SAYNAB AAR

o Promote and protect wellness while optimizing health.
o Triage patients by assessing the severity of their symptoms and referring them to the appropriate treatment setting.
o Provide nursing care and prescribe treatments in order to alleviate suffering.
o Work in partnership with the patient, their family, and significant others.
o Provides documentation of interventions and an individualized treatment plan.
o Provide patients with information regarding their disease process.
o Ensures continuity of care.
o Promotes health and wellness by educating patients and their families regarding preventative care.

o Assures the quality of the provision of home health care services by supervising, monitoring, and ensuring the competence and performance of the team assigned to the patient.

o Assures that all patients receive an accurate evaluation and treatment plan, maintains our quality model, and utilizes services appropriately to achieve optimal results.

o Assists the assigned team with clinical oversight for patients receiving home health care.

o Assists clinicians in reviewing electronically submitted documentation and providing feedback about deficiencies to ensure that the medical records accurately reflect compliance with medical necessity, homebound status, visit utilization supported by individual patient assessment and documentation support, and transition planning (discharge). Ensures that the electronic discharge documentation is reviewed within the timeframe defined by the agency.

o Approves the final Plan of Care within the Electronic Medical Record (EMR) system.

o Conducts a review of the agency-assigned team outcomes, participates in and facilitates the improvement of agency outcomes.

o Ensures that patient schedules are reviewed to ensure appropriate coordination of care andclinical needs are met.

o Manages the ongoing implementation of approved work methods, patient care models, and procedures that reflect the elements necessary to provide high-quality care directly with the assigned home health care team.

o Assesses, plans, implements, and evaluates care plans for residents.
o Recognizes and manages common geriatric syndromes common to aging adults: cardiovascular, respiratory, urinary, neurological, sensory and pain problems.
o Supervises work performed by LPNs, TMAs, and Nursing Aides.
o Displays a courteous attitude and respect for all residents, families, and staff.
o Administers medications and/or treatments in accordance with physician's orders and monitors for effectiveness/response.
o Manages medications, supplies, and equipment including ordering, receiving, storing, and disposing of all items in accordance with policies and procedures.
o Documents care using computerized medication administration and charting software.
o Notifies Clinical Manager, attending physicians, and family members of significant changes in a resident's condition, and takes follow up action as necessary.
o Performs additional duties as required.

• Conduct COVID-19 rapid tests (antigen and antibody) and PCR tests in a safe manner on customers at our testing sites.
• Work quickly and safely, providing a positive experience for customers while producing a good sample for testing.
• Sometimes asked to take patient questions, assist with results, and then direct the patient to the MD if necessary
• Occasionally assist with the Lab / Test processing as well
• Provides with and expected to wear the proper PPE
• Supported by Runners, Administrative staff, and Lab Assistants; they work under the guidance of the MD or Charge Nurse and Site Manager
• Ensure all information is properly documented with accurate patient information
• Provide top care during interaction and provide advice as able and/or redirect to the MD or CDC site
• Perform routine procedures and fill in patients charts as applicable
• Maintain excellent hygiene and safety (decontaminating equipment, sanitizing surfaces, etc.)
• Process tests in a timely, safe, and accurate fashion; following test - work with Runner to ensure test is delivered for processing
• Provide instant medical care in emergencies
• Assist fellow team members and MD as needed
• Asked to supervise and support Lab Assistants or other members of the team
• Foster a supportive and compassionate environment in high-stress testing environment
• Comply with all patient privacy and information protection requirements

Testing is conducted at vehicle; RN must be able to work in varying climates and communicate effectively with patients in such setting

o Demonstrate and apply knowledge of the philosophy/ principles of comprehensive, community-based, family-centered, developmentally appropriate, culturally sensitive care coordination services
o Offer appropriate suggestion and insights to providers, patients and the care team members for bridging barriers
o Assist with or promote the identification of patients in practice with complex medical, behavioral health or developmental needs.
o Assess child/patient and family needs
o Initiate family contacts; create ongoing processes for families to determine and request the level of care coordination support they desire for their child/youth or family member at any given point in time
o Build care relationships among family and team; support the primary caregiving role of the family
o Communicate and collaborate with patients, families, primary and subspecialty providers to co-manage timely communication, inquiry, follow up and integration of information into the care plan
o Remind patients of appointments, assist with transportation needs and language barriers to scheduling appointments
o Document all care coordination, the transition of care and health education activities utilizing the electronic medical record.
o Registry management
o Participate in weekly care coordination team huddles to review current patient panels
o Other duties as assigned