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Registered Nurse (RN)
Role and Responsibilities
• Initial in-home assessment, development of the plan of care as applicable and regularly supervises the needs of the client every 90 days.
• Manager in-home aides to ensure the level of care is being rendered according to the plan of care.
• Observe and report changes in the patient’s physical or emotional condition.
• Initiate preventative procedures as appropriate for the patient’s care and safety and effecting changes in environment to ensure patient safety and security
• Coordinate services for patients as needed to other agencies and health care providers as appropriate.
• Provide supervision of caregiver services and preparing written instructions for care provided by aides
• Maintain confidentiality of patient and agency matters
• Submit required documentation in a timely manner
• Report observed or suspected abuse pursuant to mandated requirements.
• Assist the Administrator in decision making and policy formation as it pertains to the Home Care Services.
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Qualifications and Education Requirements
•Graduate of an accredited school of nursing
• Valid and current RN license in the state of North Carolina
• CPR & 1st aid certified, good standings on nurse registry
• 1-3 years of nursing experience (home care experience, preferred)
• Supervisory skills, a plus
• Excellent communication skills, flexible and able to interact positively with the rest of the staff
• Strong sense of initiative and urgency in addressing unexpected patient crises
• Self-directed, able to work without presence of immediate supervisor
• Commitment to regulatory compliance and to submitting all documentation in a timely fashion
• Demonstrated knowledge regarding exposure to body fluids and chemicals, as well as to some hazardous equipment
• Must have the ability to: See and hear adequately to respond to auditory and visual requests, pass a background screen, travel as required and be in possession of a valid driver’s license and automobile insurance
• Evidence of adequate health status to perform duties
• Possess excellent computer skills, complete required forms, documents in a timely manner to ensure compliance.
• Physical abilities to adequately perform described duties
Nurse Aid
The Nurse Aide will provide personal care and assistance with activities of daily living in the home and care client support in a manner that meets or exceeds State, Federal and Agency expectations, under the guidance and supervision of the Registered Nurse to ensure quality and safe delivery of services. All services rendered will be done in accordance with the client Plan of Care orders.
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POSITION QUALIFICATIONS:
Maintain current listing with the N.C. Nurse Aide Registry as a Nurse Aide.
Be able to read, write, and follow the instructions.
Must have completed and approved Nurse Aide training program and or approved competency evaluation program.
Have a positive attitude toward the care of the sick and elderly.
Demonstration of maturity and proficiency in performing the necessary job duties.
Must possess a valid driver’s license, personal means of transportation, and a safe driving record.
Must have a good Nurse Aide or health care work experience history in a similar work area or agency.
Follow the Plan of Care
PHYSICAL REQUIREMENTS:
Visual/hearing ability sufficient to comprehend written/verbal communication.
Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing.
Ability to deal with stress.
The following are essential job functions that must be safely performed with or without reasonable accommodation without posing a direct threat to other employees, client, or self:
Provides and or assists with activities of daily living such as grooming; oral hygiene, bath shower; feeding and nourishment; incontinence care; maintaining the personal environment (i.e., clothing linen within the home).
Perform and or assist clients with passive range of motion exercises, ambulation,
Transfers from bed, floor, wheelchair and shower chairs as needed.
Positions client in bed and or chair and may apply and/or adjust orthotic bracing appliances when appropriate.
Responds to client’s requests and corrects environment hazards in an appropriate and safe manner.
Documents reports care provided and client observations including unusual or significant changes in physical, mental or behavioral conditions and family situations or needs to Registered Nurse.
Obtains performs vital signs, heights and weights, intake and output measurements, etc.
Knows and is able to respond to emergency needs such as the Heimlich maneuver, CPR and other disaster procedures designated by agency policies.
Attends to work assignments and in-service training. The Nurse Aide is responsible for maintaining 12-hours of in-service each year as governed by COBRA regulations. The Nurse Aide must renew certification every 24 months.
Observes agency policies and procedures regarding attendance, timeliness, house rules, teamwork, customer service and other policies/procedures that may be introduced from time to time.
Assist with self-administration of medications which are ordered by a physician or other persons authorized by state law to prescribe medicine.
Perform incidental household services that are essential to the client’s care at home, dust, mop, sweep, vacuum, make beds, change linen, or do laundry.
Sitter/Companion
A Sitter or Companion must:
Be over 18 years of age
Be a North Carolina resident free from any charges from the law enforcement
agency and/or and other disciplinary actions
Have references from a similar job in the past year and preferably two to five years of experience preferred in a sitter/companion type position
Be able to read and write
Obtain a passing score on any tests required for the proper care of the clients as deemed necessary by the Service Supervisor or authorized company staff
Have no accusations or listing on the NC State Nurse Aide Registry
RESPONSIBILITIES:
Provide a companion for client without providing personal or hands-on care
Keep client in sight at all times, except for bathroom breaks. Breaks may be taken only when it is safe for the client
Report any changes in client status to the office nurse immediately
Make sure someone is in the home to take care of the client before leaving. (Failure to do so constitutes abandonment)
Keep the client’s area clean and uncluttered
Prepare light meals for the client when asked
Use all work hours to manage, entertain, clean workspace, prepare meals, and provide companionship for the client