Obtaining a medical history, particularly as it relates to the present condition, from the client and/or family member(s)
Conducting a physical examination of the client, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
◊ Evaluating the client, family member(s) and home situation to determine what health teaching will be required ◊ Evaluating the client's environment to determine what assistance will be available from family members in caring for the client ◊ Evaluating the client's condition and home situation to determine if the services of a home health aide will be required and the frequency of this service ◊ Interpreting nursing and other services of the Agency to clients and families as a part of planning for care ◊ Developing and implementing the nursing care plan
Provides skilled nursing care as outlined in the nursing care plan to
include the following:
◊ Nursing services, treatments and preventative procedures requiring
substantial specialized skill and ordered by the physician ◊ Initiating preventative and rehabilitative nursing procedures as appropriate for the client's care and safety ◊ Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, and changes in the client's physical or
emotional condition ◊ Teaching, supervising and counseling the client and caregivers regarding the nursing care needs and other related problems of the client at home ◊ Is responsible for the care given by the home health aide to clients in her care by: ◊ Supervising and evaluating the care given by the home health aide as needed and at a minimum of once every 14 days ◊ Submitting to the aide department written evaluations of the home health aides who are providing service to the clients in her geographical area ◊ Participating in periodic conferences with the home health aide supervisor concerning the home health aide's performance ◊ Charts those services the staff nurse has rendered to the client, changes noted in the client's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the home health aide, evaluates client care and progress and closes charts of discharged clients ◊ Prepares and presents client's record to the Clinical Record Review Committee as indicated
◊ Evaluates the effectiveness of her nursing service to the individual and family ◊ Consults with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor
fax resume to 727-723-1805
