Job Description - Home Health Registered Nurse

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HOME HEALTH REGISTERED NURSE
Job Description –
Position Summary:
Under the general supervision of the Clinical Nurse Manager, the Home Health
Registered Nurse is responsible for providing quality home health services to clients
referred to the agency. Through competent application of the nursing process and use of
accepted best nursing practices, the RN provides and directs the provision of home health
nursing care based on agency policies and procedures and state and federal mandates for
a Medicare certified home health program.
Reports To: Clinical Nurse Manager
Supervises: Home Care Aides and/or Homemakers, Licensed Practical nurses as assigned
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Make the initial evaluation visit to the patient and provides those services requiring
substantial and specialized nursing skill in accordance with the plan of care, signed by the
physician.
2. Demonstrates competency in all skills required for the agency including but not limited to
venipunctures, infusion therapy, infusion therapy device care, wound care, and aseptic
technique.
3. Evaluates and regularly re-evaluates the nursing needs of the patient; initiates, develops,
implements and makes necessary revision to the patient’s plan of care. Assesses the
patient’s continual care needs. Addresses all problems identified in the comprehensive
assessment in the plan of care or provides evidence of a rationale for not doing so.
4. Initiates diagnostic, preventive and rehabilitative nursing procedures as appropriate to the
patient’s care and safety. Makes referrals to other disciplines as indicated by the needs of
the patient or documents rationale for not doing so.
5. Observes signs and symptoms and reports changes in the patient’s condition to the
physician and/or other appropriate health professionals as often as needed.
6. Teaches, supervises and counsels patients and family regarding home health nursing
procedures and other care needs as appropriate to the patient’s conditions. Utilizes
educational materials as appropriate.
7. Coordinates the plan of care and maintains continuity of patient care by acting as liaison
with other health professionals assigned to the same patients.
8. Delegates tasks for which she or he believes the other health care worker has the
knowledge and skill to perform, taking into consideration training, cultural competence,
experience and agency policies and procedures.
9. Participates in all aspects of care, including an ongoing multidisciplinary evaluation and
development of the plan of care. Initiates patients care conferences for complex and/or
multidisciplinary patients whenever needed or helpful to ensure good coordination of
care.
10. Supervises and teaches home health aide and Licensed Practical Nurse per policies;
assesses patient’s need for unskilled care and revises plan of care as appropriate.
Communicates plan of care changes to aide, LPN and scheduler as necessary.
Revised: 7/2013

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