HOME HEALTH REGISTERED NURSE
Directly Supervises and Evaluates:
Licensed Practical Nurses and Home Health Aids Assigned to the same clients as the nurse.
Provides and directs the provision of home nursing care, based on agency policies and procedures, through the competent application of the nursing process.
JOB DUTIES/ KNOWLEDGE:
- Provides services requiring and specialized nursing skill, in accordance with the plan of treatment signed by the physician and makes the initial evaluation visit to the client. Accepts only clients referred by the client care manager or designee. Demonstrates competency in all skills required for the agency, including but not limited to, venipunctures, infusion therapy device care, wound care and aseptic technique.
- Evaluates, and regularly reevaluates the nursing needs of the client; initiates, develops, implements and makes necessary revisions to the client’s plan of care. Assesses the client’s continual care needs. Addresses all problems in the plan of care or documents rationale for not doing so.
- Initiates diagnostic, preventive and rehabilitative nursing procedures as appropriate to the clients care safety. Makes referrals to other disciplines as indicated by the client’s needs or documents rationale for not doing so.
- Observes signs and symptoms and reports to the physician and/ or other appropriate health professionals as often as needed, or upon changes in the client’s condition.
- Teaches supervises and counsels the client and family regarding home nursing procedures and other care needs as appropriate to the client’s condition. Utilizes agency educational material as appropriate.
- Coordinates the total plan of care and maintains continuity of client care by liaising with other health professionals assigned to the same clients. Attends client care conferences. Initiates client care conferences for complex and/ or multidisciplinary clients whenever needed.
- Supervises and teaches the LPN/ LVN and home health aide. Every two weeks, assesses the client’s need for unskilled care and revises the plan of care as appropriate. Communicates the plan of care changes to the aide and scheduler as often as necessary.
- Develops, prepare and maintains individualized client care progress records with accuracy, timeliness and according to polices. Submits accurate documentation within one working day of visit.
- Responsible for following all policies and procedures of the agency regarding service delivery, documentation and care coordination. During supervisory visits exhibits full compliance and verbalizes knowledge of agency polices including but not limited to client education, infection control, management of hazardous wastes and age-specific behaviors for clients.
- Participates in the agency’s quality improvement program.
- Degree in nursing (A.D.N. or B.S.N) from a program accredited by the National League for Nursing.
- Licensed to practice professional nursing in the state.
- Minimum of one year of nursing experience required.
- Knowledge and Abilities:
- Demonstrated knowledge and skills necessary to provide care to and communicate with primary population served by the agency, and to lesser degree the secondary populations served.
- Demonstrated knowledge of the principles of growth and development over the life span.
- Able to assess data reflecting the client’s status and interpret the appropriate information needed to identify each client’s requirements relative to their age-specific needs.
DEGREES OF TRAVEL:
Home visits daily. Weekly office meetings.
Must have reliable transportation and agency required liability insurance.
Must have a valid Texas Driver’s License*
*Compact licensure excluded
DEGREES OF DISRUPTION TO ROUTINE, OVERTIME:
Must be able to adapt to client status and needs, as directed. Schedule changes daily due to staffing, client condition, new clients, etc. Must be on-call through rotation schedule.
SAFETY HAZARDS IN JOB:
Possible infections from clients. Possible auto accident. Possible unsafe neighborhoods.