans. Available benefits and employee contribution amounts will be provided during the employment-offer process. Benefits are subject to plan terms and may be amended.

Pay: $36.00 - $48.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person