Jobs for People with MS: National MS Society

TruVine Home Care has immediate openings for Registered Nurses!

Duties: To provide nursing care, in accordance with the patient's plan of care, to include comprehensive health and psychosocial evaluation, monitoring of the patient's condition, health promotion and prevention coordination of services, teaching and training activities, and direct nursing care. 

*Responsibilities: *

• Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound prevention practices, coordinating services, and teaching and training activities. 
• Evaluate the effectiveness of nursing service to the patient and family, on an ongoing basis.
• Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient. 
• Prepare and present patient's record to the Clinical Record Review Committee, as indicated.
• Consult with the attending physician concerning alterations of Patient Care Plans, check with the appropriate supervisor and make changes, as appropriate.
• Coordinate patient services. 
• Submit a tally of patient care visits made each day.
• Participate in care conferences, discuss, with the supervision, problems concerning the patients, and how they may be best handled.
• Discuss, with the appropriate supervisor, the need for the involvement of other members of the health team, such as the Home Health Aide, Physical Therapist, Speech Therapist, Occupational Therapist, Medical Social Worker, etc.
• Obtain orders for home health aide service and submit a referral to the appropriate personnel.
• Participate in the patient's discharge planning process. 
• Cooperate with other agencies providing nursing, or related services, to provide continuity of care and to implement a comprehensive care plan. 
• Participate in staff development meeting. 
• Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations, and individual research and reading.
• Participate in the development, and periodic revision, of the physician's Plan of Treatment and processes change orders, as needed.
• Submit clinical notes, within forty-eight (48) hours, and progress notes and other clinical record forms outlining the services rendered. 
• Maintain on-going knowledge of current drug therapy.
• Adhere to Federal and State accreditation requirements, including Medicare and Medicaid regulations.
• May be requested, by Clinical Manager, to fill in for other nurses.

Coordination of Patient Admission to Agency:

• Conduct an initial on ongoing comprehensive assessment of the patient's needs, include Outcome and Assessment Information Set (OASIS) assessments, at appropriate time points. 
• Teaching, supervising, and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home. 
• Supervise and evaluate the care given by the Home Health Aide, as needed, and at a minimum, once every 14 days. 
• Submit, to the appropriate department / individual, a written evaluation of the Home Health Aides who are providing service to the patients in his/her geographical area.
• Participate in periodic conferences, with the Home Health Aide supervisor, concerning the Aide's performance. 
• Chart those services rendered to the patient, by the staff nurse, and changes that have been noted in the patient's condition and / or family and home situation; make revisions in the nursing care plan, as needed: record supervisory visits conducted with the Home Health Aide; evaluate patient care and progress; and close charts of discharged patients.
• Evaluate the effectiveness of nursing service to the individual and family.
• Consult with the attending physician concernin alteration of the plan of treatment, in consultation with the supervisor.
• Discuss, with the supervisor, problems concerning the patients and possible resolution. 
• Provide guidance and supervision to the LPNs and supervise the LPNs once monthly. 
• Participate in staff development meetings. 
• Participate in the educational experiences for student nurses. 
• Participate in the planning, operation, and evaluation of the nursing service.
• Obtain a medical history from the patient and/or a family member, as it relates to the present condition.
• Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
• Evaluate the patient, family member(s), and home situation to determine what health teaching will be required.
• Evaluate the patient's condition and home situation to determine if the services of a Home Health Aide will be required and the frequency of this service.
• Explain nursing and other agency services to patients and families, as part of planning for care.
• Develop and implement a nursing care plan.
• May be requested, by the Clinical Manager, to fill in for other nurses who are on vacation or ill.

Skilled Nursing Services:

• Nursing services, treatment, and preventative procedures, requiring substantial specialized skill, and ordered by the physician.
• The initiation of preventative and rehabilitative nursing procedures, as appropriate for the patient's' care and safety.
• Observing signs and symptoms and reporting the physician reactions to treatments, including drugs, as well as changes in the patient's physical or emotional condition.
• Submit clinical notes, within forty-eight (48) hours, and progress notes, and other clinical record forms outlining the services rendered, as indicated.
• Prepare the care plan for the Home Health Aide.

Job Conditions:

• Must have driver's license and be willing and able to drive to patient residences.
• The ability to access patient's homes, which may not be routinely wheelchair accessible is required. Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care.
• Physical activities will include walking, sitting, stooping, standing, and minimal to maximum lifting of patients and the turning of patients.
• The ability to communicate, by telephone, both verbally and in writing, is required.
• Will have access to all patient medical records, personnel records, and patient financial accounts, which may be discussed with the Clinical Manager.

Equipment Operation:

• Thermometer, B/P cuff, glucometer, penlight, handwashing materials.

Qualifications:

Must be a graduate from an accredited School of Nursing.

Must be licensed in the state as a Registered Nurse and licensed to practice professional nursing under the Professional Nursing Law (63 P. S.211 225.)

One, or more, years of experience in a community / home health agency, or in a hospital setting, is