Home Health Registered Nurse

SRM MANAGEMENT GROUP LLC•Clearwater, FL

55d•Onsite

About The Position

This position involves providing comprehensive nursing care to patients in their homes, adhering to a specific plan of care. The role includes conducting health and psychosocial evaluations, monitoring patient conditions, promoting health and prevention, coordinating services, providing education, and delivering direct nursing care. The nurse will also be responsible for managing patient records, collaborating with physicians and other healthcare professionals, and ensuring compliance with regulations.

Requirements

Must be a graduate from an accredited School of Nursing.
Must be licensed in the state of Florida, as a Registered Nurse.
Must have knowledge of Medicare and Medicaid guidelines.
Must have a working knowledge of home healthcare, and the principles and techniques of professional nursing, and required documentation that pertains to it.
Must have a criminal background check.
Must have a current CPR certification. Online certification is not accepted.

Nice To Haves

One or more years of experience in a community/home health agency or in a hospital setting is preferred.
Should be skillful in organization, and in the principles of time management, and have knowledge of management processes.
Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff.

Responsibilities

Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound preventive practices, coordinating services, and teaching and training activities.
Evaluate the effectiveness of nursing service to the patient and family on an ongoing basis.
Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient.
Prepare and present patient's record to the Clinical Record Review Committee, as indicated.
Consult with the attending physician concerning alterations of Patient Care Plans, check with the appropriate supervisor, and make changes as appropriate.
Coordinate patient services.
Submit a tally of patient care visits made each day.
Participate in case conferences, discuss with the supervisor problems concerning the patients, and how they may best be handled.
Discuss 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.
Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
Participate in staff development meetings.
Continually strive to improve 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.
Participate in the development and periodic revision of the physician's Plan of Treatment and processes change orders as needed.
Submit clinical notes within 48 hours, and progress notes and other clinical record forms outlining the services rendered.
Participate in the patient’s discharge planning process.
Maintain an on-going knowledge of current drug therapy.
Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations.
May be requested by Clinical Manager to fill in for other nurses.
Conduct an initial and ongoing comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments, at appropriate time points.
Obtain a medical history from the patient and/or a family member, particularly as it relates to the present condition.
Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite, and type of diet, etc.
Evaluate the patient, family member(s), and home situation to determine what health teaching will be required.
Evaluate the patient's environment to determine what assistance will be available from family members in caring for the patient.
Evaluate the patient's condition and home situation to determine if the services of a Home Health Aide will be required and the frequency of this service.
Explain nursing and other Agency services to patients and families as part of planning for care.
Develop and implement the nursing care plan.
Provide skilled nursing care as outlined in the nursing care plan, including nursing services, treatments, and preventative procedures requiring substantial specialized skill and ordered by the physician.
Initiate preventative and rehabilitative nursing procedures as appropriate for the patient's care and safety.
Observe signs and symptoms and report to the physician reactions to treatments, including drugs, as well as changes in the patient's physical or emotional condition.
Teach, supervise, and counsel the patient and caregivers regarding the nursing care needs and other related problems of the patient at home.
Assume responsibility for the care given by the Home Health Aide, supervising and evaluating the care given at a minimum of once every 14 days.
Submit written evaluations of Home Health Aides providing service to patients in his/her geographical area.
Participate in periodic conferences with the Home Health Aide supervisor concerning the Aide's performance.
Chart services rendered to the patient by the staff nurse, and changes noted in the patient's condition and/or family and home situation, make revisions in the nursing care plan as needed, record supervisory visits conducted with the Home Health Aide, evaluate patient care and progress, and close charts of discharged patients.
Discuss with the supervisor the need for involvement of other members of the health team.
Obtain orders for home health aide service and submit referrals to appropriate personnel.
Provide guidance and supervision to the LPN and supervise the LPN once monthly.
Participate in the educational experiences for student nurses.
Participate in the planning, operation, and evaluation of the nursing service.
Prepare the care plan for the Home Health Aide.