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Geriatric Visit Nurse

Geriatric Visit Nurse

Job ID 
2016-1058
Client Location 
St Louis, MO 63147
Shift(s) 
..
Branch/Office Location 
US-MO-Berkeley
Category 
Nurse- RN / LPN

More information about this job

Shift / Client Location

  • Graduate of an approved program of practical or professional nursing.
  • Licensed as a licensed graduate practical nurse (LPN) or registered nurse (RN) in the state of Missouri, and in good standing with State Board of Nursing.
  • 2 references
  • Passes all required background checks upon hire and throughout employment; including but not limited to: Family Care Safety Registry (FCSR), Employee Disqualification List (EDL), Office of Inspector General (OIG), Criminal/State Highway Patrol, E-Verify.
  • Must have current CPR certification for health care providers. No online cards accepted.
  • Must have negative TB reading upon hire that has been completed within the last year and repeated every year during employment with agency.
  • Must have a health physical upon hire that has been completed within the last 2 years and redone every 2 years during employment with agency.

Job Summary

Nurse visits each client in their home providing assessment of the client’s health and suitability of the care plan as well as providing increased supervision of the aide. These services shall include any referral or follow up action indicated by the nurse’s assessment. Speaks with the client, physician and pharmacy ensuring the overall health and wellbeing of the client and that plan of care is being met, in conjunction with the other members of the health care team. This position is considered variable hour in that the employee works on a pro re nata basis (PRN).

 

Requirements

Responsibilities:

  • Supports and adheres to the agency’s mission, philosophy, policies and service approach.
  • Provides direct patient care using holistic approach, within the scope of knowledge and experience base.
  • Visits clients in their homes per the frequency on the care plan. Must including one of the following tasks:
  • May fill a 1 week supply of insulin syringes for diabetics who can self-inject the medication but cannot fill their own syringe. This service would include monitoring the patient’s continued ability to self-administer the insulin. Make sure manufacturer recommendations don’t contradict with this.
  • The nurse may set up oral medications in divided daily compartments for a client who self-administers prescribed medications but needs assistance and monitoring due to a minimal level of disorientation or confusion.
  • The nurse may monitor a client’s skin condition when a client is at risk of skin breakdown due to immobility, incontinency, or both.
  • The nurse may provide nail care for a diabetic or client with other medically contradicting conditions, if the client is unable to perform this task.
  • The nurse will be authorized to visit all personal care clients who also receive advanced personal care, on a monthly basis, to evaluate the adequacy of the authorized services to meet the needs and the conditions of the client, and to assess the advanced personal aide’s ability to carry out the authorized services.
  • The nurse may provide on-the-job training to advanced personal care aides.
  • The nurse visits authorized may be carried out by an LPN, if under the direction of an RN, except the task training of the advanced personal care aides and the 6 month visits of the advanced personal care clients.
  • Maintains client confidentiality in accordance with HIPAA and agency policy standards.
  • Attends all staff meetings, case conferences and required in-services.
  • Participates in the planning and coordination of total patient care in conjunction with the RN and the physician’s plan of treatment/physician’s orders.
  • Follows the plan of treatment and nursing care plan for each assigned client.
  • Follows all state and federal guidelines.
  • Observes the client; evaluates the care of the client: applies nursing skill knowledge to the patients to whom is assigned.
  • Accurately reports and records the patient’s condition and care, including signs and symptoms which may be indicative of change.
  • Prepares clinical/progress notes on the day of the shift. Clinical/progress notes are due in the agency per protocol.
  • While visiting the home checks to make sure the environment the patient is living in is adequate and safe.
  • Confirm on a weekly basis, the scheduling of shifts.
  • Contact physician to obtain orders or clarify existing orders over the phone.
  • Assist in administration of prescribed medications and treatments. Maintains an ongoing knowledge of current drug therapy.
  • An RN may be asked to review an LPN’s documentation, provide training as well as provide oversight to branch LPN, Home Health Aides and CNAs.

 

Functional Abilities:

  • Communicates effectively, both orally and in writing, to client, family and/or caregiver, supervisor and other health team members.
  • Able to transfer, lift, move, and turn client to or from a bed, wheelchair, hoyer lift, toilet, tub, and shower frequently.
  • Able to read a thermometer and B/P readings, count pulse/respirator rates.
  • Expected to respond to emergency situations involving the safety of clients.
  • Must be able to stoop and bend; must be able to lift and transfer patients up to 50 lbs.
  • Must be able to push pull 100 lbs.
  • Must be able to travel to prospective patient’s residence or nursing facilities.
  • Must have vehicle insurance if driving to and from work.