LPN/RN

LPN:

Provides nursing services in the patient’s home in accordance with agency standards and applicable laws and regulations. Ensures that patients receive the highest possible quality of care.

Ensures quality and safe delivery of home health care services.
• Implements current nursing practice.
• Fulfills additional performance responsibilities as assigned and as necessary.
• Promotes effective written/verbal communication.
• Gives accurate information to clients and client families regarding costs for home health care services.
• Provides information regarding equipment and supply needs of the home health. Care agency.
• Uses equipment and supplies effectively and efficiently.

• Participates in salary programs following approved home health care agency policies and procedures.
• Complies and home health agency policies and procedures.
• Promotes and maintains an agency environment that is in compliance with federal state, and local regulatory agencies
• Promotes education for home health care staff members.
• Promotes education for clients, client families, and the community.
• Participates in personal professional growth and development.
• Completes all required documentation in accordance with the standards of the agency, and regulatory requirements.
• Works effectively with the medical staff, other members of the health care team and administrative personnel. Maintains a cooperative working relationship.

RN: 

The skilled nurse is responsible for the delivery of patient care services through coordination, implementation, and supervision of the patients. The skilled nurse follows the POT and supervises the staff delivering care. The skilled nurse participates in quality improvement activities within the Agency promoting overall compliance with State and Federal guidelines and professional standards of practice.

Demonstrates leadership and provides direction to members of the patient care team through case management of patient home health episode of health care. Case management of patient services including:

·      Intake and coordination of a referral form an acceptable referral source.

·      Initial in home evaluations and/or assessment.

·      Establish the patients individualized treatment and medical record baseline.

·      Collaborate with physicians, other agency staff: and contract services to coordinate and implement the POT.

·      Supervises the implementation of the POT and the quality of care delivered to the patient.

·      Provides in home supervision of Home Health Aide Services at least every 14 days for patient receiving aide services and documents the visit in the medical record.

·      Provides supervision of LPN’s assigned to patient caseload, through directing the implementation and evaluating the effectiveness of the nursing care and patient’s plan of treatment.

·      Re-evaluating the patient plan of treatment at least every 60 days, and when there is a change in the patient condition, and after a hospital stay, and a time of discharge revising the Plan of Treatment as needed to achieve patient goals.

·      Documents direct patient services, coordination and collaboration with physician and other disciplines or provides in the care of the patient, ensuring document is complete, and complies with acceptable home health standards and Agency policy.

·      Facilitates active and effective communication with team members as demonstrated through leadership of patient case conferences staff education or in services, and timely clinical decisions which provide guidance in the delivery of patient care.

·      Documentation is timely and meets professional standards of practice, establishes compliance with state regulations and Medicare conditions of participation.

·      Reviews caseload charts documentation at least every 60 days to ensure compliance assess patient progress and effectiveness of care delivery in meeting patient goals.

·      Provides patients and staff supervision 24 hours a day when assigned on-call.

·      Collaborating with leadership/management team and office staff to facilitate timely office processing of paperwork and personnel information.

·      Actively participates in Agency quality improvement activities.

·      Promote the Agency and services to the public, participate in physician and community education related to services provided by the agency as skilled.