RN Primary MNA

Cape Cod Healthcare Inc. Plymouth , MA 02361

Posted 2 months ago

  • Responsible for direct patient care for assigned patients

  • Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly.

  • Utilizes clinical grouping guidelines including guidelines for appropriate interdisciplinary utilization to capture and data enter the initial visit frequency

  • Ensures OASIS assessment accurately reflects documentation and vice-versa.

  • Updates the Clinical Manager regarding referrals to community resources as appropriate.

  • Participates in inter-disciplinary patient case conferences; assists in evaluating effectiveness of established plan of care.

  • Instructs and provides documented supervision of the Home Health Aide plan of care every 14 days.

  • Notifies MD/other involved care providers and Clinical Team Manager of significant changes in the patient's condition.

  • Completes admission and other paperwork on a timely basis.

  • Records narrative documentation to reflect skilled care. Documentation is clear, concise, complete and captures and addresses the specifics of teaching, direct care and response of patient / caregiver.

  • Obtains and clarifies valid MD orders for all care delivered.

  • In collaboration with Clinical manager and interdisciplinary team, plans and coordinates discharges appropriately and informs patient/MD and records disposition of patient in the discharge summary. Completes all appropriate discharge paperwork.

  • All other duties as assigned.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA's commitment to CARES: compassion, accountability, respect, excellence and service.

  • Current RN license in Mass. and other related credentials to meet specialty.

  • Minimum one (1) year of nursing experience required or 6 months of nursing experience with a BSN.

  • CPR certification required.

  • Home care and IV experience, computer skills and BSN preferred.

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