On Call Visiting Nurse (RN, Hospice) - HomeCare

Location Detail: 765 Fairfield Ave Bridgeport (10411)Shift Detail: on call RNProvides skilled nursing care to clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost effective care.Assumes responsibility for evening, night, weekend, and holiday on-call duty as scheduled and consistent with Agency policies and proceduresAssumes primary responsibility for total region census during assigned shift, including assessing, Planning, implementing and evaluation phases of the nursing processMaintain regular communication with Nurse Supervisors, attending physician, and case manager concerning patient/family care needs and response to interventions.Respond to medical or emotional crisis and make home visit to provide direct care as appropriate. Reviews referrals, and initiates contact with client and familyConducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status. Demonstrates clinical expertise in symptom managementDevelops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilization of appropriate resources. Modifies plan of care as conditions changeDemonstrates understanding of payer information in order to maximize care planning. Initiates and maintains a client record utilizing the Agency's standard for documentationMakes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers. Teaches patients and reinforces client/caregiver teaching and education. Prepares/teaches/supports family regarding signs and symptoms, as appropriate. Refers, collaborates and coordinates all client care services. Consults with physician regarding client needs and plan of careDirects LPN’s in carrying out the established plan of care. Directs Home Care Aides and supervises plan of care Qualifications Minimum Requirements Graduate of an Associate’s or diploma program in nursingExperience - One year nursing experience or one year nursing in a specialty; medical/surgery or home care preferredLicensure, Certification, Registration - Registered Nurse with a license to practice in the state of CTPreferred RequirementsGraduate of NLN approved BSN program