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RN/LPN

Department: Nursing
Location: Jacksonville, FL

Exciting Opportunity to work as a PRN RN in Nassau County.

Hilliard††and Callahan area!†

Be a part of our Great Team with an exceptional Great Compensation!†

Be a part of our expanding business!†

Preferred Home Health Experience.†

TITLE OF POSITION: REGISTERED NURSE

TITLE OF IMMEDIATE SUPERVISOR: Director of Nursing

RISK OF EXPOSURE TO BLOODBORNE PATHOGENS Ė HIGH

DUTIES

To provide nursing care in accordance with the clientís plan of care to include comprehensive health and psychosocial evaluation, monitoring of the clientís condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care.

POSITION RESPONSIBLITIES

  1. Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the clientís condition, promoting sound preventive practices, coordinating services and teaching and training activities
    2. Evaluate the effectiveness of nursing service to the patient and family on an ongoing basis
    3. Performs admission, transfer, re-certification, resumption of care and discharge OASIS for the home care patient
    4. Prepares and presents patientís record to the Clinical Record Review Committee as indicated
    5. Consults with the attending physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes, as appropriate
    6. Coordinates patient services
    7. Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
    8. Submits a tally of patient care visits made each day
    9. Participates in case conferences, discusses with the supervisor problems concerning the patients and how they may best be handled
    10. Discusses with the appropriate supervisor the need for the involvement of other members of the health team such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, the Medical Social Worker, etc.
    1 Obtains orders for paraprofessional service and submits a referral to the appropriate personnel
    12. Participates in the patientís discharge planning process
    13. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan
    14. Participates in staff development meeting
    15. Continually strives to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading
    16. Participates in the development and periodic revision of the physicianís Plan of Treatment and processes change orders as needed
    17. Submits clinical notes within seventy-two (72) hours, and progress notes and other clinical record forms outlining the services rendered
    18. Participates in the patientís discharge planning process
    19. Maintains an on-going knowledge of current drug therapy
    20. Adheres to Federal, state and accreditation requirements including Medicare and Medicaid regulations
    2 May be requested by Director of Nursing to fill in for the other nurses

COORDINATES THE ADMINSSIONS OF A PATIENT TO THE AGENCY

  1. Conducts an initial and ongoing comprehensive assessment of the clientís needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points
    2. Obtains a medical history from the patient and/or a family member particularly as it related to the present condition
    3. Conducts a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
    4. Evaluates the patient, family member(s) and home situation to determine what health teaching will be required
    5. Evaluates the patientís environment to determine what assistance will be available from family members in caring for the patient
    6. Evaluates the patientís condition and home situation to determine if the services of a Home Aide will be required and the frequency of this service
    7. Explains nursing and other Agency services to patients and families as a part of planning for care
    8. Develops and implements the nursing care plan
    9. May be requested by the Director of Nursing to fill in for other nurses who are on vacation or sick

PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE NURSING CARE PLAN

  1. Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician
    2. The initiation of preventative and rehabilitative nursing procedures as appropriate for the patientís care and safety
    3. Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patientís physical or emotional condition
    4. Teaching, supervising and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home

ASSUMES RESPONSIBILITY FOR THE CARE GIVEN BY THE HOME HEALTH AIDE

  1. Supervises and evaluates the care given by the Home Health Aide as needed, and at a minimum of once every 14 days
    2. Submits to the appropriate department/individual a written evaluations of the Home Health Aides who are providing service to the patients in his/her geographical area
    3. Participates in periodic conferences with the Home Health Aide supervisor concerning the Aideís performance
    4. Charts those services rendered to the patient by the staff nurse and changes that have been noted in the patientís condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates patient care and progress and closes charts of discharged patients
    5. Evaluates the effectiveness of her nursing service to the individual and family
    6. Consults with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor
    7. Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
    8. Submits a tally of visits made each day
    9. Participates in case conferences
    10. Discusses with the supervisor problems concerning the patients and possible resolution
    1 Discusses with the supervisor problems the need for involvement of other members of the health team such as the home health aide, physical therapist, speech therapist, occupational therapist, social worker, etc.
    12. Obtains orders for paraprofessional service and submits referral to appropriate personnel
    13. Provides guidance and supervision to the LPN and supervises the LPN once monthly
    14. Coordinates total patient care
    15. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan
    16. Participates in staff development meetings
    17. Participated in the educational experiences for student nurses
    18. Continually strives to improve his/her nursing care by attending in-service education, through formal education, attendance at workshops, conferences, goal setting, active participation in professional and related organizations and individual research and reading
    19. Participates in the planning, operation and evaluation of the nursing service
    20. Participated in the development and periodic revision of the physicianís Plan of Treatment and processes change orders as needed
    2 Participated in the patientís discharge planning
    22. Submits clinical notes no less often then weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
    23. Maintains an on-going knowledge of current drug therapy
    24. Prepares the care plan for the Home Health Aide

JOB CONDITIONS

  1. Must have a driverís license and be willing and able to drive to clientís residences
    2. The ability to access clientsí homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the clientís condition and to perform and demonstrate client care
    3. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of clients and the turning of clients
    4. The ability to communicate both verbally and in writing is required as frequent communication by telephone and in writing is involved

EQUIPMENT OPERATION

Thermometer, B/P cuff, glucometer, penlight, hand washing materials

COMPANY INFORMATION

Has access to all client medical records, personnel records and client financial accounts which may be discusses with the Director of Nursing

QUALIFICATIONS

  1. Must be a graduate from an accredited School of Nursing
    2. Must be licensed in the State as a Registered Nurse
    3. Must have one or more years in home health agency or in a hospital setting
    4. Must have knowledge of Medicare and Medicaid guidelines
    5. Must have a working knowledge of home health care and the principles and techniques of professional nursing and required documentation the pertains to it.

    6. Should be skillful in organization and in the principles of time management and have knowledge of management processes7. Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff

Condition of Employment and/or Continued Employment

It is the policy of the Company to maintain a drug-free workplace as a condition of employment and/or continued employment. All employees and job applicants must abide by the terms of this policy.

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