174380 Middlebury, VT Monday - Friday, every other weekend
*Wages are based on average rates and may be impacted by facility budgets and seasonality and may include a combination of taxable and non-taxable earnings and reimbursements.
**COMMUNITY HEALTH NURSE** Responsible to Team Leader Description Provides skilled nursing services to agency patients based upon a plan of care approved by the physician. In the delivery of care, the nurse uses independent judgment based on common principles of pathophysiology and accepted standards of care. Works collaboratively with patients, families, other disciplines and community agencies. Participates in community projects and other agency activities as assigned by the team leader or clinical director.
**RESPONSIBILITIES Assessment: **1. Uses specialized nursing skill to assess the patients physical, emotional and social level of function upon which the patients need for skilled nursing services and non-skilled services is determined. 2. Uses physical assessment skills effectively to gather accurate objective data from patients. 3. Initiates diagnostic, preventative and rehabilitative nursing procedures appropriate to the patients care and safety in order to minimize the disabling effects of disease or injury and promote return to highest level of independence. 4. Uses nursing skill to assess family/caregivers physical, emotional and social factors which may influence the patients care/recovery. 5. Makes referrals to other disciplines as indicated by the patients needs. Planning: 1. Establishes a plan of care which addresses all problems identified in the assessment or demonstrates rationale for not doing so. The plan is consistent with the physician plan of treatment and signed by the physician. 2. Establishes the plan of care with the patient and family which identifies goals and expected outcomes. 3. Coordinates the total plan of care and maintains continuity of patient care with other health professionals assigned to the same patients. 4. Participates in patient care conferences when appropriate. Maintains communication with other health professionals and community agencies involved in the patients care. 5. Develops, prepares and maintains individualized patient care progress records with accuracy and timeliness according to agency policies. 6. Efficiently manages a patient caseload. 7. Cooperates and consults with appropriate staff to provide staff education when requested and arranged by the clinical director. Implementation: 1. Observes signs and symptoms and reports to the physician and/or other appropriate health professionals as often as needed, or upon changes in the patients condition. 2. Teaches and supervises the patient and family regarding home nursing procedures and related care as appropriate to the patients condition. Utilizes agency educational material as appropriate. 3. Supervises and teaches the home health aide. Assesses the patients need for unskilled care and revises the plan of care as appropriate. Communicates the plan of care changes to the aide and scheduler as often as necessary. 4. Participates in the agencys quality improvement program, as requested. 5. Participates in the educational experience for professional nursing students, as requested. 6. Promotes and maintains health of individuals, families and the community through teaching, and by initiating appropriate preventative and rehabilitative measures as follows: a. Teaches basic principles of healthful living for all age groups. b. Adapts and applies information to needs, interests and cultural patterns of the individual and family. c. Gives specific instruction in safety measurements, nutrition, communicable diseases, infection control and preventative health care. 7. Participates in community projects, and other agency activities as assigned by the team leaders or clinical director. Evaluation: 1. Re-evaluates on a regular basis, the nursing needs of the patient; initiates, develops and implements necessary revisions to the patients plan of care. Continually reassesses the patients care needs, and effectiveness of the plan of care. 2. Re-evaluates on a regular basis, with the patient/family, the goals for care. Reassesses the established outcomes and revises as appropriate. 3. Keeps abreast of nursing trends and knowledge; documentation and care coordination. Participates in inservice programs.
**PROFESSIONAL BEHAVIOR**S Assessment: 1. Understands the mission of the agency and the role of the individual employee in carrying out the mission. 2. Demonstrates consistently the ability to use critical thinking skills for decision making and problem solving. Planning: 1. Demonstrates the ability to be self directed; completes work and documentation in an organized, efficient manner. 2. Demonstrates awareness of and adherence to agency policies and procedures. 3. Maintains and conserves agency resources. Implementation: 1. Represents the agency in a professional manner both in appearance and behavior. 2. Maintains patient, co-worker and agency privacy and confidentiality at all times. 3. Follows the Agency Corporate Compliance Plan and the Agency HIPAA Regulations. 4. Demonstrates the ability to communicate effectively with individuals and within groups. 5. Demonstrates the ability to work collaboratively with individuals and within groups. 6. Demonstrates adaptability, flexibility, self control and maturity in job performance and behavior. Evaluation: 1. Assumes responsibility for pursuing and obtaining appropriate continuing education opportunities.
**QUALIFICATIONS** 1. Educational: Successful completion of a nursing program accredited by the National League for Nursing. A baccalaureate degree in nursing preferred. 2. Licensure: Holds a valid license to practice registered nursing the in the State of Vermont or holds a temporary license issued by the State Board of Nursing, not to exceed 90 days, to permit the practice of nursing by a registered nurse currently licensed in another jurisdiction of the United States and who has applied for licensure by endorsement in accord with 26 V.S.A. Chapter 28, subchapter 1. 3. Experience: Minimum of two years of nursing experience required; intensive medical surgical nursing experience preferred: 4. Knowledge and Abilities: a. Demonstrates knowledge and skills necessary to provide care and communicate with individuals over the life span. b. Demonstrates knowledge of the principles of growth and development over the life span. c. Assesses data reflecting the patients status and interpret the appropriate information needed to identify each patients requirements relative to their age-specific needs.
**DEGREE OF TRAVEL** Home visits daily. Regularly scheduled staff and team meetings. Must have reliable transportation and agency-required liability insurance.
**DEGREE OF DISRUPTION TO ROUTINE, OVERTIME **Must be able to adapt to patient status and needs. Occasional schedule changes due to patient condition, weather and environmental conditions and/or new patients.
**SAFETY HAZARDS IN JOB** May be requested to lift patients and/or equipment. Possible infection from patients and their home setting. Exposure to potentially hazardous secretions or environments. High stress, possible auto accidents, hazardous winter driving conditions.