at Northern Counties Health Care in St. Johnsbury, Vermont, United States
Job Description
Job Summary:
The Home Health & Hospice Nurse plans, organizes and directs home care and hospice services and is experienced in nursing, with emphasis on community health education/experience. The Home Health & Hospice Nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
Supervisory Responsibilities:
This position has no direct supervisory responsibilities.
Essential Job Functions/Responsibilities:
A. PATIENT CARE
- Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es).
- Regularly re-evaluates patient nursing needs.
- Initiates the plan of care and makes necessary revisions as patient status and needs change.
- Uses health assessment data to determine nursing diagnosis.
- 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.
- Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. Provides direct patient care as defined in the State Nurse Practice Act.
- Counsels the patient and family in meeting nursing and related needs.
- Provides health care 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 Nurse Manager and assumes responsibility to coordinate patient care for assigned caseload.
B. COMMUNICATION
- Prepares clinical notes and updates the primary physician when necessary and at least every 60 days.
- 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.
C. ADDITIONAL DUTIES
- Participates in on-call and holiday duties.
- Ensures that arrangements for equipment and other necessary items and services are available.
- Instructs, supervises and evaluates home health aide care provided in accordance with state and federal regulations.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
To view full details and how to apply, please login or create a Job Seeker account