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

Cape Cod Healthcare•Tisbury, MA

About The Position

The RN Primary provides direct patient care to assigned patients. The nurse evaluates clinical needs, initiates and manages each patient’s plan of care, and documents care and outcomes. The role includes accurate OASIS assessments, interdisciplinary coordination, patient and caregiver instruction, communication with physicians and care providers, and timely completion of admission, discharge, and other required documentation.

Requirements

Current Massachusetts RN license and other related credentials required for the specialty.
At least one year of nursing experience, or six months of nursing experience with a BSN.
CPR certification.
Successful completion of the VNA pre-hire medication test.

Nice To Haves

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

Responsibilities

Provide direct patient care to assigned patients.
Evaluate patient clinical needs; initiate, develop, implement, and revise the plan of care as needed, address its problems, and document accordingly.
Use clinical grouping guidelines, including interdisciplinary utilization guidelines, to determine and enter the initial visit frequency.
Ensure the OASIS assessment accurately reflects the documentation and vice versa.
Update the Clinical Manager about referrals to community resources as appropriate.
Participate in interdisciplinary patient case conferences and help evaluate the effectiveness of the plan of care.
Instruct and document supervision of the Home Health Aide plan of care every 14 days.
Notify the physician, other involved care providers, and Clinical Team Manager about significant changes in the patient’s condition.
Complete admission and other paperwork in a timely manner.
Document skilled care clearly and completely, including teaching, direct care, and the patient’s or caregiver’s response.
Obtain and clarify valid physician orders for all care delivered.
Plan and coordinate discharges with the Clinical Manager and interdisciplinary team; inform the patient and physician, record the patient’s disposition in the discharge summary, and complete discharge paperwork.
Perform other duties as assigned.