Home Health Registered Nurse

Key Duties Include

• Attend Agency In-services, Case Conference, or other meetings as requested.
• Provide skilled nursing services in accordance with the orders of a physician and under a plan of care in a patient’s home.
• Foster a positive relationship with patients/caregivers and doctors to improve patient outcomes.

Tactical Deliverables

• Notifies patient/clients prior to visit and communicates further visits scheduled.
• Drives responsibly and safely to and from client’s home.
• Schedules own time based on priorities and maintains productivity utilizing time management.
• Provides appropriate and thorough service to patients/clients, ensuring proper completion of services in an accurate and timely manner and in accordance with agency policy.
• Make the initial patient/client Start of Care (SOC) assessment within an appropriate time as scheduled by the agency.
• Always demonstrates respectable customer service and professionalism.
• Establishes Home Bound Status and document.
• Provides skilled services and/or supervises, requiring substantial knowledge and skills in accordance with the Plan of Care (POC) and accepted standards of professional practice.
• Determines discipline frequencies according to physician order and/or assessed needs.
• Implement and adhere to physician’s orders where such orders are within the legal scope of professional nursing practice, performing venipuncture and/or obtaining specimen for lab and transport to appropriate testing site as ordered.
• Obtains physician order or verbal orders for Start of Care (SOC) or Resumption of Care (ROC) or Recertification (RECERT) within twenty-four (24) to forty-eight (48) hours from time of service.
• Notify physician with any changes with the initial plan of care (POC) and obtain any appropriate orders.
• Provide teaching to patient/client and answer health-related questions and document patient/client/caregiver understanding of education.
• Complete Home Health Nursing Aide care plan and make supervisory visits on Home Health Aides at least every fourteen days (14).
• Perform Supervisory visit at least every 30 days for LPN and document in Supervisory note.
• Document patient’s/client’s care using appropriate agency forms and submit to agency within appropriate timeline.
• Absess any medication changes with each Re-visit and update Medication Profile Form in the home and in the agency’s medical record.
• Notify physician with any change in client condition, abnormal findings and new medications.
• Obtains orders as indicated with the appropriate form and submit in a timely manner.
• Completes Discharge Oasis and Discharge Summary when patient/client is discharged.
• Complete Recertification Oasis every sixty (60) days while on service and obtain new orders for new plan of care.
• Communicate with staffing coordinator with any scheduling concerns and/or changes in patient/client assignment.
• Communicate all Start of Cares (SOC), Resumption of Care (ROC) or Recertification (RECERT) to the clinical support division within twenty-four (24) hours of completion.
• Maintain continuity of care and document communications with others within the health care team.
• Demonstrate work that meets quality standards.
• Assist in periodic auditing of paperwork of self/peers.
• Communicates regularly with Director of Nursing and Clinical Supervisor with all patient/client concerns or ideas for better patient/client outcomes.
• Adheres to Agency Code of Conduct, Standards of Practice, and Patients/Clients Rights/ Responsibilities.
• Demonstrates professionalism in appearance, adhering to Agency dress code.