Field RN

Job Summary: Provides services to clients in accordance with the State Nurse Practice Act, Agency policy, and accepted professional standards of practice. The Registered Nurse provides nursing services utilizing a comprehensive base of nursing theory and nursing process, and communicates/documents observations and assessments

Job Duties

• Assumes responsibility and accountability for the practice of professional nursing in accordance with the State Nurse Practice Act and standards for home health nursing.
• Performs comprehensive assessments of client status, including physical, psychosocial, and environmental parameters.
• Completes comprehensive assessments including OASIS data set within forty-eight (48) hours of referral for speech therapy unless other arrangements are made.
• Develops and/or follows an individualized Plan of Care that incorporates analysis of data and current scientific findings.
• Provides skilled interventions with a focus for achieving realistic client outcomes within a specified time period.
• Reports changes and information necessary to modify and update the care plan to reflect progress towards goals (outcomes).
• Consistently demonstrates competency with technical nursing skills according to personal and legal scope of practice:
• Assessment skills as applied to the client, family/support system, and environment.
• Teaching skills according to the client's needs and within the context of the client's environment, value system, and physical/emotional status.
• Medication administrations.
• Practices nursing with respect for individual, cultural, and spiritual differences.
• Communicates effectively and in accordance with Agency requirements.
• Reports significant changes in client status to physician and other members of the team in a timely manner consistent with client needs.
• Maintains client records showing systematic assessment, planning intervention, and evaluation.
• Participates in team meetings and clarifies individualized reporting responsibilities with all new assignments.
• Documents legibly and according to Agency documentation guidelines and standards.
• Follows Agency guidelines for completion of forms, reflecting the orders and care plan. Submits forms weekly including all communication and coordination.
• Initiates actions to improve the quality of patient care. Takes appropriate actions independently and responsively in-home care situations. Initiates referrals as needed to other health team members when delegated by the Case Manager.
• Maintains confidentiality in all aspects of the job.
• Promotes personal safety and a safe environment for clients and coworkers.
• Demonstrates knowledge of safety/infection control practices by complying with established policies and procedures.
• Recognizes and responds appropriately to potentially unsafe situations.
• Demonstrates safe practice in the use of equipment.
• Assesses environmental safety and takes initiative to prevent accidents and promote safety.
• Notifies supervisor of need for review and/or training related to equipment, procedures, or safety/infection control practices.
• Participates in ongoing, professional self-development.
• Participates in all mandatory education per Agency guidelines.
• Identifies needs for personal professional growth.
• Demonstrates competency in areas of assignment or identifies the need for additional training (wound care, infusion, specialized equipment, etc.).
• Supervises applicable home care team members as delegated by RN Case Manager.
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned