RN HOME CARE-PV

Job Description Summary

The community health nurse is a professional nurse knowledgeable in community health nursing who provides nursing care to patients in the community setting.

Job Description

1 - SCHEDULING - Makes scheduled home visits per assignment. Schedules and prioritizes nursing visits according to client acuity and in accordance with the organization's emergency preparedness plan.
 

2 - ASSESSMENT/DOCUMENTATION ADMISSION VISIT - For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs admission physical and psychosocial assessment to determine nursing needs.

3 - REASSESSMENT/VISIT DOCUMENTATION - For each visit, 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/DOCUMENTATION DISCHARGE - For each discharge, 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 - 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 on each visit, including side effects.
 

6 - CASEMANAGEMENT - The community health nurse demonstrates responsibility and accountability for the coordinating the plan of care for each patient on their schedule each day.  The patient /Care Plan Partner is involved and participates in the plan of care.
 

JOB REQUIREMENTS

Minimum Education - Preferred

Graduate of an accredited School of Nursing.
Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred.
 

Minimum Work Experience

One to two (1–2) years of nursing experience is preferred.

Required Licenses / Registrations

RN - Registered Nurse

Required additional Knowledge, and Abilities

Write, speak, understand English.
Basic Nursing competencies.
Intravenous skills a plus.