Staff Nurse Communty Care Job New York New York USA,Nursing

Location: New York

Purpose of Position

Under the direction of the supervising Assistant Director of Nursing in Community Care, provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being.

Assesses, plans, implements, and evaluates the patient's plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.

Responsibilities

Provides services requiring substantial and specialized nursing skill, in accordance with the plan of treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic diseases, behavioral health disorders, etc.

Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients.

Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching, diabetic care, patient/family education and counseling and aseptic technique.

Completes comprehensive patient assessments and develops, prepares and maintains individualized client care progress records, including required Outcome and Assessment Information Set (OASIS) documentation.

Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care and initiates, develops and implements revisions as needed.

Interprets and reports responses of patients/clients to appropriate members of the health team and makes referrals to other disciplines in collaboration with physician, client and family, as appropriate.

Maintains continuity of client care by liaising with other health professionals assigned to the client including reporting signs, symptoms and changes to the patient's condition to appropriate parties.

Provides teaching, guidance and direction to allied nursing personnel in rendering patient care.

Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice.

Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups.

Maintains professional competence through participation in continuing education and other appropriate learning experiences, including agency provided in-service programs.

Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs, and training, as required.

Performs other professional nursing activities and related duties, as delegated by nursing service administration, including clinical record reviews.

Provides individualized skilled nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process.

Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.

Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician, and provides emergency treatment as needed.

Records physical, social, psychosocial and environmental needs of the patient.

Provides ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.

Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health regulations.

Evaluates patient's response to plan of care as necessary, consistent with physician's orders.

Reviews and revises plan of care as necessary, consistent with…


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