Lakeside Health Services is currently seeking a Registered Nurse for a key position within the organization. This position will require someone with an entrepreneurial attitude and a desire to grow with a new company.
Patient based responsibilities include conducting initial patient assessments, care planning, implementation, and ongoing patient evaluation for a rapidly growing clientele. You will also be heavily involved with developing a team of CNA care providers and eventually additional RNs. Included with this role will be the opportunity to develop networks within the community to help Lakeside Health Services develop patient and employee referral sources. Most importantly, this position will be a key contributor in creating a company culture that reflects our stated vision and values.
That sounds like a lot, we know! But rest assured, this position comes with flexibility and potential for growth. As a new company, you will be involved with our first patient intakes and CNA hires, and your input will help build a template for future success. Your workload will be dependent on the rate at which we can take on new clients. While it may be slow at first, you will have the opportunity to shape the mission of the company. You’ll start off with part time hours, but as we grow our patient base, you will develop a full time position with multiple RNs and CNAs working with you.
Detailed Responsibilities Include:
a. Coordinate with the patient, family, physician, and other health team member to provide a comprehensive pre-admission assessment of physical, functional, psychosocial, and cognitive status of the home care patient.
b. Assesses the home environment for safety, infection control, and community resource needs.
c. Provides ongoing nursing assessments and reviews with the patient, family and home environment to determine physical, physiological or psychosocial risk.
d. Assesses for the presence of advanced directives and facilitates further action in obtaining information about or implementing advanced directives if indicated.
a. Plans with the patient, family and physician for care which is feasible within the physical, financial and emotional resources of the family.
b. Establishes individualized, measurable goals in consultation with the patient, family and other health care providers.
c. Maintains a working knowledge of community resources and refers patients and families appropriately.
a. Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments with a variety of patient populations within various potentially complex home situations.
b. Maintains technical skills according to agency standards, as measured by competency assessments during orientation and annually.
c. Implements safe, competent care with home care patients and families within Lakeside Health Services, Inc. procedures and standards of care.
d. Implement and accurately follow established infection control and safety policies and procedures.
e. Directs the use of equipment and supplies in an efficient and cost effective manner.
f. Coordinates and directs the care of a caseload of home patients.
g. Documents components of the nursing process to reflect a comprehensive and integrated approach to nursing care.
h. Recognizes potential problems and sets priorities according to change in the home care patient’s condition.
i. In response to information indicating urgent and/or emergent risk to home care patients, notifies the physician immediately and notifies the supervisor of the action taken.
j. Serves as a role model and resource to CNAs regarding the care with patients and families at home.
a. Documents and evaluates patient’s responses to care based on a continuing assessment and analysis of nursing intervention and alternatives for nursing care.
b. Initiates change in the care plan based on this evaluation.
c. Informs the CEO, the patient’s family, and other members of the patient’s healthcare team of changes in the patient’s condition and needs.
d. Uses a data driven approach to improve and refine best practices in home healthcare delivery.
5. Patient, family and caregiver education:
a. Identifies and adapts teaching materials with home care patients and families and creatively uses these tools to maximize the learner’s success.
b. Involves the home care patient and family in identification of individual requirements/perceptions of learning needs.
c. Continually assesses patient/family level of understanding and adjusts teaching and plan of care accordingly.
d. Ensures that the home care patient and family demonstrate the knowledge and abilities regarding home care rights and responsibilities, diagnosis, health care status, treatment, skills, medication regime, advance directives, and adaptive behaviors gained as a result of teaching interventions.
e. Develops, implements and evaluates teaching programs with home care patients and families.
a. Maintains a complete record for the care that is given with the patient and documents in the clinical record per home health agency policy and procedure.
b. Maintains an updated clinical record on each patient at all times, meeting required deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders.
c. Accurately completes admission and revisit documentation, documentation of completed communications, billing and employee statistical information, and payroll documentation.
d. Documents regular contacts with payers.
e. Documents patient, family and caregiver teaching.
7. Professionalism and leadership:
a. Demonstrates accountability for own practice.
b. Assists in creating a positive climate.
c. Assists in CNA hiring decisions.
d. Conducts initial and ongoing skills training for CNAs.
e. Works directly with new employees to see that planned orientation to caring with home care patients is carried out.
f. Acts as a resource person on clinical problems for other personnel caring with home care patients.
g. Fosters the professional development of self and other home health staff.
h. Evaluates own performance in relation to home care standards.
i. Evaluates performance of peers as appropriate, in relation to home care standards of practice.
j. Participates in training for and implementing specialized leadership roles.
8. Teamwork and collaboration:
a. Identifies, documents and assists with resolving home health client, practice, and system issues.
b. Participates in and assists in the ongoing development of home health policies, procedures, standards of care and documentation systems.
c. Demonstrates flexibility in adjusting assignments to meet the needs of the unit.
d. Maintains an updated schedule in the office, checks schedule for changes regularly, and communicates scheduling changes to the office promptly.
e. Maintains consistent availability throughout the workday, responding to Lakeside Health Services office communications via email, voice mail, and text within expected timelines.
f. Demonstrates leadership within the primary nurse role on a geographically organized work team, working with interdisciplinary professional and support personnel who provide care with patients, families and caregivers in the community
9. Customer Service:
a. Introduces self and addresses patients, families and caregivers by preferred name.
b. Exhibits awareness and respect for the patient and family home or home-like setting as a care environment.
c. Treats all persons with respect and dignity.
d. Understands own behavior and how it affects other people.
e. Notifies patient/family/caregivers by 9 AM of the expected time for that day’s visits.
f. Understands and attempts to meet the needs, wants, and expectations of internal and external customers.
g. Addresses concerns or complaints voiced by patients, families, caregivers, or other internal and external customers, and notifies manager.
h. Displays professional attitudes and behaviors of trust, respect, honesty, and caring. Enables co-workers, patients, and families to verbalize their need for assistance.
a. Demonstrates understanding of differences in cultural, spiritual, and socioeconomic backgrounds.
b. Able to recognize differences between values of self and others, and administers care impartially regardless of the differences.
c. Identifies ethical conflicts and notifies manager, then participates in related problem solving.
d. Able to identify resources and options for addressing ethical issues and usual agency pattern, including involvement of the manager, primary physician, and social services.
e. Involves the patient and family in the plan of care, incorporating their cultural, spiritual, and other belief systems.
f. Recognizes the importance of respecting individual patient and family choices regarding care and treatment options.
g. Maintains patient privacy and confidentiality.
● Must be on the MN - RN registry and in good standing
● Must be reliable and dependable
● Must be flexible as this will not be a part time position initially, with the opportunity to become a full time position as we grow, if desired.
● Must be eager to help develop a leadership role in a rapidly growing company
● Must demonstrate the ability to read, write, and carry out written and verbal directions in English
● Must have current CPR/BLS certification