RN Supervisory Nurse

Description

This position is supervisory visits only. No skilled nursing required. The supervisory visit includes monitoring the aides activities in the home and monitoring the patients health status and medication changes. This position allows for a flexible schedule to work around the patient and nurses' needs.

REGISTERED NURSE

Clinical Manager

To provide nursing care in accordance with the patient's plan of care to include comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care.

• Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound preventive practices, coordinating services and teaching and training activities.
• Evaluate the effectiveness of nursing service to the patient and family on an ongoing basis.
• Perform admission, transfer, re-certification, resumption of care and discharge OASIS for the home care patient.
• Prepare and present patient’s record to the Clinical Record Review Committee as indicated.
• Consult with the attending physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes, as appropriate.
• Coordinate patient services.
• Submit clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated.
• Submit a tally of patient care visits made each day.
• Participate in case conferences, discuss with the supervisor problems concerning the patients and how they may best be handled.
• Discuss with the appropriate supervisor the need for the involvement of other members of the health team such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc.
• Obtain orders for paraprofessional service and submits a referral to the appropriate personnel.
• Participate in the patient’s discharge planning process.
• Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
• Participate in staff development meeting.
• Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading.
• Participate in the development and periodic revision of the physician's Plan of Treatment and processes change orders as needed.
• Submit clinical notes within seventy-two (72) hours, and progress notes and other clinical record forms outlining the services rendered.
• Participate in the patient’s discharge planning process.
• Maintain an on-going knowledge of current drug therapy.
• Adhere to Federal, state and accreditation requirements including Medicare and Medicaid regulations.
• May be requested by Clinical Manager to fill in for the other nurses.

• Conduct an initial and ongoing comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points.
• Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition.
• Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
• Evaluate the patient, family member(s) and home situation to determine what health teaching will be required.
• Evaluate the patient's environment to determine what assistance will be available from family members in caring for the patient.
• Evaluate the patient's condition and home situation to determine if the services of a Home Health Aide will be required and the frequency of this service.
• Explain nursing and other Agency services to patients and families as a part of planning for care.
• Develop and implement the nursing care plan.
• May…