Registered Nurse PRN
Ambercare · Albuquerque, NM · 1 wk ago
HealthcareFull-time
Responsibilities
- Completes an initial assessment of patient and family to determine home care needs.
- Provides a complete physical assessment and history of current and previous illness(es).
- Observes and reports any signs or symptoms indicative of changes in condition of the patient and family situation.
- Documents such reports and observations in the clinical record and notifies supervisor.
- Regularly re-evaluates patient nursing needs.
- Initiates the plan of care and makes necessary revisions as patient status and needs change.
- Uses health assessment data to determine nursing diagnosis.
- Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions.
- Includes the patient and the family in the planning process.
- Initiates appropriate preventive and rehabilitative nursing procedures.
- Administers medications and treatments as prescribed by the provider.
- Provides direct patient care as defined in the State Nurse Practice Act.
- Counsels the patient and family in meeting nursing and related needs.
- Provides health care instructions to the patient as appropriate per assessment and plan of care.
- Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
- Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
- Prepares clinical notes and updates the primary provider when necessary and at least every 60 days.
- Communicates with all relevant providers regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives orders as required.
- Communicates with community health related persons to coordinate the care plan.
- Performs other duties as assigned.
- Graduate from an accredited registered nursing program and licensed in the state.
- At least one (1) year clinical practical nursing experience preferably in intensive care, rehabilitation or medical surgical nursing (preferred).
- One (1) year of Home health experience required.
- Possess and maintain valid CPR certification.
- Must have reliable transportation, current driver's license and appropriate automobile insurance.