Provides age-appropriate skilled nursing care to patients in their place of residence in accordance with agency policy and procedure and state and federal regulations. Teaches the patient/family disease process and self-care needs. Monitors physiological state to determine an appropriate level of safety and comfort. Provides services requiring nursing skills in accordance with the plan of care. Develops and coordinates the plan of care and provides case management. Performs duties consistent with the nursing practice act that includes the standards of competent performance including Title 16, Chapter 14, Section 144.3 of the California Code of Regulations.
- Graduate from an approved school of professional nursing (AA, Diploma, or BSN)
- Current license to practice as a Registered Nurse in California.
- Valid driver’s license and proof of automobile insurance
- Commitment to Service Orientation
- Computer literate preferred
- Experience in automated clinical information systems preferred.
- One to two years applicable registered nurse experience within the last five (5) years, in an acute care setting or related clinical care setting. Preferable with at least one year of home health care experience.
- Knowledge of the nursing process
- Commitment to Service Orientation
- Effective written and oral communication skills (in English), good interpersonal skills, problem solving skills, basic math skills, nursing skills per competency checklist.
Provision of Care
- Provides the initial all system nursing assessment prior to the provision of care.
- Initiates the plan of care and necessary revisions including obtaining written physician orders for changes.
- Provides care and services in accordance with the plan of care.
- Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.
- Provides ongoing periodic all system assessment of the patient and the patient’s equipment needs.
- Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician
- Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient..
- Provides health care instructions to the patient as appropriate per assessment and plan.
- Supervises and teaches LVN’s and HHA’s as required for patient care.
- Provides nursing care through all phases of care taking into consideration age and developmental needs.
- Prepares clinical notes and updates the primary physician when necessary and at least every sixty days.
- Communicates with the physician regarding the patient’s needs and reports and changes in the patient’s condition; obtains/receives physicians orders as required.
- Communicates with community health related persons to coordinate the care plan.
- Documents all care, interventions and care coordination per law, regulation and agency policy.
- Adheres to the services policy and principles of the ANX Home Healthcare Program.
- Supervises Home Health aides and LVNs according to law, regulation and agency policy.
- Behaves in a courteous professional manner with patients, health professionals and maintains patient confidentiality.
- Plays a role in the Quality Assurance activities and Utilization Review activities of the agency, as requested.
- Selects and attends education programs to keep current in area of practice.
- Participates in in-service programs and attends mandatory meeting, as indicated by the agency.
Ability to work in fast paced environment with multiple interruptions. While performing the duties of this Job, the staff is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The staff is occasionally required to sit; climb or balance and stoop, kneel or crouch. The staff must regularly lift and/or move up to 25 pounds, frequently lift and/or move, working in teams and assistive devices, up to 50 pounds and occasionally lift and/or move, working in teams and assistive devices, up to 100 pounds. Specific vision abilities required by this job include close vision, color vision, depth perception and ability to adjust focus.
Environmental and Working Conditions
May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions on roads in varying degrees of repair.
May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed or occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required.