Registered Nurse

Job Description

Job Description

Overview

The Registered Nurse is a licensed professional who provides direct and indirect care to clients in their home environment in accordance with the organization’s policies and procedures. The nurse instructs, motivates, and assists clients in health maintenance and disease prevention to improve their ability to live independently at home. The nurse supervises, directs the efforts of the Caregiver when involved in the client’s plan of care. Based on state regulations, nurses may perform administrative and / or field / clinical responsibilities.

Responsibilities

• Provides skilled nursing care / treatment to clients per Physicians Orders and Plan of Care
• Accurately documents nursing actions of all care given, individual’s health status, and communicate with family and physicians
• Documents the progress and outcomes for established goals and informs physician, case manager, and families of changes in client's medical condition and needs
• Provides skilled nursing treatments per physician’s orders and within the nurse’s scope of practice
• Administers medication and management as needed
• Provides health teaching of client and assisting client in learning appropriate self-care techniques and safety measures
• Conducts nursing assessment visit as needed
• Reports all incidents per operation procedure and regulatory standards
• Follows policies and procedures according to operation, state and regulatory standards
• Uses safe body mechanics to prevent personal injury to self or client
• Maintains confidentiality of patient related information and honor patient rights
• May be asked to cover after hours, weekends, and holiday on call to meet the needs of clients
• Completes Start of Care assessments in person, where applicable and in accordance with state regulations
• Completes supervisory visits based on compliance and regulations to include review of plan of care, caregiver competency assessment, and completion of required documentation. Complete daily, monthly, quarterly and annual nursing documents as / if required
• Observes, assesses, plans, implements and evaluates nursing support for well, chronic or acutely ill individuals in a community or home setting
• Works closely with Director or Nursing / Nurse Supervisor and / or Branch Manager in planning, implementing, and evaluating programs and services to address the health needs of persons served
• Attends and participates in staff meetings, in-services and other meetings as requested
• Ensures compliance with state / local / payer requirements and that documentation reflects the care provided and meets company, regulatory and payer standards
• Ensures the ordering, reviewing, monitoring, discontinuation and, if necessary, the disposal of medications as prescribed by the physician
• Ensures that there are policies in place that address medication administration, medication errors, medication storage / access and medication destruction, and that these policies are reviewed at least annually and revised as necessary
• Transcribes or ensures transcription of physician phone orders and other medically related reports
• Ensures that furnishings, equipment, and supplies are maintained within guidelines established to prevent the spread of disease
• Ensures that appointments for health related issues are scheduled, completed and that appropriate response to findings are implemented in a timely manner
• Communicates with Branch Manager, Customer Service Manager and / or Scheduler when clients are hospitalized
• Provides new employee training, annual re-certification training, and competency validation for health and safety related topics
• May provide case management as required by state regulations
• Other duties as assigned

Qualifications