Registered Nurse

Registered Nurse
-Home Health Broward County
- Full time - Part time - PRN

The Field Registered Nurse who is in the case manager of the Home Health Team is responsible for the nursing care of the patients assigned to them and directs the Home Health Aidesin quality patient care. The Field Registered Nurse is responsible for assessing patient and family needs in order to promote the best care the Home Health cangive for recovery and rehabilitation.

Provide nursing services within the scopeof practice authorized by the license issued by the State for a registered nurse.

Lines of authority and reporting responsibilities:
Report to the Director of Nursing, Clinical Manager, Administrator.

• Knows the philosophies,purposes, policies, and standards of the Home Health and their nursing service department and provides for their explanation and implementationto the Home Health Aide. Be the case manager in all cases involving nursing and therapy care.
• 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 need of the patient. Theseare incorporated into the admission notes. Conducts regular or OASIS assessments accurately, according to the instructions in the OASIS Implementation Manual, and corresponding to documents contained else wherein the assessment note.
• Help formulates a patient care plan with the goals indicated and the means of implementing the correct procedures to attain these goals.
• Records all clinical and progress notes and enters them into the patient's permanent record  responsible for the clinical record for each patient receiving nursecare.
• Weekly reviews the utilization and progress of the patient with the supervisor and attending physician as necessary.
• Has knowledge of patient'scondition 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 there are deviations from the plan of care.
• Interprets to the patient andfamily the expectations of the diagnosis and the nature of the treatment consistent with the action and wishes of the physician. Interprets to thesocial and physical factors in the environment that affect patient care.
• Observe and evaluates potential danger of disabling conditions and indicates preventive and corrective measures.
• Is responsible for the execution of the physician's orders and keeps the physician informed ofall patient information concerning the patient's condition and response to treatment Gives skills or care to patients.
• Extends paramedical services in carrying out the rehabilitative aspects of nursing care.
• Obtains laboratory specimens when indicated per MD's orders.
• Meets weekly with Nursing Supervisor for the purpose of discussing nursing care, policies, and theHome Health Aides.
• Assists the Nursing Supervisor in surveying, analyzing, and determining staff requirements forher assigned patients.
• Coordinates treatment with Paramedical personnel.
• Makes supervisory visits toall assigned Home Health Aides no less than once every two weeks.
• Helps the family accept responsibility for providing care. Teaches and supervises family members regarding care of the patient.
• Assumes the responsibility for orientation of new personnel and participates in in-service training programs.
• Schedules her daily itinerary primarily based the Priority of care needed, length of time visits will require, proximity to other patients to be visited and other related factors.
• A weekly itinerary is to be projected for regularly scheduled visits, allowing time for new admissions, emergency cases, and Home Health Aide introduction.
• Must advise the office of any itinerary changes and where she/he can be contacted at all times while inthe field. She/he should call the office between 9.00 to 5.00 p.m. eachday.
• Responsible for the certification and recertification of the Plan of Care.
• May assign selected portions of patient care to licensed practical nurses and home health aides, butalways retains the full responsibility for the care given and for making supervisory visits to the patient's home.
• Performs other related dutiesas assigned by the Administrator.
• Assure that progress reports are mad to the physician for patients receiving nursing services when the patient's condition changes or there are deviations from…