Provides nursing care to patients in their homes as needed. Principle Accountabilities:
1. Provides skilled nursing services in accordance with the orders of a physician and under a plan of care in a patient's home. Has the responsibility for the observation, assessment, nursing diagnosis, counsel, care and health teaching of the ill, injured, or confined, and the maintenance of health and prevention of illness of others.
2. Records the health needs of the patient.
3. Performs and completes start-of-care, recertifications,resumption-of-care, and discharge Comprehensive OASIS assessment and associated paperwork in accordance to agency policy.
4. Initiates Plan of Care, revises as necessary.
5. Evaluates the effects of the care given and regularly reevaluates the patient's nursing needs.
6. Provides those services requiring substantial specialized nursing skill based on the physician's orders and the nursing diagnosis. Examples of such services include, but are not limited to; physical assessment, patient and family teaching, urinary catheter insertion and care, venipuncture and administration of IV fluids or medications, dressing changes, sterile and non-sterile.
7. Initiates appropriate preventive and rehabilitative nursing procedures.
8. Counsels the patient and his/her family in meeting nursing and related needs.
9. Acts as the coordinator of the health care team in order to maintain the proper linkages with a continuum of care.
10. Coordinates the care of all patients in his/her case load.
11. Makes referrals to other agencies or services as needed.
12. Provides summary reports to the patient's physician about patient under care when the patient's condition changes or there are deviations from the plan of care, or at least every 60 days.
13. Prepares clinical and progress notes on the relevant and specialized nursing services he/she provides and maintain a clinical record for each patient receiving care.5%
14. Submission of documentation per agency policy.
15. Participates in Clinical Record Reviews.
16. Participates in in-service programs and staff meetings.
17. Directs the activities of the licensed practical nurse.
18. Makes the home health aide assignment, prepares written instructions for the aide and supervises the aide in the home.
19. Complies with Homecare Agency Compliance Plan.
20. Complies with Homecare Agency's Infection Control Policies.
21. Complies with Homecare Agency's HIPAA Policies.
22. Performs other work duties as assigned.
Employee is required to walk continuously and sit occasionally. Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.) load occasionally and heavy (50lbs. +) load frequently. Employee may be required to lift over 100 lbs. with assistance. Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is occasionally required to reach forward and reach overhead. For repetitive action, employee is required to perform simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work. Verbal and cognitive ability, as well as motor coordination and manual dexterity are required. Speech, hearing, and near-visual acuity are required. May be needed to work any shift due to 24-hour day, 7 days per week operation. May be required to work on other patient care units as needed. Employee is frequently exposed to blood borne pathogens.
(Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%)
The most significant of duties are included, but this does not exclude occasional work assignments not mentioned or developmental duties.
Nursing Degree Required.
