JOB SUMMARY The registered nurse plans, organizes, directs, and coordinates services and is experienced in nursing, with emphasis on community health education & experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. DUTIES & RESPONSIBILITIES Patient Care Develops and initiates the plan of care on admits to the agency. Assesses patient’s condition, re evaluates, and updates as necessary. Initiates proper preventative and rehabilitative nursing procedures and provides services that are ordered by the physician as indicated in the plan of care. Provides skilled nursing care. Provides patient, caregiver, and family counseling. Provides patient and caregiver education. Prepares clinical notes. Communicates with the physician who is responsible for the plan of care and other health care practitioners (as appropriate) related to the current plan of care. Obtains necessary physician orders and collaborates with physician as patient needs dictate. 75% of all charting to be done in the patient’s home. Re evaluates the need for continued care on an ongoing basis and completes recertification as necessary. All weekend visit documentation must be completed by that Monday at 8:00 AM. All visit documentation for non-weekend visits must be completed within 24 hours of the visit. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Participates in other duties as required by the agency. Prepares clinical notes and updates the primary physician when necessary and at least every sixty days. Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required. Communicates with community health related persons to coordinate the care plan. Additional Duties Participating in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training. Participates in on-call duties as defined by the on-call policy. Participates in all mandatory meetings, training, and in-service education; Ensures that arrangements for equipment and other necessary items and services are available. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Supervises Licensed Practical Nurses (LPNs)/ Licensed Vocational Nurses (LVNs) and/or Home Health Aids (HHAs)/Certified Nursing Assistants (CNAs), as directed. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
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Career Level
Mid Level
Education Level
No Education Listed