REGISTERED NURSE (RN)
Xcel Home Health
At XCELHome Health, we believe that healthcare should be delivered with dignity, professionalism, and a personal touch. Our mission is to provide exceptional home healthcare services that promote healing, independence, and overall well‑being. Position Overview XCELHome Health is seeking a Registered Nurse for an exciting Travel or Local job in the locations identified below. The Registered Nurse coordinates all aspects of the client’s home care and interacts with other disciplines as needed. She or he provides professional care to the client, as indicated by Agency policies, State and Federal laws/regulations. In‑home admission visits and eligibility determinations are part of the RN’s duties, as is the development of the Care Plan. The RN also prepares paperwork necessary for agency policies and federal/state laws and assists with the training and supervision of Care Aides. Location(s): LAUREL, MD Reporting Relationship Reports to Agency Manager/Administrator. Qualification/Prerequisites Is a graduate of an accredited school of professional nursing and is currently licensed as an RN through the State Board of Nursing. Has a minimum of one year’s nursing experience, preferably with home care experience. Possesses and maintains good physical stamina and mental health and can present a pre‑employment health clearance. Must be a licensed driver with at least a one‑year clean driving record. Has a vehicle that is insured in accordance with state and/or Agency requirements and is in good working order. Has excellent writing and charting skills. Can pass a background check and drug screen. Responsibilities/Activities Assess the home environment and determine the needs of clients. Records the health needs of the client. Initiates Nursing or Care Aide’s Care Plan and/or Homemaker/Companion Service Plan and associated paperwork, in accordance with Agency policy. Evaluates the effects of the care given and regularly re‑evaluate the client’s nursing needs. Evaluates and revises the Care Plan, as necessary. Makes referrals to other agencies or services as needed. Coordinates the care of all assigned clients. Prepares written instructions for the Care Aide. Supervises the Care Aide in the home. Instructs Care Aides in the proper use of practices, procedures, and equipment. Participates in in‑service training programs and staff meetings. Serves as liaison between clients and other health care professionals. Teaches, counsels, and demonstrates skills to clients and their families. Administers medications, monitors clients and instructs clients on appropriate home care. Provides services based on the physician’s orders such as urinary catheter insertion and care, venipuncture and administration of IV fluids or medications, and changing dressings. Initiates appropriate preventive and rehabilitative nursing procedures. Counsels the client and his/her family in meeting nursing and related needs. Acts as the coordinator of the health care team. Provides reports to the client’s physician when the client’s condition changes or there are deviations from the Care Plan. Prepares clinical and progress notes on relevant and specialized nursing services he/she provides. Maintains a clinical record for each client receiving care. Submits documentation, as per Agency policy. Participates in Clinical Record Reviews. Directs the activities of the Licensed Practical Nurse, if relevant. Complies with Homecare Agency Compliance Plan. Complies with Homecare Agency’s Infection Control Policies. Complies with Homecare Agency’s HIPAA Policies. Complies with the Homecare Agency dress code. Complies with all state and local regulations and accreditation standards. Works weekends, holidays, and occasional overtime, when requested. Assumes rotational on‑call responsibilities for client care during non‑office hours. Projects a professional attitude toward self, clients, and other staff members. Follows Agency public relation policies regarding outside speaking and professional affiliations, and clears all related requests with Agency Manager/Administrator. Assumes other duties, as requested by the Agency Manager/Administrator or Governing Board. Required Working Knowledge Medical issues and nursing procedures. Professional standards and principles. Other health care disciplines and their role in client and family care. Home safety for situations, including physical and psychological dangers, for self, clients, and other Agency staff. Case Management practices. Clerical procedures such as maintaining records and completing forms. English language. Required Skills/Abilities Adheres to practice standards, as they apply to client care. Establishes and maintains harmonious relations with clients/families/co‑workers. Makes initial nursing assessment visits. Assesses both physical and psychological needs of clients and applies the appropriate nursing interventions. Initiates, coordinates & revises treatment plans. Evaluates clients’ needs continually. Observes and recognizes changes in clients. Gives consideration to the client’s past experiences, finances, and other resources. Renders nursing care and performs treatments, such as IV administration, as ordered by the physician. Maintains confidentiality of information relating to the client. Copes effectively with clients, families, and all others with varying backgrounds, socioeconomic conditions, and value judgments. Applies well‑developed communication skills. Observes accurately and makes decisions accordingly. Honors the wishes of clients. Works with a team and is a good team member. Can supervise others. Displays emotional stability and has a sympathetic disposition. Maintains objectivity in coping with the stress of working with acute, chronic, and terminally ill clients. Uses cognisant approaches to problem‑solving in delivering client care. Possesses ingenuity to handle medical and situational emergencies. Works alone without usual support systems immediately available. Deals with abrupt schedule changes. Participates in the quality assurance/quality improvement process. Prepares accurate, timely, and orderly reports & documentation. Complies with accepted professional standards and principles. Provides satisfactory references from previous (or current) employers and/or nursing school, and professional peers. Uses excellent observation, good clinical judgment, and good oral and written communication skills. Is self‑directed with the ability to work with little supervision; has good organisational skills. Is flexible and cooperative in fulfilling role obligations. Physical & Mental Demands Must be able to complete all physical & mental demands of the job, which may include, but are not limited to the ability to: lift and transfer clients and carry supplies; stand, walk, use hands and fingers, reach, stoop, kneel, crouch, talk, hear & see; read normal typewritten print; have corrected vision and hearing within normal range; have manual dexterity with normal range of motion of all extremities; has the mental fortitude and stability to handle stress; is physically and mentally able to drive a vehicle. #J-18808-Ljbffr
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