Hybrid Registered Nurse (Field) presso Leon Management International, LLC

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Provides initial and on-going assessment of client needs using the OASIS data elements incorporated into the Comprehensive Assessment.
2. With input from patient/care giver and in conjunction with physician, formulates and implements plan of care.
3. Evaluate effectiveness of care plan and make necessary adjustments.
4. Provides for the emotional and physical comfort and safety of client taking into consideration their rights and cultural background.
5. Receives and transcribes physician orders.
6. Notifies physician and Agency supervisor of unusual reactions and/or changes in client’s condition.
7. Documents all appropriate observations and treatments in keeping with Agency policies and procedures.
8. Participates in case conferences, team meetings, staff meetings, and Performance Improvement activities as assigned.
9. Provide any skilled nursing service for which appropriately trained which is prescribed under the plan of care. Prepares clinical progress notes as per agency policies and procedures.
10. Provide 60-day summary of skilled services and client outcomes to physician and Agency supervisor in keeping with Agency policies and procedures.
11. Adheres to all Agency policies and procedures including but not limited to the HIPAA Privacy rule.
12. Maintains clinical records, clinical notes and progress reports on each client in accordance with the Agency’s documentation requirements.