Responsible for planning, coordinating and documenting care for an assigned caseload of patients. Utilizing physicians' orders and professional skills the Home Health RN in conjunction with the home health care team develops and implements a home health plan that meets each patient's specific needs and is in compliance with federal and state regulations, reimbursement guidelines as well as agency policies and procedures. Participates in performance improvement and continuous quality improvement (CQI) activities.
DUTIES AND RESPONSIBILITIES:
Develops a written plan of care for each patient based upon indications obtained by including completing a comprehensive OASIS Assessment on all clients who meet OASIS requirement regulations.
Provides skilled nursing care as ordered by prescribing physician.
Assesses patient's condition, initiates plan of care, re-evaluates and updates as necessary.
Ability to adequately assess and reassess pain utilizing a formal standardized pain assessment tool. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
Obtains all necessary physician orders and collaborates with the physician as the patient's needs dictate.
Participates in case conferences to discuss multidisciplinary team responsibilities, patient progress, plans for continued care, new problems, etc.
In coordination with scheduler and other disciplines involved in the delivery of care, plans patient discharge from the agency. Recommends referrals for alternative level of care if necessary.
Recommends to physician needed referrals to other disciplines and/or community resources.
Obtains needed supplies and equipment to provide care.
Performs patient care responsibilities considering needs specific to the standard of care for patient's age, pediatric through geriatric.
Plans with the physician to implement changes to improve patient care.
Reports changes in patient's physical and emotional health to the physician.
Communicates patient's data and observations verbally and through documentation.
All documentation, charting and agency forms are completed in the designated time.
Demonstrates knowledge of medications and their correct administration based on age of patient and patient's clinical status.
Addresses and supports cultural practices as long as these practices do not harm the patient/family or interfere with the planned course of medical treatment.
Adheres to all agency, billing and documentation policies and procedures.
The registered nurse will see 4.5 to 5 clients per day as a measure of productivity.
Start of care/Resumption of care assessments counts as 1.5 visits
All other OASIS assessments count as 1 visit (presuming a visit is completed) 1) Discharge OASIS; 2) Recertification other follow up; 3)Transfer; 4) Death at home
Daily visits count as 1 visit
The registered nurse will be responsible for all components of the home health paperwork. This paperwork will need to be completed in a timely manner. Daily notes are to be handed in daily. OASIS assessments need to be completed and handed in within 48 hours. The paperwork will need to be accurate and reflect the treatment modalities, and the client's response to the prescribed treatment. Accurate paperwork will be described as five percent or less error margin. Paperwork includes but may not be limited to; 1) OASIS assessments 2) Daily notes 3) Sixty day summaries; 4) Case conference documentation; 5)Interim orders; 6)Discharge summaries 7) Medication profiles 8) Nursing narrative notes
Teaches, supervises and counsels the patient and family members regarding nursing care needs.
Follows up with obtaining lab results and notifies the physician of any significant changes.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Adheres to dress code.
Completes annual educational requirements.
Maintains regulatory requirements.
Wears identification while on duty.
Maintains confidentiality at all times.
Attends department staff meetings as required within the department.
Reports to work on time and as scheduled; completes work in designated time.
Represents the organization in a positive and professional manner.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards
Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department.
Complies with Benefis Health System Organization Policies and Procedures.
Complies with Health and Safety Standards and Guidelines.
Licensed Registered Nurse in the state of Montana.
One year acute care nursing experience.
Prior experience in home health preferred.
Valid state driver's license, current automobile insurance and reliable automobile.
As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees.Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ and ‘confidence’.Benefis has been a trusted provider of care for more than 125 years. And our name speaks to o...ur commitment: good care one can put faith in.Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.