Registered Nurse (RN) Job Description
Conducts the admission of the client
Initial and ongoing comprehensive assessments of the client’s needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points
Initiating the plan of care and revising as necessary
Providing those services and/or treatments requiring substantial and specialized nursing skill
Counseling the client and family in meeting nursing and related needs
Initiating appropriate preventive and rehabilitative nursing procedures
Preparing clinical and progress notes
Coordination of services
Referral to other services as needed
Informing the physician and other staff of changes in the client’s needs
Evaluating outcomes of care
Supervising LPN and paraprofessionals providing services
Assigning home health aide to a specific patient.
Participating in in-service programs
Planning for the discharge from service
Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician
Initiating preventative and rehabilitative nursing procedures as appropriate for the client’s care and safety
Observing signs and symptoms and reporting to the physician any reactions to treatments, including drugs, and changes in the client’s physical or emotional condition
Teaching, supervising and counseling the client and caregivers regarding the nursing care needs and other related problems of the client at home
Is responsible for the care given by the Home Health Aide to clients in his/her care by:
Supervising and evaluating the care given by the Home Health Aide as needed and at a minimum of once every 14 days.
Submitting to the Aide Department written evaluations of the Home Health Aides who are providing service to the clients in his/her geographical area.
· Participating in periodic conferences with the Home Health Aide Supervisor concerning the Home Health Aide’s performance
Charts those services the Staff Nurse has rendered to the client, changes noted in the client’s condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates client care and progress, prepares paperwork required for continuing care, and closes charts of discharged clients
Prepares and presents client’s record to the Clinical Record Review Committee as indicated
Evaluates the effectiveness of his/her nursing service to the individual and family
Consults with the attending physician concerning alteration of the Plan of Care in consultation with the supervisor
Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated
Submits a tally of visits made each day or as required
Participates in case conferences
Discusses with the supervisor problems concerning the clients and how they may best be handled
Discusses with the supervisor the need for involvement of other members of the health team such as the Home Health Aide, Physical Therapist, Speech Therapist, Occupational Therapist, Social Worker, etc.
Obtains orders for paramedical service and submits referral to appropriate personnel
Coordinates total client care
Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan
Participates in staff development meetings
Participates in the educational experiences for student nurses
Continually strives to improve his/her nursing care by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading
Participates in the planning, operation and evaluation of the nursing service
Participates in the development and periodic revision of the physician’s
Plan of Care and processes change orders as needed
Maintains an on-going knowledge of current drug therapy
Job Types: Full-time,