provide in-home services to our patients.

• Provides skilled nursing care ordered by the physician as indicated by the plan of care to all patients on caseload.
• Review caseload with supervising RN on a regular basis as established by best practice and/or State guidelines.
• Obtains necessary physician orders and collaborates with the physician as the patient's needs dictate.
• Evaluates the significance of assessment findings and communicates pertinent information about the patient’s clinical status and ongoing needs to others in a timely fashion.
• Guarantees that changes in patients’ clinical status are communicated to other healthcare team members, necessary office staff, and physician as per Agency policy.
• Educates patients, caregivers, families, and other staff as appropriate.
• Performs aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Participates in case conferences to discuss multidisciplinary team responsibilities, patient progress, plans for continued care, new problems, etc.
• Recommends for needed referrals to other disciplines and/or community resources.
• Follows the seven medication rights and reduces the potential for medication errors.
• Follows up with obtaining lab results and notifies the physician of significant changes.
• Participates in the agency Quality Assurance Performance Improvement (QAPI) program.
• Identifies risk of injuries or threats to life and health in the patient’s environment (e.g. environmental/safety/mobility risks) and implements appropriate interventions to reduce those risks.
• Completes accurate and thorough visit notes via Electronic Health Record (EHR) on every patient in a timely fashion.