Skilled Home Care Nurse

Education: Graduate of an accredited school of nursing and a current RN license

Experience: At least 1 year as an RN, preferably in either home or community health. Supervisory experience desired. Minimum of 1 years’ experience working with the frail elderly population.

Number and Type of Employees Supervised (optional): 

Licensure, Registry or Certification Required: RN currently licensed in North Carolina; or compact state, able to present credentials which demonstrate ability to meet performance criteria for RN. Valid NC driver's license and vehicle.

Special Training: Must be able to work effectively in a team environment. Must be able to treat geriatric patients. Only act within the scope of his or her authority to practice. Meet a standardized set of competencies established by Senior Total Life Care and approved by CMS before working independently.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact

Ages of Patients Rendered Care: 

 Neonate/Infant Early Childhood Adolescent Adult Geriatric All Age Groups

• Conduct thorough head-to-toe physical assessments.
• Assess and monitor vital signs, including blood pressure, pulse, respirations, temperature, oxygen saturation, weight, and other clinically indicated measurements.
• Evaluate the participant’s overall physical condition and identify changes from their baseline.
• Assess cardiovascular, respiratory, neurological, gastrointestinal, genitourinary, musculoskeletal, integumentary, and other body systems as clinically appropriate.
• Monitor chronic health conditions and assess for signs or symptoms of deterioration or complications.
• Identify abnormal assessment findings and promptly report significant changes in the participant’s condition to the appropriate physician, nurse practitioner, interdisciplinary team member, supervisor, or other appropriate healthcare provider.
• Document all assessments, observations, interventions, and communications accurately and timely in accordance with agency policy.
• Using the nursing process, assesses the home care needs of a frail elderly population, and identifies and develops specific plans of care, if applicable. 
• Completes in-home initial assessments, re-assessments, and supervisory visits every 90 days. 
• Performs in-home visits and nursing tasks as ordered by primary care provider. 
• Maintains home care guidelines by writing and updating policies and procedures.
• Maintains safe and clean working environment by designing and implementing procedures, rules, and regulations, calling for assistance from other health care professionals as needed.
• Provides information to patients and health care team by answering questions and requests.
• Resolves patient needs by utilizing Home Care Coordinators and team strategies.
• Communicates any changes in participant condition to supervisor
• Supports and promotes unity among the team while interacting with the team, other co-workers, and/or participants. Participates, collaborates, and contributes as a member of the Interdisciplinary team, emphasizing teamwork and collaboration in all clinic and Interdisciplinary team interactions.
• Assist in clinic setting if available determined by HCA supervisor
• On call evenings and after hours and available during the times staff are in the homes providing care.
• Performs other nursing tasks as designated by supervisor to include, but not limited to home care nurse duties under the supervision of the Home Care Nursing Supervisor.
• Maintains vaccinations of all Participants and documentation in Electronic Medical Record (EMR)
• Supports the STLC Home Care Agency mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.
• Other duties as assigned by HCA Supervisor.