Home Health Nurse

FIELD REGISTERED NURSE JOB DESCRIPTION JOB SUMMARY: The Field Registered Nurse, also responsible for the case management of the Home Health Team, is responsible for the nursing care of the patients assigned to them, and directs the Home Health Aides in quality patient care. The Field Registered Nurse is responsible for assessing patient and family needs in order to promote the best care that the Home Health Team can give for recovery and rehabilitation. JOB FUNCTIONS: 1. Knows the philosophies, purposes, policies and standards of the Home Health Team and their Nursing Service Department, and provides for their explanation and implementation to the Home Health Aide, and is also the case manager in all cases involving nursing and therapy care. 2. Assesses in depth upon the admission of the patient, the patient’s physical and emotional status, level of competency, home environment, safety factors, family or household member’s ability to assist with care and the needs of the patient. These are incorporated into the admission notes. 3. Formulates a nursing care plan with the goals indicated and the means of implementing the correct procedures to attain these goals. 4. Records all clinical and progress notes and enters them into the patient’s permanent record files, and is responsible for the clinical record for each patient receiving nursing care. 5. Weekly reviews the utilization and progress of the patient with the supervisor and attending physician as necessary. 6. Has knowledge of patient’s condition at all times and informs the physician and/or the Nursing Supervisor immediately of any change in the patient’s condition that warrants attention. Also observes, evaluates and reports to the physician the patient’s reaction to drugs or treatments, or if there are deviations from the plan of care. 7. Interprets to the patient and family the expectations of the diagnosis and the nature of the treatment consistent with the action and wishes of the physician. Florida Home Bound MHA, Inc. Home Health Agency Interprets the social and physical factors in the environment that affect patient care. 8. Observes and evaluates potential danger of disabling conditions and indicates preventive and corrective measures. 9. Is responsible for the execution of the physician’s orders and keeps the physician informed of all pertinent information concerning the patient’s condition and response to treatment. Gives skills of care to patients. 10. Extends paramedical services in carrying out the rehabilitative aspects of nursing care. 11. Obtains laboratory specimens when indicated per MD’s orders. 12. Meets weekly with Nursing Supervisor for the purpose of discussing nursing care, policies and future planning, and keeps the Supervisor informed of all pertinent information concerning patients and the Home Health Aides. 13. Assists the Nursing Supervisor in surveying, analyzing and determining staff requirements for his/her assigned patients. 14. Coordinates treatment with Paramedical personnel. 15. Makes supervisory visits to all assigned Home Health Aides no less than once every two weeks. 16. Helps the family accept responsibility for providing care. Teaches and supervises family members regarding care of the patient. 17. Assumes the responsibility for orientation of new personnel and participates in in-service training programs. 18. Schedules his/her daily itinerary primarily based on the priority of care needed, length of time visits will require, proximity to other patients to be visited and other related factors. 19. A weekly itinerary is to be projected for regularly scheduled visits, allowing time for new admissions, emergency cases and Home Health Aide introduction. 20. Must advise the office of any itinerary changes and where he/she can be contacted at all times while in the field. He/she should call the office between 9:00-10:00 a.m. or 2:00-4:00 p.m. each day. 21. Responsible for the certification and re-certification of the Plan of C