Registered Nurse Admissions Nurse VNA Full Time

Job Description Summary

Responsible as a member of the interdisciplinary team to the Director and Nurse Manager for assigned functions related to providing information about services to potential South Shore VNA patients and admitting patients to South Shore VNA.

• a
  - Plan for admission of SSVNA patients in coordination with community liaison nurse and/or patient care coordinator. Expectation is 3 admissions/day for 9 hour work day and 3 admissions/day and 1 revisit for 10 hour day
• b
  - Assume initial responsibility for assessing patient/family needs and consulting with attending physicians and other care team staff members
• c
  - Admit patients, develop plans of care and complete related documentation in accordance with South Shore VNA policy and procedures.
• d
  - Obtain data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
• e
  - Inform the community liaison nurse and patient care coordinator/manager of unusual or potentially problematic patient or family issues.
• f
  - Determine patient's appropriateness for homecare services
• g
  - Utilize appropriate Local Coverage Determination (LCD) per CMS and document all required information in patient record.
• h
  - Consult with primary physician for appropriateness to service as needed.
• i
  - Make telephone calls to potential SSVNA patients to provide information on homecare care and services and/or assess patient's status. Document all patient interactions and plans in patient’s medical record.
• j
  - Assist with the implementation and coordination of services required for discharge of patients to provide for discharge patients from hospitals and skilled nursing facilities SSVNA

• a
  - Instruct primary caregivers, volunteers and employed caregivers to provide care as indicated.
• b
  - Attend IDT meetings to relay information to the IDT about the new patients and to ensure continuity of patient care services as indicated.
• c
  - Facilitate transition of patient/family already in care to primary nurse at the appropriate time.
• d
  - Communicates pertinent patient care information to evening and night staff utilizing voicemail if needed, direct contact or other means to provide information.
• e
  - Manage patient/family care plan and accompanying services between time of admission and transition to primary nurse as necessary.

• a
  - Assist primary nurses in management of their caseloads by making patient visits as needed.
• b
  - Assist with QAPI and utilization review activities as needed or requested.
• c
  - Accept other assignments as appropriate.
• d
  - Participate in agency and community programs as requested to promote professional growth and understanding of home care.
• e
  - Participate in homecare orientation and in-service training programs for professional staff.

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.

• a
  - Updates the Plan of Care with any change in the patient’s status at each visit.
• b
  - Coordinates and communicates with other clinical team members any changes in the patients’ medical or physical condition resulting in a change in the plan of care.
• c
  - Completes required documentation to communicate changes in the plan of care.
• d
  - Performs comprehensive physical and psychosocial assessment at each visit.
• e
  - Demonstrates knowledge of Homecare Department policies and procedures for administering and recording medications.
• f
  - Assesses pain every visit utilizing appropriate pain scale. Document findings, plan and desired outcomes.
• g
  - Adheres to the Fall Risk Assessment Process and completes documentation as required.
• h
  -…