The Registered Nurse is a licensed health care professional with advanced medical knowledge who administers skilled nursing care to patients requiring intermittent visits. She/he provides complex care to the patient and coordinates necessary support services. These nursing services are provided to patients in accordance with a physician’s plan of care. Registered Nurses who serve as primary nurses utilize a case manager approach in assessing, implementing, coordinating and evaluating client care. Additionally, the Registered Nurse manages other members of the nursing team.QUALIFICATIONSRegistered professional nurse with a current valid Pennsylvania licenseMinimum of two [2] years of current experience as a professional nurse in a medical/surgical work area and one [1] year of home health experience (preferred)Skilled in critical thinking, communication, negotiation and collaborationReliable, independent means of transportation to make home visits. Drivers must have a valid driver’s license and drive a vehicle with insurance limits as established by the stateDUTIES AND RESPONSIBILITIESClinical SkillsProvides skilled nursing care that includes activities such as teaching, treatments, (including IV therapy, venipuncture, complex wound care) and health promotion practicesExecutes preventive, rehabilitative and restorative nursing procedures appropriate for the patient’s care and safetyAssesses signs and symptoms in conjunction with reporting reactions to treatments, including drugs, and changes in patient’s physical, mental, or emotional condition to the physicianDevelops the plan of care collaboratively with the physician, patient, designated representative, and the agency with revisions made based on patient conditionInstructs and counsels the patient and the designated representative regarding the care requirements of the patient in the homeAssigns and instructs the Licensed Practical Nurse (LPN) or home health aide in accordance with the physician’s plan of careSupervises and evaluates the care given by the home health aide to his/her primary patients every 14 daysSupervises and periodically evaluates the care given by the LPN to his/her primary patients to ensure oversightEvaluates and manages LPNs and home health aides who are providing services to his/her primary patientsObtains a medical history, particularly as it relates to the present condition, from the patient and/or designated representative at the start of care.Conducts a comprehensive physical examination and nursing assessment of the patient at each skilled visitEvaluates the patient and the home situation to determine the health teaching required at each skilled visitEvaluates the patient’s condition and home situation to determine what assistance will be available from the designated representative in caring for the patientCoordinates total patient care serving as the primary nurse for designated patients and evaluating the effectiveness and the appropriateness of careInterprets nursing and other services of the agency to the patient and designated representative as part of planning for careServes as the primary agency liaison and coordinator of care when nursing and other services are providedPlans with the patient, designated representative, and other team members for the patient’s discharge from serviceMeets with the interdisciplinary team routinely to ensure coordination of care and to update the plan of care as appropriateMeets with Clinical Supervisor or Case Manager weekly for an evaluation of patients under his/her care.