VNA RN SKILLED

Covenant HealthCare

Summary:
The R.N. demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Keeping our Promise of Caring. This individual is responsible for practicing professional nursing activities in accordance with the planned programs of the agency and Michigan licensure regulations. The R.N. is responsible for Home Care Technician and Licensed Practical Nurse supervisions.

Responsibilities:
Contributes to organization success targets for patient satisfaction and net operating margin
Identifies physical and psychosocial problems through assessment and evaluation of the client and medical record review
Develops, implements, and revises the client's plan of treatment as necessary to work toward expected outcomes and goals
Functions as case manager to coordinate continuity of care utilizing inter and intra-agency resources
Utilizes the nursing process to provide skilled nursing care and prescribed treatments
Teaches clients and caregivers appropriate care procedures and health management measures with gradual transference of responsibilities
Maintains chart records and completes documentation in accordance with agency requirements and procedures
Supervises and directs activities of Home Care Technician and Licensed Practical Nurse
Participates in staff meetings and serves as member of agency committees and task forces
Assists in orientation of personnel and serves as preceptor for nursing students
Participates in Performance Improvement programs
Participates and assists with agency's educational programs
Evaluates and manages client calls during "on-call" rotation in an efficient and effective manner
Evaluates own performance and plans for continuing professional growth
Participates in procedure and policy formation
Represents agency in a professional manner and participates in case finding
Evaluates the client’s condition, teaching and training activities in self-administration of medications given intravenously, subcutaneously, or intra spinally, and direct provision of nursing care including:
Assess the environment including safety, adequate refrigeration, storage, and cleanliness
Initiate the plan of treatment and necessary revisions
Administer infusion therapy according to physicians orders
Perform venipunctures and insertion of intravenous needles and catheters
Prepare infusion solutions with the additions of medications
Initiate, monitor and terminate infusion solutions and additives along with physical IV apparatus and dressing
Establish flow rates (if not done by the physician)
Initiate appropriate preventive nursing procedures
Prepare clinical and progress reports
Provide service in accordance with reimbursement, ethical and legal guidelines
Inform the physician and other personnel of changes in the client’s needs
Evaluate client total care needs on an ongoing basis
Train client and/or caregiver
Assess the ability of client and/or caregiver to manage when staff is not present
Plan for the client’s discharge from service