Home Health Registered Nurse: Care & Coordination Expert

Ascove Home Health is seeking an Registered Nurse to join our patient care team. We invite you to be a part of an innovative healthcare company located in Raleigh, North Carolina. Here at Ascove Home Health we recognize that our people are our most valuable asset. We honor their importance by our recognition that all employees be treated with respect and integrity at all times. We take pride in our motto “Exceptional People. Exceptional Care” as a means to attain our mission.

DUTIES

To provide nursing care in accordance with the Client's plan of care to include comprehensive health and psychosocial evaluation, monitoring of the Client’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care

RESPONSIBILITIES

1. Coordinates total Client care by conducting comprehensive health and psychosocial evaluation, monitoring the Client's condition, promoting sound preventive practices, coordinating services and teaching and training activities
2. Evaluates the effectiveness of nursing service to the Client and family on an ongoing basis
3. Performs admission, transfer, re-certification, resumption of care and discharge paperwork for the home care Client
4. Prepares and presents Client's record to the Clinical Record Review Committee as indicated
5. Consults with the attending physician concerning alterations of Client Care Plans, checks with the appropriate supervisor and makes changes, as appropriate
6. Coordinates Client services
7. Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
8. Submits a tally of Client care visits made each day
9. Participates in case conferences, discusses with the supervisor problems concerning the Clients and how they may best be handled
10. Discusses with the appropriate supervisor the need for the involvement of other members of the health team
11. Obtains orders for paraprofessional service and submits a referral to the appropriate personnel
12. Participates in the Client’s discharge planning process
13. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan
14. Participates in staff development meeting
15. Continually strives to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading
16. Participates in the development and periodic revision of the physician's Plan of Treatment and processes change orders as needed
17. Submits clinical notes within seventy-two (72) hours, and progress notes and other clinical record forms outlining the services rendered
18. Participates in the Client’s discharge planning process
19. Maintains an on-going knowledge of current drug therapy
20. Adheres to Federal, state and accreditation requirements
21. May be requested by Service Supervisor to fill in for the other nurses

COORDINATES THE ADMISSION OF A CLIENT TO THE AGENCY

1. Conducts an initial and ongoing comprehensive assessment of the Client’s needs at appropriate time frames
2. Obtains a medical history from the Client and/or a family member particularly as it relates to the present condition
3. Conducts a physical examination of the Client, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
4. Evaluates the Client, family member(s) and home situation to determine what health teaching will be required
5. Evaluates the Client's environment to determine what assistance will be available from family members in caring for the Client
6. Evaluates the Client's condition and home situation to determine what services will be required and the frequency of this service
7. Explains nursing and other Agency services to Clients and families as a part of planning for care
8. Develops and implements the nursing care plan
9. May be requested by the Service Supervisor to fill in for other nurses who are on vacation or sick.

PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE NURSING CARE PLAN

1. Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician
2. The initiation of preventative and rehabilitative nursing procedures as appropriate for the Client's care and safety
3. Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the Client's physical or emotional condition
4. Teaching, supervising and counseling the Client and caregivers regarding the nursing care needs and other related problems of the Client at home
5. Charts those services rendered to the Client by the staff nurse and changes that have been noted in the Client's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits, evaluates Client care and progress and closes charts of discharged Clients
6. Evaluates the effectiveness of her nursing service to the individual and family
7. Consults with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor
8. Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
9. Submits a tally of visits made each day
10. Participates in case conferences
11. Discusses with the supervisor problems concerning the Clients and possible resolution
12. Discusses with the supervisor the need for involvement of other members of the health team such as the physical therapist, speech therapist, occupational therapist, social worker, etc.
13. Obtains orders for paraprofessional service and submits referral to appropriate personnel
14. Provides guidance and supervision to the LPN and supervises the LPN per agency policy
15. Coordinates total Client care
16. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan
17. Participates in staff development meetings
18. Participates in the educational experiences for student nurses
19. Continually strives to improve his/her nursing care by attending in-service education, through formal education, attendance at workshops, conferences, goal setting, active participation in professional and related organizations and individual research and reading
20. Participates in the planning, operation and evaluation of the nursing service
21. Participates in the development and periodic revision of the physician’s Plan of Treatment and processes change orders as needed
22. Participates in the Client’s discharge planning
23. Maintains an on-going knowledge of current drug therapy

JOB CONDITIONS

1. Must have a driver’s license and be willing and able to drive to Client’s residences.
2. The ability to access Clients’ homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the Client's condition and to perform and demonstrate Client care.
3. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of Clients and the turning of Clients.
4. The ability to communicate both verbally and in writing in English is required as frequent communication by telephone and in writing is involved.

EQUIPMENT OPERATION

Thermometer, B/P cuff, glucometer, penlight, hand washing materials

QUALIFICATIONS

1. Must be a graduate from an accredited School of Nursing
2. Must be licensed in North Carolina as a Registered Nurse
3. A minimum of one year experience in community/home health agency or in a hospital setting is preferred
4. Must have a working knowledge of home health care and the principles and techniques of professional nursing and required documentation that pertains to it
5. Should be skillful in organization and in the principles of time management and have knowledge of management processes
6. Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff
7. Must have a criminal background check
8. Must have a current CPR certification

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