The Role
Provides skilled intermittent nursing care in patients' homes per physician orders and plan of care. Conducts evaluations, develops and revises care plans, documents visits, coordinates with interdisciplinary team, supervises LPNs and aides, completes OASIS assessments, participates in quality management, and takes on-call shifts nights/weekends/holidays.
Summary Generated by Built In
A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager.
- Provides services in accordance with the plan of care.
- Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses eligibility and homebound status and develops the plan of care in coordination with other IDT members.
- Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients’ needs.
- Initiates the plan of care and necessary revisions.
- Furnishes those services requiring substantial specialized nursing skill.
- Initiates appropriate preventive and rehabilitative nursing procedures.
- Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
- Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
- Informs physician and other personnel of changes in the patient’s condition and needs.
- Counsels the patient and family / significant others in meeting nursing related needs.
- Participates in in-service programs, supervising and teaching other nursing personnel.
- Understands and adheres to established Agency policies and procedures.
- Processes orders and notifies physician of patient needs and changes in condition. Completes certification / recertification orders and discharge summaries.
- Determines the amount and type of nursing needed by each individual patient.
- Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
- Supervises the LPN/LVN every 30-days and supervises the HHA /CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
- Assigns home health aides to specific patients with written patient care instructions.
- Conducts patient care conferences on patients assigned to his/her care.
- Participates in peer review and quality management as assigned.
- Participates in utilization review of medical records as assigned.
- Gives total patient care as needed.
- Takes on-call duty nights, weekends and holidays as assigned.
- Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
- Appropriately utilizes ICD-10 diagnoses and codes.
- Observes confidentiality, safeguards all patient related information.
- Attends staff meetings and patient care conferences as scheduled.
- Completes documentation and paperwork in a timely manner per Agency policy.
- Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
- Demonstrates competent performance of technical skills according to established procedures.
- Understands and adheres to established policies and procedures.
- Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
- Maintains acceptable attendance status, per Agency policy.
- Reports all incomplete work assignments to Clinical Manager.
- Appearance is always within Agency standard; is clean and well-groomed.
- Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.
- Maintains clean and neat work environment.
- Demonstrates sound judgment, critical thinking and decision making.
- Maintains current CPR certification.
- Performs other duties as assigned.
- Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.
- One (1) year nursing experience, preferred.
- Acceptance of philosophy and goals of this Agency.
- Ability to exercise initiative and independent judgment.
Skills Required
- Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing
- Maintains current CPR certification
- Ability to exercise initiative and independent judgment
- Acceptance of philosophy and goals of this Agency
- One (1) year nursing experience
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The Company
What We Do
Canyon Home Care & Hospice is a provider of comprehensive home-based medical services, including skilled nursing, rehabilitation therapy, hospice care, and pediatric support. Their mission is to deliver high-quality, compassionate care to patients in their homes, assisting with recovery from surgery, chronic disease management, and end-of-life support through a multi-disciplinary team approach that prioritizes patient comfort, dignity, and quality of life.
