Purpose of Position:
Provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being.
Examples of Typical Tasks:
1. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic diseases, behavioral health disorders, etc.
2. Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs
those therapeutic measures which are essential for effective execution of the nursing regimen for assigned
patients/clients.
3. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching, diabetic care, patient/family education and counseling and aseptic technique.
4. Completes comprehensive patient assessments and develops, prepares and maintains individualized client
care progress records, including required Outcome and Assessment Information Set (OASIS) documentation.
5. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care and initiates, develops and implements revisions as needed.
6. Interprets and reports responses of patients/clients to appropriate members of the health team and makes referrals to other disciplines in collaboration with physician, client and family, as appropriate.
7. Coordinates the total plan of care with other health team members to plan a comprehensive patient care program and initiates client care conferences, when needed.
8. Maintains continuity of client care by liaising with other health professionals assigned to the client including reporting signs, symptoms and changes to the patient’s condition to appropriate parties.
9. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel, including home health aides and communicates plan of care changes to aides and schedulers, as needed.
10. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. May assist with orientation of new personnel.
11. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice.
12. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel.
13. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups.
14. Maintains professional competence through participation in continuing education and other appropriate learning experiences, including agency provided in-service programs.
15. Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs, and training, as required.
16. Performs other professional nursing activities and related duties, as delegated by nursing service administration, including clinical record reviews.
