RN/LPN Cape Cod Job Barnstable area,Massachusetts USA,Nursing

Basic Function

Self directs home visits to maintain compliance with client assessment and care plan development, caregiver placements, and supervisions. Participates in identifying, creating, and organizing ongoing staff training and certification courses. Advocates for better health through interventions, makes recommendations as opposed to providing services. Completes required documentation. Ensures caregivers are following basic company protocols.

Responsibilities:

Participate in creating daily client visit schedule based on needs and requirements. When cancellations occur, proactively work with office managers to fill schedule gaps.
Schedule will be set up in 1 of 2 ways:
- Block Time – Nurse gives office availability for a period of time (for example 9a1p) and is paid for this block of time. Office is responsible for filling the time, this includes time for documentation and travel.
- Guaranteed Hours – Nurse is paid 58 hour per day and shares responsibility for filling schedule with office staff. 4 visits a day for every 5 hours is the standard unless there is a visit a significant distance within the service area.
RNs participate in the ongoing supervision of LPN staff (ie: reviewing care plans and data entry)
Complete and turn in all documentation and paperwork within 24 business hours.
Document according to contract and organization policy and procedures.
Report findings, recommendations, and concerns to care team in a timely fashion.
Create, review, and update care plans for assigned clients. Communicate updated to caregivers as needed.
Act as liaison between contract nurses, clients, direct care workers, and management.
Provide education, training and coaching to caregiving staff during placement and supervision visits.
Participate in managing company-wide in-service, training, and certification courses.
As schedule allows take on routine nursing visits as client needs dictate or managers request such as medication fills, BP checks, catheter changes etc...
In urgent situations, be willing to provide hands‑on personal care for clients in need.
Follow the same dress code as outlined for Caregivers.
Perform other related duties as assigned.

Aging Services Access Point Specific Role

* This position advocates for the better health of the client, based on observations; this position does not participate in or provide clinical services. *

After review of the initial Home Health Aide Communication Form from the ASAP RN/LPN, completes an in‑home assessment of the ASAP consumer, create a comprehensive HHA Plan of Care that meets the consumer's ADL/IADL needs, and focus on the consumer's daily routines and goals.

Assess the skill level of the assigned Guardian Angel caregiver with the service needs of the consumer, recognizing that the caregiver is an integral part of the consumer's care team.

Orient and supervise the caregiver providing care to the consumer including specialized equipment in complex care cases.

Submit a copy of the HHA Plan of Care to the ASAP for review by the ASAP RN.

Conduct quarterly in‑home care‑plan updates and an annual reassessment of the HHA Consumer. Update the HHA Plan of Care, and conduct supervision of the HHA.

If there is reasonable cause to believe a consumer has been abused, neglected, or financially exploited, the provider must immediately, day or night, contact the 24 hour ELDER ABUSE HOTLINE at .

Communication between the Guardian Angel Nurse and ASAP RN

* This role does not communicate with clients' healthcare team; ALL communication will happen between GA RN/LPN and ASAP RN/LPN or the GA Office. *

It is the mutual responsibility of the GA Nurse and the ASAP RN to communicate any significant updates or changes in the consumer's health or functional status and new assessment findings so the service plan can be updated by the ASAP if necessary. All required care MUST be in the care plan if it is to be delivered.

If changes to the HHA Plan of Care are necessary, the GA nurse must send an updated care plan to the ASAP for review.

Highlight and discuss any significant changes with ASAP RN and GA office teams.

In complex care cases (those who require a more detailed care plan due to medical…

RN​/LPN Cape Cod

RN/LPN Cape Cod