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Registered Nurse (RN) - HomeCare
Location:
Saint Paul, MN
Description:
Episcopal Homes of Minnesota is a leader in senior care services for 122 years. We offer homes and services for people in Independent Living, Assisted Living, Memory Care, and Skilled Care centers in the Midway area of St. Paul. We complement our homes with a home care service, foundation, a management company and a robust campus life program that provides a fitness center, pool, theater, 1st class dining room, pub and special events. Job Summary: The role of the RN is to ensure that the health and safety of all clients are met through assessments and reassessments of the clients, development and implementation of appropriate service plans and plans of care, monitoring of clients' services, supervision of home care staff and on-going training of home care staff and determining they are competent prior to delegating tasks to them. The RN will ensure that staff is trained in nursing procedures and policies which are current and up to date. The RN will also ensure that the home care services are in compliance with current regulations and standards. Must be able to relate professionally with clients, staff and family members, display a positive work attitude and be able to work as a team with other staff members. Essential Functions: Completes initial, face to face comprehensive assessment of prospective/new clients and develop a proposed service plan [for housing-with-services establishments, prior to the date on which a client signs a residency agreement or moves in, if possible]. The assessment must be completed within five days of initiation of our services, and prior to the initiation of any delegated nursing tasks. Monitors and reassess clients no more than 14 days after initiation of services. Thereafter, monitors and reassesses client as needed based on changes in the clients' needs, with the monitoring and reassessment not to exceed 90 days from the date of the previous monitoring/reassessment. Develops, reviews and implements service plans with all new clients. Reviews and revises service plan as needed due to changes in clients' needs and a minimum of once every 12 months. The RN will review any needed changes to the service plan with the client and/or the client's representative. Assures clients have up-to-date care plans that address their needs and preferences, including interventions to address any areas of vulnerability and individualized medication management or treatment or therapy management plans. Reassesses the client and modifies the service plan if necessary whenever the client has a fall or other incident, whenever there is a significant change in the client's condition or if the client or the client's representative requests a change in services. Responsible for educating clients and clients' representatives about advance directives, medications, safety of side rails or assistive devices, potential hazards in the home and other relevant information. Monitors and maintains client's clinical chart and clinical progress notes. Communicates with physicians and other personnel (e.g., case manager or care coordinator) regarding changes in client's needs or conditions. Facilitates coordination of client's home care services with other service providers, such as hospice, and transitions to the hospital or nursing home. For any client receiving assistance with medications, the RN is responsible for medication management services identified in the individualized plan, such as setting up or ordering medications and as well as any necessary follow-up with physicians regarding medications and/or medical conditions. Assures all physicians orders are signed and implemented on a timely basis consistent with the client's needs and condition. Assures that proper systems, policies and procedures are developed and implemented correctly by licensed and unlicensed staff regarding the storage, set up, administration and disposal of medications, including systems to control controlled medications. Assures that clients' medication records are up to date, that medication administration procedures are followed properly, investigates any errors and issues with staff, and implements corrective action plans as needed. Reviews each client's medication record regularly for consistency with medication orders and with agency documentation policies. Communicates in client's record any information that staff needs to know and reviews staff communications (written, voice mail or other) on a timely basis each work day. Documents disposal of medication per our agency procedure and the client's individualized medication management plan. Provides direct supervision of new licensed and unlicensed staff within 30 days of date the staff person begins work and thereafter provides direct supervision on a schedule consistent with the staff person's experience and performance to assure that procedures are followed accurately and that the client's needs are being met. Directly supervises LPNs' and unlicensed staff's performance of delegated nursing services. Conducts evaluation of staff performance of delegated nursing services in coordination with the home care director through appropriate documentation and consistent with agency personnel policies for performance reviews. Re-train or discipline staff as needed for non-compliance with job performance or agency policies and procedures. Works as a team player with all members of the client's care team. Is responsible for implementing the agency's infection control plan, universal precautions, and TB prevention plan, and for implementing and documenting TB screening of home care staff and other vaccinations. Works with other management staff to orient new staff members to the organization's policies and procedures. Provides all new unlicensed home care staff with training required in the home care law and training on all delegated nursing tasks that the staff will perform. Determines the staff's competency to provide all delegated tasks according to the procedures for the client. Develops and assures that all staff has at least 8 hours of in-service training on required topics for every 12 months of work. Develops and maintains a system to track the training and competencies of all unlicensed staff, including all delegated tasks to be performed and provides continuing education for all staff and documents such training to assure compliance with state, federal and local regulations. Assures that each home care staff person is oriented to the individual needs of each client the person will serve and that staff clearly understands and follows all client care procedures. Assures that changes to the plan of care are communicated and understood by staff. Addresses client and family concerns or complaints to the extent possible and follows up with appropriate staff to resolve the issue. Document complaints and report complaints to the Home Care Director. Complete and close client charts upon discharge or death. Assure that documentation of client services and orders is properly filed and conduct periodic chart audits and coordinate with the Home Care Director regarding the storage and security of client records. Creates the service schedule and assignments for licensed and unlicensed staff and assists other staff with daily responsibilities as needed. Completes all required paperwork in a timely and legible manner. Is flexible and willing to adapt to changes in our program as they occur to respond to the market Promotes a positive, team approach and a healthy work environment. Is available for on-call medical questions and/or emergencies via phone as assigned. On-call duty may require the RN to come to the client's home to handle a medical emergency. The 24/7 on-call duties are shared by the RN and LPN, with additional backup available under contract with Allied Professional's home health agency as needed to cover illness or vacation time. Assures compliance with regulations and is available for state licensure surveys. Communicates with clients and the client's representatives regarding changes in the clients' needs and identifies as early as possible when client's needs are likely to exceed the services that our home care agency can safely provide; communicates these concerns to the client and the client's representative both verbally and in writing, and provides assistance to the client in obtaining other needed services. Uses appropriate communication techniques, such as validation or diversion activities, when working with clients with dementia. Responsible for assisting the Home Care Director in investigating and reporting incidents of suspected client maltreatment and reporting these findings to the Common Entry Point and to the Home Director. Responsible for assisting the Home Care Director in investigating complaints about our services submitted by clients, clients' representatives or others and identifying steps to address the complaint. . Wears appropriate apparel and name tag at all times and maintain good personal hygiene and grooming. Observe all agency safety requirements, report equipment that is not functioning properly and report all work related injuries immediately. Other duties assigned Physical Demands: Must be able to move throughout the work day. Must have adequate vision and hearing to meet the requirements of this position and to perform administrative requirements. While performing duties of this job, employee is regularly required to use hands and fingers to examine clients, handle or feel objects, tools, or controls. In addition, the job requires walking, bending, stooping, pushing, pulling, kneeling, reaching overhead and lifting/move up to 50 pounds. Push up to 75 pounds and occasionally lift or move up to 100 pounds. Must be able to cope with the mental and emotional stress of the position. Position Type/Expected Hours of Work: Part Time (.5), Weekends on-call Minimum Qualifications: Graduate of an [accredited] school of nursing. Must be registered and licensed with the State of Minnesota as a RN, and must maintain current unencumbered license with the Board of Nursing. Preferred Qualifications: At least 1 year(s) experience in home care, long term care, or public health related experience. Working knowledge of the state requirements for the Comprehensive Home Care license. Job Posted by ApplicantPro
Company:
Episcopal Homes Of Minnesota
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Registered Nurse (RN) - HomeCare
Registered Nurse (RN) - HomeCare is a Nurse & Healthcare Registered Nurse Job at Episcopal Homes of Minnesota located in Saint Paul MN. Find other listings like Registered Nurse (RN) - HomeCare by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.
Registered Nurse (RN) - HomeCare is a Nurse & Healthcare Registered Nurse Job at Episcopal Homes of Minnesota located in Saint Paul MN. Find other listings like Registered Nurse (RN) - HomeCare by searching Oodle for Nurse & Healthcare Registered Nurse Jobs.