POSITION: Field Registered Nurse
REPORTS TO: DPS/Field RN
Responsible to provide direct skilled nursing services to patients. Performs shift and private duty nursing services. Responsible for the planning, coordination, provision, and evaluation of direct nursing services to patients and their families in accordance with professional practice act and agency policy.
- NYS Licensed and currently registered as a Registered Professional Nurse.
- Graduate of an approved school of nursing and holds a Diploma, Baccalaureate or Masters Degree.
- One year experience in the provision of nursing care in an acute care facility. One year satisfactory Nursing experience in Home Care, desired.
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to speak effectively before customers/patients or employees of the agency.
- Ability to perform mathematical operations as related to medication calculations, units of American money and weight measurement, volume and distance.
- Good Organizational writing, communication and interpersonal skills.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several variables in standardized situations.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
Most frequent contact: Nature or Purpose:
Patients/Patient families; Care Issues, provide direct care
Physicians/other home care staff Address patient issues.
Telephone, General Office equipment, Durable Medical Equipment and Nursing equipment.
SPECIFIC DUTIES AND RESPONSIBILITIES: In order to comply with the Americans with Disabilities Act (ADA), each essential duty should be indicated with an “x” in the ADA box. A duty is essential if: (1) the position exists to perform that duty; (2) it requires specialized skills and/or expertise; (3) it can only be performed by a limited number of available employees.
|ADA||DUTIES / RESPONSIBILITIES|
|X||Provides shift/per-visit skilled nursing services to agency patient’s .|
|X||Provides assessment of newly referred patients, assesses health needs and eligibility for home care.|
|X||Provides patient and family teaching prior to discharge and on an on-going basis.|
|X||Performs patient assessments and re-assessments in the home.|
|X||Provides skilled nursing on assigned patients according to medical orders, and policies and procedures in accordance with the RN Scope of Practice.|
|X||Communicates with referrers/discharge planners to review eligibility for agency services and to develop and coordinate the plan of care.|
|X||Develops and implements treatment plans in conjunction with patient’s authorized medical practitioner, communicating changes in patient condition, treatments and care to the Director of Home Care Services and other members of the healthcare team.|
|X||Administers Medication as ordered by the patient’s physician.|
|X||Reassesses patients needs for services on a continual basis and discusses any changes in the plan of treatment with patient physician/family.|
|X||Prepares written documentation and summaries of the patient’s progress as needed for continuation of home health services.|
|X||Plans, facilitates, and documents patient’s discharge from the LHCSA.|
|X||Communicates changes in the patient condition/home environment, social structure etc. to the agency’s DHC.|
|X||Attends professional and required inservice programs annually|
|X||Participates in the agency CQI/PI Program, as requested.|
|X||Other assignments within the RN Practice Act.|
CUSTOMER SERVICE/INTERPERSONAL SKILL
- Assists other employees where needed;
- Is responsible and cooperative with patients/families, supervisors, fellow employees;
- Maintains friendly working atmosphere;
- Maintains professional attitude;
- Maintains professional appearance;
- Accepts constructive criticism as evidenced by appropriate changes in behavior.
- Utilizes established channels of communication.
- Recognizes, accepts and respects people as individuals;
- Recognizes limitations and seeks assistance appropriately.
- Responds to patient issues
- Communicates appropriately with all levels of staff.
SPECIALIZED SKILLS AND TECHNICAL COMPETENCIES:
- Knowledge of patient assessment procedure.
- Knowledge of patient teaching process.
- Knowledge of pathophysiology.
- Knowledge of medication, administration, via oral, IM and SQ.
- Knowledge of medication interactions (drug-drug, drug-food).
- Knowledge of the principles of therapeutic diets.
- Knowledge of infection control practices, aseptic techniques.
- Knowledge of catheter insertion and care.
- Demonstrates ability to effectively communicate information with patients of all ages and socioeconomic levels.
PHYSICAL DEMANDS: The physical demands described here are representatives of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- MEDIUM WORK: Exerting up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or up to 10 pounds of force constantly to move objects.
WORK ENVIRONMENT: Patient homes, health care facilities
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