Registered Nurse S1

Westchester Medical Center West Nyack , NY 10994

Posted 2 months ago

Registered Nurse

JOB SUMMARY:

The Home Care Registered Nurse (RN) plans, organizes and directs home care services and is experienced in nursing with emphasis on community health education/experience. The RN builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

RESPONSIBILITIES:

Patient Care

  • Completes an initial home health assessment of patient and family to determine home care needs, and provides a complete physical assessment and history of current and previous illness(es).

  • Completes initial, comprehensive and ongoing assessments of patient and family to determine hospice needs, and provides a complete physical assessment and history of current and previous illness(es).

  • Conducts home visits as assigned, assessing the patient's condition, progress toward goals, providing patient care, teaching, and other skilled interventions as ordered.

  • Regularly re-evaluates patient nursing needs, as part of nursing visit.

  • Initiates the plan of care and makes necessary revisions as patient status and needs change in collaboration with Case Manager.

  • Uses health assessment data to determine nursing diagnosis and develops a care plan that establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions, and includes the patient and family in the planning process.

  • Initiates appropriate preventative and rehabilitative nursing procedures, and administers medications and treatments as prescribed by the physician.

  • Counsels the patient and family in meeting nursing and related needs.

  • Provides health care instructions to the patient as appropriate per assessment and plan of care.

  • Identifies discharge planning needs during nursing visits, communicates needs to team as part of the care plan development, and assists in implementing prior to discharge of the patient.

Communication

  • Prepares home health clinical notes and updates the case manager and primary physician when necessary.

  • Completes, maintains and submits accurate and relevant hospice clinical notes regarding patient's condition and care given, and records pain and symptoms management changes and outcomes as appropriate.

  • Prepares clinical notes and updates the primary physician and/or Medical Director (Hospice) when necessary.

  • Communicates with the physician regarding the patient's needs, and reports any changes in the patient's condition, and obtains and receives physician's order as required.

  • Teaches the patient and family/caregiver self-care techniques as appropriate, provides medication ,diet and other instructions as ordered by the physician, and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the hospice interdisciplinary group or home health interdisciplinary team.

  • Communicates with community health related persons to coordinate the care plan.

  • Attends home health care conference and/or interdisciplinary group meetings as requested.

Additional Duties

  • Participates in on-call duties as defined by the on-call policy.

  • Ensures that arrangements for equipment and other necessary items and services are available.

  • Instructs, supervises, and evaluates home health care aides.

  • Actively participates in quality assessment performance improvement teams and activities.

QUALIFICATIONS / REQUIREMENTS:

Experience: Minimum of two years experience, at least one of which is in the area of public health, home care, or hospice nursing, is preferred

Education: Graduation from an accredited school of nursing is required

Licenses / Certifications: Registered nurse with current licensure to practice professional nursing in New York State, CPR certification

Other: The individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials.

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