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Community Health Nurse Specialist
2 months ago
NYC Health + Hospitals/Community Care is seeking a skilled Community Health Nurse to join our team. As a Community Health Nurse, you will play a vital role in providing high-quality care to patients in their homes, communities, and neighborhoods.
Job Summary:We are looking for a compassionate and experienced Community Health Nurse to join our team. The successful candidate will be responsible for assessing, planning, implementing, and evaluating patient care plans, providing direct skilled nursing care, and observing and instructing patients in their place of residence.
Key Responsibilities:- Provides individualized skilled nursing care to patients requiring part-time intermittent professional nursing service through the use of the nursing process.
- Assesses patient needs and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.
- Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician and provides emergency treatment as needed.
- Records physical, social, psychosocial, and environmental needs of the patient. Provides ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.
- Utilizes input from patient, caregiver, MD, and peers to devise a nursing care plan which is feasible within the physical, financial, and emotional resources of the patient/caregiver and the Department of Health regulations.
- Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
- Reviews and revises plan of care as necessary, consistent with physician's orders.
- Plans activities necessary for effectuating the timely discharge/transfer of patient and notifies all appropriate parties including patient's physician.
- Authorizes and coordinates all services including nursing, rehab, respiratory therapy, nutritional services, equipment, professional, and non-professional staffing and support services.
- Collaborates with case managers and other disciplines regarding the patient's progress and discharge plans.
- Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
- Involves the patient and caregiver actively in goal setting.
- Establishes and maintains a cooperative, effective working relationship with the staff, physician, and non-physician providers, case managers, and other hospital personnel, outside vendors, agencies, and the community at large.
- Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis.
- Completes physician's orders in a timely manner.
- Completes admission paperwork, including OASIS, physician, and nursing POCs, and progress notes within 48 hours of visit encounter.
- Reviews clinical records to ensure compliance with departmental and regulatory standards.
- Obtains written orders for all verbal orders returned.
- Maintains up-to-date patient files with complete records including care plans and re-certifications, reports of all services rendered, progress notes, and discharge summaries.
- Competent in knowledge of patient teaching plans and interventions.
- Competent in knowledge of safe administration and teaching medications.
- Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care Department standards of care/practice.
- Competent to complete thorough and accurate nursing assessments.
- Demonstrate competence in skilled nursing interventions.
- Competent in knowledge of documentation requirements for Home Care.
- Participates in case conferences and/or interdisciplinary team conferences as needed and as designated by the clinical manager.
- Works with other members of the interdisciplinary team to develop appropriate interventions in order to achieve clinical and functional goals.
- Participates in the agency's Quality Assurance Performance Improvement/PIP as assigned.
- Supervises and monitors the care given by home health aides and ensures proper documentation.
- Participates in an interdisciplinary healthcare team in determining and implementing a comprehensive plan of care.
- Participates in the coordination of other professional and para-professional services in the home and provides supervision as needed.
- Provides patient/family/significant other/patient-identified representatives with teaching and involves them in assessment activities.
- Maintains current, complete, and appropriate documentation in the patient care record. May be required to use computer systems in carrying out these functions.
- Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management, Foley insertion, and catheter care management, JP/PleuRx Drain care, administering injections.
- Provides teaching on disease and medication management.
- Obtains photographs for consultation by wound specialists.
- Ability to apply evidence-based practices to the home care setting.
- And other duties as ordered/prescribed.
- Licensed and currently registered to practice as a professional nurse in New York State.
- Current certification in Basic Life Support procedures including CPR.
- Baccalaureate Degree in Nursing from an approved program preferred.
- Demonstrated knowledge regarding Federal, State, and local regulations and JCAHO standards for Home Care.
- Excellent verbal, written, organizational, and analytical skills.
- Demonstrated competence as a registered nurse in patient assessments and critical thinking skills.
- Previous experience using various computer software applications: i.e., Word, Excel, Access, etc.
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week.
- Retirement Savings and Pension Plans.
- Loan Forgiveness Programs for eligible employees.
- Paid Holidays and Vacation in accordance with employees' collectively bargained contracts.
- College tuition discounts and professional development opportunities.
- Multiple employee discounts programs.
