Schulenburg)

Excelin Health Services•Hallettsville, TX

About The Position

The Registered Nurse plans, organizes, and directs home care services. The role uses nursing experience, with an emphasis on community health education and experience, and draws on community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. The nurse assesses patients and families, develops and updates plans of care, provides and coordinates nursing services, communicates with physicians and community health professionals, and supports discharge planning. The nurse may serve as a case manager when assigned and supervises home health aide care. The position also participates in on-call duties and helps ensure necessary equipment, items, and services are available.

Requirements

Current state licensure to practice professional nursing as a registered nurse.
Graduate of a National League for Nursing-accredited school of nursing.
Current CPR certification.
Licensed driver with an insured automobile that meets state or organizational requirements and is in good working order.
Self-directed and able to work with minimal supervision.
Excellent observation, problem-solving, verbal communication, and written communication skills.
Nursing skills demonstrated in accordance with the competency checklist.
Ability to organize and prioritize workload independently.
Able to supervise home health aides.
Able to meet the physical demands of prolonged or considerable walking or standing; lifting, positioning, or transferring patients; lifting supplies and equipment; reaching, stooping, bending, kneeling, or crouching; and having the visual acuity and hearing needed to perform required nursing skills.

Nice To Haves

At least two years of experience, including at least one year in public health or home care nursing, is preferred.

Responsibilities

Complete initial assessments of patients and families, including physical assessments and histories of current and previous illnesses.
Regularly reevaluate patients’ nursing needs.
Initiate and revise plans of care as patients’ status and needs change.
Use health assessment data to determine nursing diagnoses.
Develop care plans with goals based on nursing diagnoses and therapeutic, preventive, and rehabilitative nursing actions, involving patients and families in the planning process.
Initiate preventive and rehabilitative nursing procedures and administer medications and treatments as prescribed by physicians.
Counsel patients and families about nursing and related needs.
Provide health care instructions to patients as appropriate to assessments and plans of care.
Identify discharge planning needs during care plan development and implement them before patient discharge.
Serve as case manager when assigned by the Clinical Manager and coordinate care for the assigned caseload.
Prepare clinical notes and update the primary physician when necessary and at least every 60 days.
Communicate patient needs and changes in condition to physicians and obtain or receive physician orders as required.
Communicate with community health-related professionals to coordinate care plans.
Participate in on-call duties as defined by the on-call policy.
Ensure arrangements for equipment and other necessary items and services are available.
Instruct, supervise, and evaluate home health aide care every two weeks.
Comply with the Code of Conduct and Compliance Policies.