Registered Nurse

3 months ago

Burlington, United States Professional Case Management Full time
Job Description

Qualifications

  • Graduate of a state-approved school of professional nursing.
  • BSN preferred
  • Current, unrestricted license as a Registered Nurse in the state(s) of practice
  • Reliable means of transportation
  • Current CPR certification
  • Strong communication and interpersonal skills

Essential Functions/Areas of Accountability

  • Initiate actions independently and responsibly to improve the quality of client care Perform client visits as assigned to provide skilled interventions with a focus for achieving realistic client outcomes within a specified time period
  • Provide direct care and assign and/or delegate functions according to education and demonstrated competence
  • Act as client advocate
  • Assess and evaluate health status of assigned clients:
  • Collect objective and subjective client information
  • Analyze, report and record data
  • Validate, refine and modify data
  • Utilize all data to identify and document current health care needs of assigned clients
  • Collaborate with client, family/others, and other members of the healthcare team to identify client needs, and establish realistic goals of care
  • Review plan of care on a regular basis to evaluates client response to plan, prioritize needs and modify plan to meet client's current needs:
  • Cultural, ethical, spiritual aspects and decisions regarding treatment
  • Plan interventions to support human functions and maintain hygiene in a comfortable and safe environment
  • Align with community resources as indicated for appropriate care
  • Verify medical orders are accurate, properly authorized and without contraindication.
  • Administer prescribed medications and IV therapy or provide client/family/other education regarding self-administration.
  • Develop, initiate, and document plan to provide client/family/other education and counseling.
  • Evaluate home environment and initiate plan to ensure a safe environment.
  • Institute standard policies and procedures to stabilize clients in an emergency situation.
  • Demonstrate competence 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/counseling skills
  • Realistic and measurable goal setting
  • Evaluate client's medications for potential interactions, duplication, adverse effects and non-compliance
  • Initiate appropriate preventative and rehabilitative nursing procedures
  • Practice nursing with respect for individual, cultural, and spiritual differences
  • Communicate interventions and client response to interventions effectively and in accordance with Agency requirements
  • Report significant changes in client condition and needs to physician and other members of the team in a timely manner
  • Maintain client records and clinical notes, showing systematic assessment, planning intervention and evaluation
  • Coordinate services for the client as needed
  • Participate in team meetings and clarify individualized reporting responsibilities with all new assignments
  • Document legibly and according to Agency documentation guidelines and standards
  • Maintain confidentiality in all aspects of the job Promote personal safety and a safe environment for clients and coworkers
  • Demonstrate knowledge of safety/infection control practices by complying with established policies and procedures
  • Recognize and respond appropriately to potentially unsafe situations
  • Demonstrate safe practice in the use of equipment
  • Assess environmental safety and take initiative to prevent accidents and promote safety
  • Evaluate the home for its suitability for client care
  • Notify case manager of need for review and/or training related to equipment, procedures, safety or infection control practices
  • Initiate delegation of tasks to only those with verified skills and only for clients that are stable and where the outcome of the delegated task is predictable:
  • Consider complexity of care, educational preparation and Agency policies when delegating care
  • Remain responsible for all delegated acts
  • Delegate/assign duties as specified in Agency regulations
  • Initiate and assist with delegated care
  • Participate in ongoing, professional self-development:
  • Participate in all mandatory education per Agency guidelines
  • Participate in supervising and teaching other nursing personnel as required
  • Identify needs for personal professional growth
  • Demonstrate competence in areas of assignment or identifies the need for additional training
  • Perform other duties as assigned

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