Registered Nurse
In-Home Services
Job Summary:
Under the direction of the Director of In-Home Services, provides in-home care to the participants of PACE. As directed by the Director In-Home Services performs initial or annual assessments of participants in their home care environment and coordinates plan of care with appropriate resources. Reviews plan of care and evaluate participant compliance. Provides skilled assessments, treatments and health education for participants’ medical record with thorough documentation. Communicates participants’ changes and progress to appropriate staff.
Qualifications and Requirements:
Education:
- Graduate of a professional nursing school.
- Current Registered Nurse license
- CPR certification required
- BSN preferred.
Experience:
- A minimum of one year’s experience in working with the frail or elderly population required.
Skills and Knowledge:
- Broad knowledge base of health care problems of the frail elderly.
- Knowledge of medical equipment and instruments.
- Knowledge of common safety hazards and precautions to establish a safe working environment.
- Skilled in identifying problems and recommending solutions.
- Skilled in preparing and maintaining records and writing reports, and responding to correspondence.
- Skilled in developing and maintaining department quality assurance.
- Skilled in establishing and maintaining effective working relationships with participants, medical staff, staff members and family caregivers.
- Ability to react calmly and effectively in emergency situations.
- Knowledge of home care services nursing principles and practices, with particular reference to the elderly.
Physical Demands and Working Conditions:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. In compliance with ADA requirements, reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Work Environment:
Employee must be able to work effectively within an interdisciplinary team model, interfacing and collaborating with a wide range of clinical and social services disciplines who work together to manage the PACE participants’ care. The work setting is in an Adult Day Health Center and primary care clinic environment with moderate noise levels and controlled temperatures.
Physical Requirements:
Requires manual and finger dexterity and eye-hand coordination; the ability to use department equipment; and the ability to lift/carry up to 30 pounds using appropriate body mechanics with reasonable accommodation if needed.
Visual, Hearing and Communication Requirements:
Requires corrected vision and hearing to normal range, with or without reasonable accommodation. Ability to communicate by way of the telephone with participants, customers, vendors and staff.
Pressure Factor:
Requires working under stressful conditions. Working conditions may be noisy and crowded and fluctuating indoor temperatures. Moderate pressure to meet scheduled deadlines. Potential for exposure to verbal aggression by client, vendors, and staff.
Environmental Conditions:
May be exposed to a risk of bodily injury through contact with moving instrumentation, toxic substances, medicinal preparations, bodily fluids, communicable diseases and any other conditions common in a healthcare environment. Subject to unpleasant odors.
Duties and Responsibilities:
- At the direction of the Director of In-Home Services performs initial assessments of participants’ in their home environment to determine their individual needs and coordinates plan of care with care-giving resources. Coordinates with the interdisciplinary team to develop care plan for each participant.
- At the direction of the Director of In-Home Services performs annual re-assessments of all PACE participants to determine that appropriate in-home services are provided and that participants are in the least restrictive environment.
- At the direction of the Director of In-Home Services performs quarterly supervisor visits to Home Health Aides.
- Provides skilled supportive and restorative nursing care to participants as ordered, re-evaluating their care plan and health status on an on-going basis.
- Maintains participants’ medical record and fulfills agency charting and reporting requirements.
- Re-evaluates the In Home Services care plan and monitors participants’ health status in home.
- Provides skilled supportive and restorative nursing care to participants as ordered/ requested.
- Serves as a member of the Multi-disciplinary Team, attends meetings as appropriate
- Monitors medication compliance, administers medications and provides training in self-administration of all non-scheduled meds.
- Provides health counseling to participants and their families on an individual or group basis.
- Participates in the coordination of personal care activities of all participants in the home.
- Follows all PACE ORGANIZATION Policies and Procedures and OSHA safety guidelines.
- Maintains the confidentiality of all company procedures, results, and information about participants, clients or families.
- Handles potentially infectious specimens with appropriate biohazard precautions, and practices Universal precautions.
- Maintains safe working environment. Follows PACE ORGANIZATION Safety Policies and Procedures and Universal Precautions.
- Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.
- Performs other duties as required or requested.