RN Primary MNA, Martha's Vineyard, VNA of Cape Cod

Cape Cod Healthcare•Vineyard Haven, MA

About The Position

The RN Primary provides direct patient care to assigned patients and is responsible for assessing clinical needs, developing and implementing plans of care, and revising them as necessary. The nurse ensures documentation accurately reflects the care provided, obtains and clarifies valid physician orders, and communicates significant changes in patient condition to the physician, other involved care providers, and the Clinical Team Manager. The role includes coordinating care with the Clinical Manager and interdisciplinary team, participating in patient case conferences, supervising the Home Health Aide plan of care every 14 days, and planning and documenting appropriate discharges. The nurse also completes admissions, assessments, and other required paperwork in a timely manner and performs other duties as assigned.

Requirements

Successfully pass the VNA pre-hire medication test.
Hold a current RN license in Massachusetts and other related credentials required for the specialty.
Have at least one year of nursing experience, or six months of nursing experience with a BSN.
Hold CPR certification.

Nice To Haves

Home care experience.
IV experience.
Computer skills.
BSN.

Responsibilities

Provide direct patient care to assigned patients.
Evaluate patients’ clinical needs and initiate, develop, implement, and revise plans of care as necessary.
Address problems in the plan of care and document accordingly.
Use clinical grouping guidelines, including guidelines for appropriate interdisciplinary utilization, to capture and enter the initial visit frequency.
Ensure the OASIS assessment accurately reflects the documentation and vice versa.
Update the Clinical Manager regarding referrals to community resources as appropriate.
Participate in interdisciplinary patient case conferences and assist in evaluating the effectiveness of established plans of care.
Instruct and provide documented supervision of the Home Health Aide plan of care every 14 days.
Notify the physician, other involved care providers, and Clinical Team Manager of significant changes in a patient’s condition.
Complete admission and other paperwork in a timely manner.
Record clear, concise, complete narrative documentation reflecting skilled care, including teaching, direct care, and the patient’s or caregiver’s response.
Obtain and clarify valid physician orders for all care delivered.
Collaborate with the Clinical Manager and interdisciplinary team to plan and coordinate discharges; inform the patient and physician, record the patient’s disposition in the discharge summary, and complete discharge paperwork.
Perform other duties as assigned.