Registered Nurse (Home Health)

Premier Systems•Indianapolis, IN

19d•Onsite

About The Position

This is a full-time Registered Nurse position focused on home health care, serving patients in their homes near west and south Indianapolis. The role involves providing comprehensive nursing care according to a patient's plan of care, including health and psychosocial evaluations, monitoring patient condition, health promotion, service coordination, teaching, training, and direct nursing care.

Requirements

Must be a graduate from an accredited School of Nursing.
Must be licensed in the State of Indiana as a Registered Nurse.
Must have knowledge of Medicare and Medicaid guidelines.
Must have a working knowledge of home health care 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.

Nice To Haves

One or more years of experience in community/home health agency or in a hospital setting are 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, checks with the appropriate supervisor and makes changes, as appropriate.
Coordinate patient services.
Submit clinical notes no less often than weekly and progress notes and other clinical record forms outlining the services rendered as indicated.
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.
Obtain orders for paraprofessional service and submits a referral to the appropriate personnel.
Participate in the patient’s discharge planning process.
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 meeting.
Continually strive to improve his/her 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.
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 Director of Nurses to fill in for the 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 a part of planning for care.
Develop and implement the nursing care plan.
Provide skilled nursing care as outlined in the nursing care plan, including initiation of 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.
Supervise and evaluate the care given by the Home Health Aide as needed, and at a minimum of once every two (2) weeks.
Submit to the appropriate department/individual written evaluations of the Home Health Aides who are providing service to the patients in his/her geographical area.
Participate in periodic conferences with the Home Health Aide supervisor concerning the Aide's performance.
Chart those services rendered to the patient by the staff nurse and changes that have been noted in the patient's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates patient care and progress and closes charts of discharged patients.
Consult with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor.
Provide guidance and supervision to the LPN and supervises 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.