RN/LPN

Basic Function Selfdirects home visits to maintain compliance with client assessment and care plan development, caregiver placements, and supervisions. Participates in identifying, creating, and organizing ongoing staff training and certification courses. Advocates for better health through interventions, makes recommendations as opposed to providing services. Completes required documentation. Ensures caregivers are following basic company protocols.

Responsibilities:

Participate in creating daily client visit schedule based on needs and requirements. When cancellations occur, proactively work with office managers to fill schedule gaps. Schedule will be set up in 1 of 2 ways: Block Time Nurse gives office availability for a period of time (for example 9a1p) and is paid for this block of time. Office is responsible for filling the time, this includes time for documentation and travel. Guaranteed Hours Nurse is paid 58 hour per day and shares responsibility for filling schedule with office staff. 4 visits a day for every 5 hours is the standard unless there is a visit a significant distance within the service area. RNs participate in the ongoing supervision of LPN staff (ie: reviewing care plans and data entry) Complete and turn in all documentation and paperwork within 24 business hours. Document according to contract and organization policy and procedures. Report findings, recommendations, and concerns to care team in a timely fashion. Create, review, and update care plans for assigned clients. Communicate updated to caregivers as needed. Act as liaison between contract nurses, clients, direct care workers, and management. Provide education, training and coaching to caregiving staff during placement and supervision visits. Participate in managing company-wide in-service, training, and certification courses. As schedule allows take on routine nursing visits as client needs dictate or managers request such as medication fills, BP checks, catheter changes etc... In urgent situations, be willing to provide hands-on personal care for clients in need. Follow the same dress code as outlined for Caregivers. Perform other related duties as assigned. Aging Services Access Point Specific Role •This position advocates for the better health of the client, based on observations; this position does not participate in or provide clinical services. • After review of the initial Home Health Aide Communication Form from the ASAP RN/LPN, completes an inhome assessment of the ASAP consumer, create a comprehensive HHA Plan of Care that meets the consumer's

ADL/IADL

needs, and focus on the consumer's daily routines and goals. Assess the skill level of the assigned Guardian Angel caregiver with the service needs of the consumer, recognizing that the caregiver is an integral part of the consumer's care team. Orient and supervise the caregiver providing care to the consumer including specialized equipment in complex care cases. Submit a copy of the HHA Plan of Care to the ASAP for review by the ASAP RN. Conduct quarterly inhome careplan updates and an annual reassessment of the HHA Consumer. Update the HHA Plan of Care, and conduct supervision of the HHA. If there is reasonable cause to believe a consumer has been abused, neglected, or financially exploited, the provider must immediately, day or night, contact the 24hour

ELDER ABUSE HOTLINE

at 18009222275. Communication between the Guardian Angel Nurse and ASAP RN •This role does not communicate with clients' healthcare team; ALL communication will happen between GA RN/LPN and ASAP RN/LPN or the GA Office. • It is the mutual responsibility of the GA Nurse and the ASAP RN to communicate any significant updates or changes in the consumer's health or functional status and new assessment findings so the service plan can be updated by the ASAP if necessary. All required care MUST be in the care plan if it is to be delivered. If changes to the HHA Plan of Care are necessary, the GA nurse must send an updated care plan to the ASAP for review. Highlight and discuss any significant changes with ASAP RN and GA office teams. In complex care cases (those who require a more detailed care plan due to medical complexities, multiple service providers, and/or over 42 hours of personal assistance services), phone calls and/or case conferences may be needed to clarify issues and to ensure that consumer's needs are addressed appropriately. Make recommendations and advocate for the client based on observations. The GA and ASAP RNs mutually assume the responsibility in evaluating and recognizing the potential that a consumer may qualify for skilled services that could be billed to a third party. The GA Nurse must report to the ASAP the same business day any fall, hospitalization, addition or loss of a household member, consumer's absence from the home, alleged theft, alleged breakage of consumer's possessions, injury to employee or consumer, or consumer complaint. The GA Nurse must report to the ASAP by the next business day a consumer's new address, name, or telephone number, new MD, new diagnosis, and any concerns. Supervision The GA Nurse must perform an inhome review of the care plan at least every 90 days to ensure the level of service provided is reviewed, updated if needed, and is meeting the service needs of the consumer. The GA nurse must place and orient caregivers new to clients' receiving personal care homemaking services. The GA Nurse will perform quarterly inhome supervision of GA caregivers and an annual evaluation of those working in the capacity of an HHA. The GA RN will routinely supervise LPN documentation.

Skills Oral Communication Skills Written Communication Skills Technical Communication Customer Relations Customer Service Diplomacy Math Aptitude MS Office Negotiations Organization Planning Professionalism Project Management Presentation Time Management Education/Training:

Degree:

LPN, RN, BSN

Experience:

Prior home care experience required. Prior supervisory experience helpful.

WORKING CONDITIONS

Work is performed approximately 80% in client homes and 20% in office. Potential hazards include working with emotionally unstable, noncompliant, or aggressive clients and complex family dynamics, driving in inclement weather, secondhand tobacco smoke, aggressive animals, exposure to contagious diseases. RN must have the ability to meet the following physical requirements: Must be able to move intermittently throughout the workday. Must demonstrate sufficient strength, endurance, and flexibility to perform job duties. May require extended periods of sitting or standing. Must meet the general health requirements set forth by the policies of the agency which may include a physical examination and annual TB test. Must be able to push, pull, move, and/or lift a minimum of twenty (20) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.