RN Home Care Practitioner

2 weeks ago

Rockland, Massachusetts, United States South Shore Health Full time
Job Summary

The Community Health Nurse is a professional nurse knowledgeable in community health nursing who provides nursing care to patients in the community setting and completes admissions for VNA services in a geographic territory. This role requires a strong understanding of community health nursing principles and practices, as well as excellent communication and interpersonal skills.

Key Responsibilities

1. Schedule and Prioritize

Completes daily admissions for VNA service schedule and assigns patients to appropriate territory and case management nurse for take-over of care. Schedules and prioritizes nursing visits according to client acuity and in accordance with the organization's emergency preparedness plan.

2. Assessment and Documentation

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. Updates the plan of care on an ongoing basis as goals are met and problems are identified.

3. Reassessment and Visit Documentation

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.

4. Discharge and Documentation

Documentation demonstrates improvement in outcomes or applicable variances are identified. Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan.

5. Medication Management

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. DRR is run with each additional medication. Medication management is taught to each patient/family member each visit, including side effects.

6. Case Management

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.

7. Safety Awareness

Fosters a 'Culture of Safety' through personal ownership and commitment to a safe environment. Complies with current hand hygiene and infection control guidelines.

8. Professional Development

Responds to and participates in opportunities to maintain, enhance, and promote the image of the professional nurse.

9. Leadership Development

Serves in a formal or informal leadership role.

10. Advanced Clinical Skills

Responds to and participates in opportunities to demonstrate the use of individual advance clinical skills and advance clinical knowledge. Assumes overall responsibility for own professional development by incorporating knowledge of evidence-based practice and research into clinical practice.

Requirements

Graduate of an accredited School of Nursing. Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred. One to two (1-2) years of medical/surgical nursing experience is preferred. Write, speak, understand English. Basic Nursing competencies. M-F 8-4:30pm Every 4th weekend Occasional eve shift 11-7:30pm 3 holidays/year

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