Community Health RN- Per Visit

Rate of pay is per visit

PURPOSE OF POSITION

Under the direction of the supervising Assistant Director of Nursing in Community Care, assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.

AREAS OF RESPONSIBILITIES

1. Provides individualized skilled Nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process.

2. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.

3. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician, and provides emergency treatment as needed.

4. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.

5. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health (DOH) regulations.

6. Evaluates patient's response to plan of care (POC) as necessary, consistent with physician's orders.

7. Reviews and revises plan of care as necessary, consistent with physician's orders.

8. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate parties including patient's physician.

9. Authorize & coordinate all services including nursing, rehab, respiratory therapy, nutritional services, equipment, professional and non- professional staffing and support services.

10. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans.

11. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.

12. Involves the patient and caregiver actively in goal setting.

13. Establishes and maintains a cooperative, effective working relationship with the staff, physician and non-physician providers, Case Managers and other hospital personnel, outside vendors, agencies and the community at large.

14. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis.

15. When needed completes Physician’s Orders in a timely manner.

16. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within 48 hours of visit encounter.

17. Reviews clinical records to ensure compliance with departmental and regulatory standards.

18. Obtains written orders for all verbal orders returned.