QA Registered Nurse
4 weeks ago
Supervised by: Director of Nursing
Job Summary: Coordinate care with the interdisciplinary team, patient, family and referring agency, and Case Manager. Provides service in accordance with the Agency philosophy, standards and policies.
Essential Functions:
QA of nursing and CNA notes to assure proper completion
Adheres to the written plan of care for each patient, assessing the physical, psycho- social needs of the patient and documents findings
Assesses patient's condition, initiates plan of care, re-evaluates and updates as necessary
Effectively communicates with ancillary and clinical staff to maintain consistency and continuity of patient care, conveys current information to the assigned Case Manager as needed
Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management
Performs patient care responsibilities considering needs specific to the standard of care for patient's age
Demonstrates knowledge of medications and their correct administration based on age of the patient and patient's clinical position
Provides those services and/or treatments requiring substantial and specialized nursing skill
Obtains all necessary physician orders and collaborates with physician as patient's needs dictate and reports to the Case Manager on changes
Attends 80% of mandatory in-services and case conferences to discuss multidisciplinary team responsibilities and patient progress
Follows up with obtaining lab results and notifying physician of any significant results according to the Agency's Policy and Procedures
Re-evaluates the need for continued care on an ongoing basis
Promotes patient/family/caregiver education using various verbal and written communication techniques that take into account the patient's/family's cultural, ethnic and/or personal needs or preferences
Attends case conferences to discuss multidisciplinary team responsibilities, patient progress, plans for continued care, new problems, etc.
Initiates needed referrals to other disciplines and/or community resources
Knowledgeable of current federal, state, agency and accreditation regulations concerning patient care
Obtains needed supplies and equipment to provide care
Preparing clinical and progress notes within the specified time frame of the Agency documents at the time of the visit
Adheres to all Agency, payroll, billing and documentation policies and procedures
Professional Requirements:
Adheres to dress code, appearance is neat and clean
Completes annual education requirements
Maintains regulatory requirements
Maintains patient confidentiality at all times
Reports to work on time and as scheduled, completes work within designated time
Attends annual review and department in-services, as scheduled
Represents the organization in a positive and professional manner
Actively participates in performance improvement and continuous quality improvement activities
Complies with all organizational policies regarding ethical business practices
Communicates the mission, ethics and goals of the organization
Demonstrates effective time management and organizational skills; provides patient visits as scheduled; completes patient care within the designated time
Regulatory Requirements:
- Graduate of an accredited school of nursing
- Current state licensure as a Registered Nurse
- Two years of experience as a Registered Nurse in a clinical care setting preferred. Home Health preferred
- Current CPR certification, proof of Tuberculosis PPD given within the past 12 months, and Hepatitis consent/declination
- Valid state driver's license and reliable automobile
- Proof of current automobile insurance
- Full command of verbal and written communication skills
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