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Job Summary
Perform duties as directed by the Administrator or Clinical Manager. May be requested by the Clinical Manager to fill in for the other supervisory staff when necessary. 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. Consult with the attending physician regarding alterations of Patient Care Plans, checks with the appropriate supervisor, and make changes as appropriate. Coordinate patient services. Submit clinical notes, per agency policy, and progress notes and other clinical record forms, outlining the services rendered, as indicated. Participate in Clinical Record Review and QAPI.
General Requirements
Perform all job responsibilities in alignment with the mission and vision of the organization.
Perform other duties as required and complete all job functions as per departmental policies and procedures.
Maintain current knowledge in present areas of responsibility (i.e., self‑education, attend ongoing educational programs).
Attend staff meetings and complete mandatory in‑services and requirements and competency evaluations on time.
Wear protective clothing and equipment as appropriate.
General Skills
Ability to communicate in English, both verbally and in writing.
Additional languages preferred.
Strong written and verbal skills.
Basic computer skills.
Working Conditions
General environment: Works in a dim‑lighted, un‑air‑conditioned area, with moderate noise levels.
May be exposed to high noise levels and bright lights.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another or different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime.
Contact with clients under a wide variety of circumstances.
Care is provided in client’s living environment with varying situations, including private homes, independent or assisted living or in an institution such as a long‑term care facility.
Physical Requirements & Demands
Have near normal hearing: Hear alarms/telephone/normal speaking voice.
Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
Have good manual dexterity.
Have good eye‑hand foot coordination.
Ability to perform repetitive tasks/motion.
Continuously within shift (67‑100%): Standing, Walking.
Frequently within shift (34‑66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry > 20 lbs. with assistance.
Occasionally within shift (1‑33%): Sitting, Climbing, Twist at waist, Lift/Carry > 50 lbs. with assistance, Reaching above shoulder.
Mission Statement
QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost‑effective healthcare through the provisions of education, prevention, diagnosis and treatment.
Job Specific Competencies as a Registered Nurse / High Tech Registered Nurse
Manage a case load of patients and may supervise other RN’s, LPN’s, HHA’s assigned to patients within the assigned case load.
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 submit 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.
Maintain an on‑going knowledge of current drug therapy.
Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations.
May be requested to fill in for the other nurses.
Conduct an initial, and ongoing, comprehensive assessment of the patient’s needs, including 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.
Nursing services, treatments, and preventative procedures, requiring substantial specialized skill, and ordered, by the physician.
The initiation of preventative and rehabilitative nursing procedures, as appropriate, for the patient’s care and safety.
Observing signs, and symptoms, and reporting to the physician: reactions to treatments, including drugs, as well as changes in the patient’s physical, or emotional, condition.
Teaching, supervising, and counseling the patient, and caregivers, regarding the nursing care needs and other related problems of the patient, at home.
Supervises the LPN/LVN, every 30 days.
Prepare the care plan for the Home Health Aide.
Supervise, and evaluate, the care given by the Home Health Aide, every 14 days and as needed per agency policy.
Submit, to the appropriate department/individual, written evaluations of the Home Health Aides who are providing service to the patients in his/her geographical area.
Participate in periodic conferences, with the Home Health Aide supervisor, concerning the Aide’s performance.
Chart those services rendered to the patient, by the staff nurse, and changes that have been noted, in the patient’s condition and/or family and home situation, make revisions in the nursing care plan, as needed, record supervisory visits conducted with the Home Health Aide, evaluate patient care and progress, and close charts of discharged patients.
Provide guidance, and supervision, to the LPN and supervises the LPN, per agency policy.
Participate in the educational experiences for student nurses.
Participate in the planning, operation, and evaluation of the nursing service.
Ensure that all OSHA/ACHC standards are in compliance.
Work with Discharge Planners to identify, and plan, home infusion therapy referrals.
Assess the patient on the initial visit, including an assessment of home safety, adequacy of refrigeration, storage, and cleanliness.
Initiate the patient plan of care and make necessary ongoing revisions; provide service, in accordance with reimbursement, ethical, and legal guidelines.
Administer venipuncture and handle insertion of intravenous needles and catheters.
Prepare infusion solutions, with the addition of medications.
Initiate, monitor, and terminate infusion solutions, and additives, and establish flow rates (if not done by the physician).
Prepare clinical, and progress, reports and make referrals for other services, as appropriate.
Inform the physician, and other appropriate personnel, of changes in the patient’s needs.
Train, both, the patient and caregiver and assess the ability of patient, or caregiver, to manage when staff is not present.
Professional Requirements
Follows Code of Conduct policy.
Adheres to dress code; appearance is neat and clean.
Completes annual educational requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled; completes work within designated time.
Wears identification when on duty; uses computerized time clock system correctly.
Completes in‑services and returns in a timely fashion.
Attends annual review and/or skills fair and department in‑services, as scheduled.
Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission statement of the organization.
Guest Relations Standards
Always treat others in a friendly, helpful manner.
Refers co‑workers to proper sources when unable to provide an answer.
Interacts with others in a professional and friendly manner.
Takes interest in others and always gives full cooperation to fellow workers.
Always maintains an open line of communication with other departments.
Thoroughly familiar with the hospital and the services it offers.
Other
Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC policies and procedures. Every employee is responsible to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role‑based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Education, Credentials & Experience Requirements
Current Registered Nurse license
Possesses the education, and experience, in the scope of services offered
Must have at least one year hospital experience or two years of homecare experience, training, and experience.
Must have a background check, including criminal history check, Office of Inspector General (OIG) Exclusions check and the National Sex Offenders Registry check.
Active American Heart Association BLS certification within 30 days of hire.