Registered Nurse - DOH

Job Summary :

Provides direct patient care to an adult or pediatric patient at the home setting. To carry out clinical practice ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions, and evaluations for patients are provided from admission through to discharge.

Job Responsibility :

· Assesses initially the patient’s condition and family to determine home care needs and identify a complete physical assessment and history of current and previous illness (es).

· Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.

· Review and updates as needed the comprehensive assessment, clinical notes, Physician Summaries, Plan of Care, and communicate patient status changes and updates to the primary physician regularly.

· Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.

· Uses health assessment data to determine nursing diagnosis.

· Follows the medication rights to reduce the potential for medication errors

· Monitors the patient’s progress toward goals; collaborates with the multidisciplinary team to promote patient safety and compliance to the Plan of Care.

· Initiates appropriate preventive and clinical nursing procedures. Administers medications and treatments as prescribed by the physician.

· Provides skilled care and instructions to the patient as appropriate per assessment and plan of care.

· Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

· Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

· DOH/HAAD License as Registered Nurse

· Familiar and experienced with DOH-HAAD policies and procedures

· Broad knowledge of evidence-based practices