Job Details

Position : RN Home Health

Collects and assesses patient data, formulates patient plan of care in partnership with the physician, including problems, interventions and measurable goals. Uses nursing process to evaluate patient's condition and caregiver needs; makes revisions to plan of care.

Plans for continuity of care with patient, caregiver, other interdisciplinary team members and community resources; implements the plan, maintains communications and evaluates care.

Performs skilled nursing care and treatments (including infusion) as indicated in the patient's plan of care and ordered by the physician.

Teaches basic principles of palliative care and acute/chronic disease management for all age groups; adapting and applying information to the needs, interests and cultural patterns of the patient and family; guides patients and families toward self-help in the recognition of physical, emotional and environmental health problems. Teaches and validates patient and caregiver to assure safe delivery of care.

Maintains required records and documentation; uses them appropriately for the care of patients and families. Documentation is submitted according to policy and orders are kept current.

Participates in department or unit performance improvement activities, may include shared governance.

Utilizes critical thinking in regards to patient safety and patient experience and appropriately escalates to the appropriate chain of command.

Organizes, prioritizes and manages a patient caseload in an effective manner.

Assists in skills validation and mentoring of other team members.

Demonstrates proper use of PPE, hand washing and bag technique to promote infection control and safety.

Demonstrates understanding of safety in the community and work environment.

Assumes accountability for assigned equipment (medical and computer equipment, cell phone).

Demonstrates appropriate use of medical supplies.

Participates in quality improvement activities. Attends appropriate continuing education in-services regularly and maintains professional competencies set by department yearly.

Must have transportation and ability to drive throughout agency service area.

Shares responsibility for program outcomes as defined by strategic plan within the agency and in conjunction with the health system, the QI program and the agency budget.

Assist with instruction of POC of HHA services.

Days w/ on call, weekend and holiday rotation

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