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The CAPABLE Transplant study seeks a Registered Nurse (RN) to serve adults on a casual basis as part of a research study. The research study seeks to adapt the existing CAPABLE program for older adults on the kidney transplant waitlist. This role will work under the direction of the research study Principal Investigator (Dr. Melissa Hladek), in collaboration with the Lead CAPABLE Occupational Therapist. The RN will implement the CAPABLE Transplant study protocol after completion of CAPABLE training through Johns Hopkins University School of Nursing CAPABLE on-line training. The CAPABLE Transplant program consists of up to four RN home visits over 4-5 months. The RN will work with CAPABLE participants on their self-selected goals, assess and implement strategies. The RN meets with participants in the home. The RN uses training and motivational interviewing techniques to conduct a comprehensive interview to identify and prioritize issues that matter to the participants. These goals become the foundation for brainstorming and action plan development and implementation. The RN documents the participant's own goals in up to 3 Action Plans. The RN interacts and communicates with the CAPABLE Occupational Therapist (OT) and other team members as needed to ensure close collaboration throughout the research study. This is a remote position but have to be able to commute to Baltimore city and surrounding county areas to participants' homes.
Additional Knowledge, Skills, And Abilities: Ability to work from a collaborative, client-directed model. Willingness and ability to implement a protocol and balance with clinical judgment. Able to commute to Baltimore City, County, and surrounding county areas (within a 40 min radius of the Johns Hopkins School of Nursing) to participant homes. Minimum Qualifications: Individual must be a registered nurse, licensed in the State of Maryland or state where practicing. Current CPR certification with the American Heart Association or the American Red Cross. Must maintain current licensure and certification during the duration of employment. Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Preferred Qualifications: Bachelor's Degree in Nursing or related discipline preferred. Experience working with home care with older adults. Experience in motivational interviewing.
Conduct a comprehensive, semi-structured interview to identify and prioritize issues related to medications, pain, depression, strength and balance, primary care provider communication, and other topics as prioritized by the older adult. Engage participants in problem-solving to identify behavioral and environmental contributors that may impact function. Coach and guide the older adult in building self-efficacy and confidence. Reinforce brainstorming techniques, strategic thinking, and more independent problem-solving to promote the ability to live at home and in the community. Provide education and resources to address future needs and the participant's priorities. Communicate with the OT and other team members weekly. Document visits according to the organization's guidelines.
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