Registered Nurse

3 weeks ago

Sacramento, United States Qura Healthcare Full time

To provide nursing care in accordance with the patient's plan of care including comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities, and direct nursing care.

**RESPONSIBILITIES**

Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition.
- Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient
- Consult with the attending physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes, as appropriate.
- Coordinate patient services.
- Submit a tally of patient care visits made each day.
- Discuss with the appropriate supervisor the need for the involvement of other members of the health team.
- Participate in the patient’s discharge planning process.
- Continually strive to improve his/her nursing care skills by attending in-service education, through formal education
- Participate in the development and periodic revision of the physician's Plan of Treatment and process change orders as needed
- Submit clinical notes within forty-eight (48) hours, and progress notes and other clinical record forms outlining the services rendered.
- Participate in the patient’s discharge planning process.
- Coordinates the admission of a patient to the agency
- Conduct an initial and ongoing comprehensive assessment of the patient’s needs
- Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition.
- Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
- Evaluate the patient's condition and home situation
- Explain nursing and other Agency services to patients and families as a part of planning for care.
- Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician.
- The initiation of preventative and rehabilitative nursing procedures as appropriate for the patient's care and safety.
- Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patient's physical or emotional condition.
- Teaching, supervising and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home.
- Chart those services rendered to the patient by the staff nurse and changes that have been noted in the patient's condition and/or family and home situation
- Submit clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated.
- Discuss with the supervisor problems concerning the patients and possible resolution.
- Submit clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated.

**JOB CONDITIONS**
- Must have a driver’s license and be willing and able to drive to patient’s residences.
- The ability to access patients’ homes which may not be routinely wheelchair accessible is required.
- Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care.
- Physical activities will include, walking, sitting, stooping, and standing and mínimal to maximum lifting of patients and the turning of patients.
- The ability to communicate both verbally and in writing is required as frequent communication by telephone and in writing in English is required.

**EQUIPMENT OPERATION**
- Thermometer, B/P cuff, glucometer, penlight, hand washing materials.

**QUALIFICATIONS**
- 1. Must be a graduate from an accredited School of Nursing.
- 2.Must be licensed in the State as a Registered Nurse.
- 3. One or more years of experience in a community/home health agency or in a hospital setting is preferred.
- 4. Must have knowledge of Medicare and Medicaid guidelines.
- 5.Must have a working knowledge of home health care and the principles and techniques of professional nursing and required documentation that pertains to it.
- 6.Should be skillful in organization and in the principles of time management and have knowledge of management processes.
- 7.Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff.
- 8.Must have a criminal background check.
- 9. Must have a current CPR certification.

RISK OF EXPOSURE TO BLOODBORNE PATHOGENS **- **HIGH

**Job Types**: Full-time, Part-time, Per diem

Pay: $54,198.92 - $115,538.00 per year

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Vision insurance

Medical specialties:

- Home Health

Physical setting:

- Outpatient

Standard shift:

- Day

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