Job description
Duties: To provide skilled nursing care, in accordance with the patient's plan of care, to include comprehensive health and psychosocial evaluation, monitoring of the patient's condition, health promotion and prevention coordination of services, teaching and training activities, and direct nursing care.
Responsibilities:
- Be responsible for the observation, assessment, nursing diagnosis, counsel, care and health teaching for patients, and health maintenance and illness prevention for others.
- Maintain a clinical record for each patient receiving care
- Provide progress notes to the patient's physician or podiatrist about patients under care when the patient's conditions change or there are deviations from the plan of care, or at least every 60 days for a home health agency.
- Administer medications and treatments as prescribed by the patient's physician or podiatrist
- Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient
- Conduct an initial, and ongoing, comprehensive assessment of the patient's needs, including Outcome and Assessment Information Set (OASIS) assessments, at appropriate time points.
- Prepare, and present, patient's record to the Clinical Record Review Committee, as indicated
- Participate in case conferences, discuss with the supervisor problems concerning the patients, and how they may best be handled.
- Discuss, with the appropriate supervisor, the need for the involvement of other members of the health team, such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc.
- Participate in the patient's discharge planning process, including closing charts of discharged patients.
- Participate in staff development meeting
- Submit clinical notes, within 48 hours, and progress notes and other clinical record forms outlining the services rendered
- Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations
- May be requested, by Agency Supervisor, to fill in for the other nurses
- Develop, and implement, the nursing care plan
- Observing signs, and symptoms, and reporting to the physician: reactions to treatments, including drugs, as well as changes in the patient's physical, or emotional, condition
- Participate in the development, and periodic revision, of the physician's Plan of Treatment and processes change orders, as needed
Job Conditions
- Must have a driver's license and be willing, and able, to drive to patient's residences
- Ability to access patient's homes, which may not be routinely wheelchair accessible, is required. Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care.
- Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of patients and the turning of patients
- The ability to communicate, both, verbally, and in writing, is required as frequent communication, by telephone, and in writing in English, is required.
- Equipment operation: thermometer, B/P cuff, glucometer, penlight, hand washing materials
Qualifications
- Must be a graduate from an accredited School of Nursing
- Must be licensed int eh state, as a Registered Nurse
- One, or more, years of experience, in community/home health agency or in a hospital setting, is preferred
- Must have knowledge of Medicare and Medicaid guidelines
- Must have a working knowledge of home healthcare, and the principles and techniques of professional nursing, and required documentation that pertains to it
- Should be skillful in organization, and in the principles of time management, and have knowledge of management processes
- Must be able to contribute to the quality of care being rendered, through constructive communication with nursing managers and staff
- Must have a criminal background check
- Must have a current CPR certification. Online certification is not accepted.
Job Types: Full-time, Part-time
Medical specialties:
- Home Health
Standard shift:
- Day shift
Experience:
- Nursing: 1 year (Preferred)
License/Certification:
- RN (Preferred)
Work Location: In person
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