About the role
JOB DE S CRIP T I O N SUM M ARY :
The Start of Care Registered Nurse plans, organizes a n d directs h o me health care and is ex p erienced in nursing, with em p hasis on commu n ity healt h educati o n/experience. Th e pr o fessional n urse buil d s fr o m the res o urces o f t h e c o mm u nity to p lan and direct services to meet t h e needs o f in d ivi d uals and families wit h in t h eir h o mes and commu n ities. The Registered Nurse will be de d icated to the Missio n , Values and C are C o mmitments of Signature Healthcare at H o me and embrace and demonstrate our mission: “ T o Enha n ce Th e Life O f Ev e ry P erson We S erve. ”
ESSENTIAL JOB FUNC T I O N S /RESPON S IBILI T IES :
Patient Car
e
Provides p rofessio n al n ursing care by utilizing all elements of n u rsing p rocess a n d as defined in the state N u rse P ractice Act. Develo p s a care plan that establishes i n terventi o ns an d goals. Incl u des the patient and t h e family/caregi v er in the planning p rocess. Wor k s with i n take, cli n ical manager, and/or DPS to c o ordi n ate patient start of care in a timely manner .
Educates p atient/caregiver regar d ing regulatory comp o nents f o r h o me health admissi o n. Documentation o f t h is education will b e c o m p leted in the patient’s medical rec o rd .
Obtai n s c o nse n ts for home health ser v ices. Completes an i n itial com p rehensive assessment o f patient and caregiver/livin g situation to determine care nee d s. Completes a comprehensi v e medication review an d reconciliation. Sets up an in d ivi d ual emer g ency p reparedness plan. Establishes t h e i n itial indi v idualize d plan of care in collaboration with the certifyi n g medical p ro v ider based on com p rehensive assessment and patient goals. Admission documentation is c o mpleted within 24 ho u rs. Attends required staff meetings, i n terdisci p linary team meetings and care coordi n ation acti v ities. Revi s ed 6.1.2 0
Sig n at u re H e al t hca r e at H ome
Addition a l Duties Participates in o n-call d u ties as defined by t h e on-call policy. Ensures that arrangements for equi p ment and ot h er n ecessary items and ser v ices are available. Super v ises a n cillary p ersonnel and delegates respo n si b ilities w h en required. Coordinates p atient care in tandem w ith C ase Ma n ager as assi g ned by Clinical Manager. Assumes resp o nsibility for personal gro w th and devel o pment and mai n tains and upgrades professional kno w ledge a n d practice skills t h rou g h attendance an d participation in contin u ing educati o n and in-service classes. Fulfills the obligati o n of requested and/ o r accepted case assig n ments. Acti v ely partici p ates in quality assessment perf o rmance impr o vement teams a n d activities or ot h er committees as assigned. May b e required to work o utside of desig n ated geographical area based on census fl u ct u ations and current staffin g . Completes mandat o ry education requirements annuall y to maintain com p etence .
May b e required to v isit p atients in h o mes that are not clean, or in p oor repair, have poor ventilation , are infested with insects or rodents, and secon d hand smoke. Driving conditi o ns may be difficult related to weat h er and/ o r traffic. Mai n tains knowledge o f and adheres to all applica b le laws, r u les , and standards. Participates in the orientation of n ew emplo y ees and precept o rship o f students as assigned. Meets p roductivity expectations. The Start o f Care Registered Nurse m a y be a sked to com p lete ot h er d u ties in c l u ding s tand a rd nu r sing visits an d /or RN case ma n agement d epen d ing on current agency nee d s. Th e se d uties are as follows: Patient C a re Completes on g oin g comprehensive assessment of patient and family to d etermi n e care nee d s. Provides a c o mplete physical assessment and hist o ry o f current and previous illness(es). Assesses and eval u ates patient’s status by: Regularl y re-eval u ating p atient and famil y /caregiver n eeds . Participati n g in revising the plan of care as p atient stat u s and n eeds cha n ge in collaboratio n with the certifying medical provider. Develo p s a care plan that establishes preve n tati v e and reha b ilitative nursin g pr o cedures. Inclu d es the patient and the famil y /caregiver in the planning process. Revi s ed 6.1.20 Develo p s a care plan that establishes i n terventi o ns an d goals. Incl u des the patient and t h e family/caregi v er in the planning p rocess. Wor k s a u ton o mo u sly to initiate appropriate preventive and reha b ilitative nursing procedures. Admi n isters medicati o ns a n d treatments as p rescribed b y the medical p ro v ider i n t h e plan of care. Involves the patient and family/caregiver to address n eeds and meet related goals. Provides h ealth care i n structio n s t o t h e patient as appr o priate per assessment and p lan. Facilitates the patient’s eff o rts toward self-sufficiency or o b tainin g appropriate caregi v ing. Acts as Case Manager when assigned by Cli n ical Manager and ass u mes responsi b ility to coor d inate patient care for assigned casel o ad. Communication Documents patient ser v ices and status timely and accurately within professional practice standards and reimb u rsement requirements. Recor d s pain/sympt o m management changes/o u tcomes as appr o priate. Communicates with the medical p rovider regar d ing the patient’s nee d s an d reports chan g es in t h e patient’s conditio n ; o b tains/receives medical p ro v ider orders as required. Teaches the patient and family/caregiver self-care techniques as ap p ro p riate. P r o vides medication, diet and ot h er instr u ctions as or d ered by the medical p rovider and recognizes and utilizes opportu n ities for healt h counseling w ith patients and families/caregivers. Wor k s in concert with t h e inter d isci p li n ary team .
Assists the patient and family/caregi v er and other team members in p roviding continuity o f care. The abo v e statements are i n tended to be a representati v e s u mmary o f the major duties and resp o nsibilities performed by i n cumbents of t h is job. T h e incumbents may be requested to perform j o b-related tasks other t h an those stated i n t h is descri p ti o n. PO S ITION QUA L IFICA T I O NS :
Graduate of an accredited school of n u rsing. O n e ( 1 ) to two ( 2 ) years of recent acute care experience in an instit u tio n al setting, and one (1) to two ( 2 ) years of rece n t experience in home health preferred .
Current licens u re in S tate(s) of p lanned practice and C PR certification. Must be a lice n sed d river w ith an a u tomo b ile t h at is insured in acc o rdance with state a n d/ o r organization requirements and is in g o od wor k ing order. Excellent o b servation, ver b al and written commu n ication skills, problem solvi n g skills, basic math skills; n u rsing skills per Self-directed and able t o work with mi n imal super v ision. Capable of pr o lon g ed or considerable w a l k ing o r standing. A b le to lift, p o sitio n and/or transfer patients. A b le to lift supplies and equi p ment. Capable of consi d erable reaching, st o oping b ending, kneeling, and/or cro u ching . Possesses visual ac u ity and hearing to p erform required nursi n g skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ht