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RN Home Care Practitioner

2 months ago

Rockland MA, United States South Shore Health Full time

The community health nurse is a professional nurse knowledgeable in community health nursing who provides nursing care to patients in the community setting.
Schedules and prioritizes nursing visits according to client acuity and in accordance with the organizations emergency preparedness plan
For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs admission physical and psycho social assessment to determine appropriate plan of care.


For each visit, demonstrates the skills and judgment necessary to implement the plan of care, nursing interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation. Updates the plan of care on an ongoing basis as goals are met and problems are identified.

Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan.
Demonstrates knowledge of department policies and procedures for administering and documenting medications.Medication reconciliation is completed every visit and medication profile is reviewed and updated with changes as appropriate. The case manager demonstrates responsibility and accountability for coordinating the plan of care for each patient on caseload. The patient /family is involved and participates in the plan of care. Communicates with all disciplines to insure quality of care.
Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Complies with current hand hygiene and infection control guidelines.

Graduate of an accredited School of Nursing.
Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred.

Minimum Work Experience
One to two (1–2) years of medical/surgical nursing experience is preferred.

Write, speak, understand English. Basic Nursing competencies.