The Registered Nurse is responsible for providing skilled nursing services to patients in the home setting. The Registered Nurse plans, coordinates, provides and documents care for patients in compliance with applicable laws, regulations and standards and agency policies and procedures. The Registered Nurse adheres to Medicare and Medicaid regulation.
PRIMARY JOB DUTIES & RESPONSIBILITIES
· Provides case management as described in state regulation for all cases involving nursing and therapy services.
· Performs initial and ongoing patient assessments in response to patients’ needs and in accordance with physician orders.
· Re-evaluates patient’s nursing needs on a regular basis.
· Initiates a written plan of care, re-evaluates and updates the plan as necessary.
· Participates in in-service programs, agency meetings, trains, and teaches other nursing personnel.
· Assumes responsibility for each patient receiving nursing or personal care.
· Develops and implements the nursing care for the patient under the direction of the physician.
· Provides nursing services, treatments and diagnostic procedures requiring specialized skills within the nursing scope of practice.
· Observes and reports symptoms, reaction to treatments, drugs, and changes in the patient’s physical or emotional condition.
· Initiates preventative and rehabilitative nursing procedures as appropriate for the patient’s care and safety.
· Assumes responsibility for clinical and progress notes for each patient receiving care.
· Coordinates patient care and services as needed for the patient.
· Participates in on call rotation as applicable.
· Participates in case conferences to discuss multidisciplinary team responsibilities, patient progress, and plans for continued care.
· Assures that progress reports are made to the physician for patients under medical care describing patient activities and or changes in condition.
· Documents skilled care and/or services provided in compliance with federal and state laws and regulations, and agency policies and procedures.
· Counsels the patient and family in meeting nursing and related needs and provides patient/family/caregiver education using various verbal and written communication techniques that take into account the patient’s/family’s cultural, ethnic, and/or personal needs or preferences.
· Provides supervision of home health aide services and LPN employees.
· Prepares written instructions for care provided by home health aides.
· Assigns selected portions of patient care to Licensed Practical Nurses, but always retains the full responsibility for the care given and for supervisory visits to the patient’s home.
· Notifies the physician and the Director of Nursing of any changes in the patient’s condition and the need to modify the plan of care.
· Plans patient discharge appropriately; provides information about community resources to address patient ongoing needs.
· Participates in the agency’s performance/quality improvement program.
· Obtains appropriate number of continuing education credits to maintain re-licensure status.
· Completes projects/assignments within specific timetables.
· Attains goals as set forth in the annual performance evaluation.
· Submits documentation within required timeframes.
· Maintains strict confidentiality on patient, agency, and employee matters.
· Performs other duties as assigned.
The above statements reflect the general duties considered necessary to describe the principal responsibilities of the job identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.
JOB QUALIFICATIONS/PROFESSIONAL REQUIREMENTS
Education: Graduate of an accredited school of nursing
Licensure: Currently licensed in the state of practice
Experience: Experience as an RN with one of the following: 1 year acute care, home healthcare, community/public health, or outpatient facility experience within the last 2 years
· CPR per agency policy.
· Current health certificate/physical examination and TB testing results (if applicable).
· Evidence of physical abilities to adequately perform described duties.
· Knowledgeable of federal, state regulations and agency’s policies and procedures regarding patient care.
· Able to learn and apply professional training, follow physician’s orders and produce accurate records of activities and services provided.
· Able to see and hear adequately to respond to auditory and visual requests which relate to the coordination of agency activities.
· Able to speak in a clear, concise voice in order to communicate direction for agency activities and staff.
· Able to organize work procedures, assume responsibility and effectively supervise others.
· Demonstrates adequate knowledge regarding exposure to body fluids, and chemicals, and some hazardous equipment.
· Demonstrates exceptional assessment skills.
· Possesses excellent verbal and written communication skills with the ability to communicate across all levels of authority and to patients.
· Possesses excellent organization, problem solving, and project management skills.
· Maintains licensure requirements as applicable to the position.
· Maintains a valid driver’s license and insurance as applicable to the position.
· Able to communicate effectively in English, both verbally and in writing.
1. Hours of Work: As required and scheduled.
2. Physical and Mental Demands & Limitations Statement: This position requires good physical and mental health. The position requires the physical & mental ability to stand, walk, use hands and fingers, reach, stoop, kneel, crouch, talk, write, hear and see. The position requires mental fortitude to use logical and analytical thinking and the ability to handle stress. For specific physical demands of the position please see attached.
You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or reasonable accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.
Demonstrates an understanding of the HIPAA (Health Information Portability and Accountability Act of 1996) regulations as they apply to their job and business. Maintains strict confidentiality of all patient information, medical information and the medical record.
a. Discusses only appropriate patient information in public and private areas protecting the confidentiality and dignity of all patients, by actions and words.
b. Releases only appropriate patient information over the telephone providing for balance between guest services and confidentiality of all patients.
c. Maintains record confidentiality by sending all internal and external written patient information in sealed envelopes to other departments.
d. Has a clear understanding of the HIPAA Security rule as it relates to electronic, technical and physical safeguards for computer equipment, and access levels.