The Home Care Nurse Assistant is a certified nursing assistant. Under the guidance and supervision of a registered nurse or therapist, provides personal care and related services for the home care patient in order to augment care provided by the family and other caregivers and to maintain a clean and safe environment. Hours may vary depending upon census and program need.
- Completes documentation as per policy and procedure in order to maintain a thorough and accurate clinical record for each patient.
- Reports any changes in patient status to the licensed staff.
- Practices in a manner sensitive to the needs of patients and families. Provides care according to plan of care and orders.
- Assesses, identifies and reports safety issues for patient and staff.
- Provides sufficient support for use of off-formulary items and gets appropriate authorization from supervisor/manager before calling for order.
- Orders majority of items from established formulary. Uses correct item number and sufficient information to eliminate repeat contacts before order can be placed. Documents identifiable supply information in electronic chart.
- Captures all legitimate revenue; conservative in expense and resource use yet provides appropriate service and supplies to patients.
- Assists the patient in ambulation, exercise, and use of walker, cane or wheelchair as instructed. Assists with activity prescribed by physical or occupational therapist as instructed.
- Perform or assist a patient with the personal care and treatments needed to provide good personal hygiene and a healthy, safe environment as directed by the plan of care and by a registered nurse or therapist. Performs homemaking tasks as assigned.
- Assists with treatments as ordered by the physician and instructed and supervised by the nurse, such as change of a colostomy bag, shampoo, simple wound care, reinforcement of a dressing, simple urine tests for sugar, acetone, and albumin, and measuring intake and output.
- Encourages patient's mental alertness through involvement in activities of interest.
- Gives simple emotional and psychological support to the patient and other members of the household or facility.
- Encourages the patient to become as independent as possible according to the plan of care.
- Assists patients with bathing and personal care as directed in plan of care.
- Monitors vital signs as directed in plan of care and report values outside of parameters to case manager.
- Monitors skin integrity and provides skin care.
- Provides hair care including shampooing as directed in plan of care.
- Assists with ambulation as directed in plan of care.
- Assess pain and report any assessments outside of parameters to case manager.