Registered Nurse (RN) Job Description
POSITION SUMMARY: In accordance with an individualized plan of care, this position provides direct and practical medical care to older adults and person with disability who can’t perform these tasks independently. Furthermore, performs medically prescribed skilled services requiring the application of the physical and social sciences and nursing skills in the care of the ill and/or disabled, or the prevention of disease and the conservation of health. This care is provided in accordance with Home Health Care plus policies and procedures and Indiana state nurse practice act.
EXPECTED RESULTS: The efforts of this position should result in:
1. The medical condition of 90% of consumers served is maintained or improved. 2. All consumer chart entries and reports are accurate and filed within 48 hours. 3. 98% of Consumers served maintain or increase their independence. 4. Participate in all required in-service training programs. 5. The health care needs of 98% of Consumer’s served are met.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Service Delivery- All service will be provided in accordance with the Plan of Care
1. Make the initial evaluation visit when appropriate.
2. Regularly reevaluate the patient's nursing needs and give skilled nursing care to patients utilizing all aspects of the nursing process.
3. Initiate the plan of care and necessary revisions as ordered by the patient’s physician.
4. Initiate appropriate preventive and rehabilitative nursing procedures.
5. Prepare clinical notes.
6. Coordinate services.
7. Inform the physician and other appropriate medical personnel of changes in the patient's condition and needs, counsel the patient and family in meeting nursing and related needs, participate in in-service programs, and supervise and teach other nursing personnel.
8. Accept and carry out physician, chiropractor, podiatrist, dentist, and optometrist orders (oral and written).
9. Assist the physician, chiropractor or podiatrist in evaluating level of function.
10. Initiates and applies appropriate preventive, therapeutic, and rehabilitative nursing procedures in accordance with the plan of care.
11. Teaches patient and significant other(s) as appropriate to assist the patient to attain the highest level of independent function possible.
12.Completes a comprehensive assessment as frequently as warranted by change(s) in the patient’s condition but at least every 60 days, and makes recommendations for changes in the plan of care as necessary, under the physician’s direction. Promptly informs the physician of any change in the patient’s condition which suggests the need to alter the plan of care.
13. Assists the family to accept appropriate institutional means of care when warranted. Interprets extent and limitations of services available from the League.
14. Identifies the need for other therapeutic disciplines and initiates appropriate referral after consultation with the Director of Nursing and with the approval of the patient’s physician.
15. Maintains awareness of community resources and utilizes them appropriately to meet patients’ needs.
Public Relations/Marketing
1. Fosters positive image of The League and Home Health Care Plus in the community-at-large.
2. Participate in public education and awareness activities;
3. Maintain positive relationships with consumers, community service agencies, government entities, co-workers, and other professionals;
Administrative and Clerical
1. As appropriate completes OASIS documents. Prepares timely, accurate and concise clinical notes and, when indicated, progress notes and summary reports. Prepares and maintains all clinical record documentation in a manner that demonstrates adherence to Agency policies and procedures and substantiates the League’s claim for reimbursement.
2. Perform clerical duties associated with the position;
3. Accepts on-call responsibilities on a regular (rotating) basis.
Planning