Start of Care RN III - Home Health FT Days

Start Of Care Registered Nurse

The Start of Care registered nurse plans and organizes home health care services based on the OASIS assessment, history and physical and medication reconciliation, and the unique healthcare, communication, and learning needs of the patient and their caregiver and representatives. The Start of Care nurse builds from the resources of the community to plan and arrange services to meet the needs of individuals and families within their homes and communities.

Core competencies include:

• Adhering to infection prevention guidelines
• Adhering to policies, procedures, and standards of practice to deliver safe and optimal care
• Assessing patient history, physiological, and psychosocial status
• Communicating with the patient, family, medical staff and others during the continuum of care
• Complying with Joint Commission's national patient safety goals
• Complying with organizational quality dashboard/benchmarking goals
• Interpreting common variables affecting patient care and following the reporting process
• Maintaining regulatory compliance consistent with quality standards and ethical obligations of the profession
• Participating in activities in alignment with the Magnet Model
• Participating in organizational activities
• Participating in Peer Review
• Participating in professional development activities
• Performing as a preceptor in an active and engaged manner
• Providing age-specific individualized care that supports protection from harm and complies with patient safety centered interventions/bundles
• Providing patient and family education throughout the care of patient
• Using critical thinking to formulate and carry out a care plan according to patient needs
• Utilizing resources in an economical manner
• Utilizing safe administration of medications
• Utilizing Safe Patient Handling

Department specific competencies include:

• Completing an initial assessment of patient and family/representative to determine home health care needs
• Conducting a complete physical assessment and history of current and previous illness(es)
• Conducting an environmental assessment following The Joint Commission Standards to ensure the home is safe and appropriate for the delivery of care
• Completing the OASIS Assessment Tool and validating accuracy before submission to the Performance Improvement Coordinator
• Initiating the plan of care after discussion with the Primary Care Physician and Specialists managing the patient's care
• Performing a comprehensive medication reconciliation with patient and family/representative and physicians involved in care
• Using health assessment data to determine nursing diagnosis and related goals and interventions
• Developing a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions
• Including the patient and the family/representative in the planning process
• Administering medications and treatments as prescribed by the physician
• Determining need for translation services or communication aides and arranging for the appropriate resources to meet these needs
• Completing the appropriate consents and regulatory notices after explaining home health specific patient rights and responsibilities in a manner appropriate to the patient, family/representative
• Explaining the patient's financial responsibility for the services proposed
• Providing written health care instructions to the patient, family/representative as appropriate per assessment and plan of care
• Identifying initial discharge planning needs as part of the care plan development
• Communicating with the physician(s) regarding the patient's needs and reporting any changes in the patient's condition; obtaining/receiving physician's orders as required
• Communicating with community health related persons to coordinate the care plan
• Participating in on-call duties as defined by the on-call policy
• Ensuring that arrangements for equipment and supplies and other necessary items and services are completed and communicating to the assigned Case Manager or Team Manager
• Preparing initial home health aide care plan and providing instruction to the assigned CHHA
• Providing Start of Care report to Manager immediately following assessment to facilitate scheduling of Case Manager and other disciplines
• Completing and correcting all documentation within 24 hours

Education:

College Diploma - Nursing

Additional Information:

Completion of an OASIS C2 course

Experience:

Number of Years Experience - Type of Experience

2 - nursing

Additional Information:

6 months in home health

License / Certification Requirements:

Registered Nurse License

BCLS or ACLS Certification

Drivers license, auto insurance and reliable transportation

Compensation Range: $54.47 - $80.45 / hour