Registered Nurse Home Health - PRN (3325)

Nursing Care Planning And Management

Responsible for nursing care planning and management of patients in collaboration with the multidisciplinary team. This is a non-supervisory position following the Florida Nurse Practice Act and chain of command.

Job Responsibilities:

• Utilizes basic physical and psychosocial skills by identifying actual/potential nursing/clinical problems based on bio-psycho-social- spiritual assessment data of the client and their families or caregivers and documents findings.
• Demonstrates critical thinking in application of the nursing process.
• Initiates and establishes comprehensive individualized nursing plan of care within 24 hours, reflecting admission through discharge planning;
• Develops patient centered goals, in collaboration with clients, their families and the rehabilitation team that are oriented to wellness behavior, are reality based, encourage socialization with others and promote maximal independence for patients with disabilities or chronic conditions.
• Recognizes and documents subtle changes in patient's condition, including complex patient care situations, and follows through with appropriate nursing action.
• Functions independently and effectively in emergency situations. Acts as a resource to other members of the health care team.
• Completes documentation according to guidelines and regulations
• Evaluates the outcome of care and revises the plan of care appropriately to achieve desired outcomes.
• Plans own work and the work of assigned staff in appropriate priorities and sequences; delegate's tasks as appropriate; coordinates patient care efforts to be complete during the designated shift in a timely manner.
• Completes a medication reconciliation at each SN visit and updates clinical team and physician of any changes, noncompliance, and or side effects
• Administers medications and treatments as ordered, evaluates patient response and documents appropriately. Anticipates adverse reactions.
• Demonstrates professional communication skills.
• Develops and documents the teaching and discharge plan including complex and needs of patient and family. Documents progress according to outcomes.
• Designs and implements the nursing plan of care and treatment strategies based on scientific nursing theory related to self-care and that promote physical, psychosocial and spiritual health.
• Applies nursing research to clinical practice and utilizes evidence based practice guidelines and interventions that are patient/family centered.
• Independently completes all appropriate nursing skills and interventions according to specialty competency based skills checklist. Updates skills. Teaches new skills.
• Consistently delivers patient care according to the established plan of care; modifies plan of care in response to actual and anticipated changes in patient needs.
• Completes all OASIS according to guidelines in timely and effect manner. Holds self-accountable for being proficient in OASIS and remaining competent through all updates.
• Demonstrates therapeutic communication skills when interacting with patients and families;
• Functions as a patient advocate with other members of the health care team.
• Maintains professional communication skills when interacting with others; facilitates a harmonious working environment.
• Initiates formal/informal patient care conferences as needed to coordinate direct patient care efforts and optimize outcomes.
• Collaborates with the interdisciplinary team in care planning and care delivery
• Participates in the interdisciplinary team process at team conference/case conference and other team meeting
• Identifies and intervenes for peer, patient and family education needs.
• Supports orientation for new staff members and ancillary personnel by acting as a preceptor.
• Professional development; maintains skills appropriate to practice and experience.
• Promotes professionalism based on the established scope and standards of Rehabilitation Nursing Practice and the American Nurses Association
• Participates in on-call and weekend rotations based office needs
• Participates in all staff and team-based meetings/committees.
• Meets all required mandatory in-services.
• Adheres to policies/procedures specific to universal precautions when delivering patient care.
• Adheres to policies and procedures specific to patient rights.
• Adheres to policies regarding attendance, conduct, grooming, and dress code.
• Promotes a positive image of Brooks Home Health to outside agencies and the public.
• Participates in performance improvement activities as needed.
• Exhibits excellent service to patients, visitors, physicians, and co-workers.
• Exhibits values of the organization.
• Maintains a clean and safe environment; identifies and reports hazards.

Qualifications:

• Registered Nurse with a State of Florida license.
• Associate, Bachelors, or Master's degree from an accredited school of Nursing.
• Basic Life Support (BLS) certification required.
• Maintains BLS certification and assumes responsibility for maintaining required continuing education and unit specific credentials.

Location(s):

• 1699 S 14th St Ste 12, Fernandina Beach, FL 32034