PRN Homecare Nurse - Silver Spring Area
Company: APH Dependable Healthcare
Location: Silver Spring
Posted on: February 21, 2026
|
|
|
Job Description:
Job Description Job Description Salary: $100 - $120 TITLE OF
POSITION: REGISTERED NURSE TITLE OF IMMEDIATE SUPERVISOR: Director
of Clinical Services RISK OF EXPOSURE TO BLOODBORNE PATHOGENS -
HIGH DUTIES To provide nursing care in accordance with the client's
plan of care to include comprehensive health and psychosocial
evaluation, monitoring of the clients condition, health promotion
and prevention coordination of services, teaching and training
activities and direct nursing care. RESPONSIBILITIES Coordinates
total client care by conducting comprehensive health and
psychosocial evaluation, monitoring the client's condition,
promoting sound preventive practices, coordinating services and
teaching and training activities. Evaluates the effectiveness of
nursing service to the client and family on an ongoing basis.
Performs admission, transfer, re-certification, resumption of care
and discharge paperwork for the home care client. Prepares and
presents client's record to the Clinical Record Review Committee as
indicated. Consults with the attending physician concerning
alterations of Client Care Plans, checks with the appropriate
supervisor and makes changes, as appropriate Coordinates client
services. Submits clinical notes no less often than weekly, and
progress notes and other clinical record forms outlining the
services rendered as indicated. Submits a tally of client care
visits made each day. Participates in case conferences, discusses
with the supervisor problems concerning the clients and how they
may best be handled. Discusses with the appropriate supervisor the
need for the involvement of other members of the health team.
Obtains orders for paraprofessional service and submits a referral
to the appropriate personnel. Participates in the clients discharge
planning process. Cooperates with other agencies providing nursing
or related services to provide continuity of care and to implement
a comprehensive care plan. Participates in staff development
meeting. Continually strives to improve his/her nursing care skills
by attending in-service education, through formal education,
attendance at workshops, conferences, active participation in
professional and related organizations and individual research and
reading. Participates in the development and periodic revision of
the physician's Plan of Treatment and processes change orders as
needed. Submits clinical notes within seventy-two (72) hours, and
progress notes and other clinical record forms outlining the
services rendered. Participates in the clients discharge planning
process. Maintains an on-going knowledge of current drug therapy.
Adheres to Federal, state and accreditation requirements. May be
requested by Director of Clinical Services to fill in for the other
nurses. COORDINATES THE ADMISSION OF A CLIENT TO THE AGENCY
Conducts an initial and ongoing comprehensive assessment of the
clients needs at appropriate time frames. Obtains a medical history
from the client and/or a family member particularly as it relates
to the present condition. Conducts a physical examination of the
client, including vital signs, physical assessment, mental status,
appetite and type of diet, etc. Evaluates the client, family
member(s) and home situation to determine what health teaching will
be required. Evaluates the client's environment to determine what
assistance will be available from family members in caring for the
client. Evaluates the client's condition and home situation to
determine if the services of a paraprofessional will be required
and the frequency of this service. Explains nursing and other
Agency services to clients and families as a part of planning for
care. Develops and implements the nursing care plan. May be
requested by the Director of Clinical Services to fill in for other
nurses who are on vacation or sick. PROVIDES SKILLED NURSING CARE
AS OUTLINED IN THE NURSING CARE PLAN Nursing services, treatments
and preventative procedures requiring substantial specialized skill
and ordered by the physician. The initiation of preventative and
rehabilitative nursing procedures as appropriate for the client's
care and safety. Observing signs and symptoms and reporting to the
physician reactions to treatments, including drugs, as well as
changes in the client's physical or emotional condition. Teaching,
supervising and counseling the client and caregivers regarding the
nursing care needs and other related problems of the client at
home. ASSUMES RESPONIBILITY FOR THE CARE GIVEN BY THE
PARAPROFESSIONAL Supervises and evaluates the care given by the
paraprofessional as per agency policy. Submits to the appropriate
department/individual a written evaluation of the paraprofessional
who is providing service to the clients in his/her geographical
area. Participates in periodic conferences with the
paraprofessional supervisor concerning the employees performance.
Charts those services rendered to the client by the staff nurse and
changes that have been noted in the client's condition and/or
family and home situation, makes revisions in the nursing care plan
as needed, records supervisory visits conducted with the
paraprofessional, evaluates client care and progress and closes
charts of discharged clients. Evaluates the effectiveness of her
nursing service to the individual and family. Consults with the
attending physician concerning alteration of the plan of treatment
in consultation with the supervisor. Submits clinical notes no less
often than weekly, and progress notes and other clinical record
forms outlining the services rendered as indicated. Submits a tally
of visits made each day. Participates in case conferences.
Discusses with the supervisor problems concerning the clients and
possible resolution. Discusses with the supervisor the need for
involvement of other members of the health team such as the
paraprofessional. Obtains orders for paraprofessional service and
submits referral to appropriate personnel. Provides guidance and
supervision to the LPN and supervises the LPN per agency policy.
Coordinates total client care. Cooperates with other agencies
providing nursing or related services to provide continuity of care
and to implement a comprehensive care plan. Participates in staff
development meetings. Participates in the educational experiences
for student nurses. Continually strives to improve his/her nursing
care by attending in-service education, through formal education,
attendance at workshops, conferences, goal setting, active
participation in professional and related organizations and
individual research and reading. Participates in the planning,
operation and evaluation of the nursing service. Participates in
the development and periodic revision of the physicians Plan of
Treatment and processes change orders as needed. Participates in
the clients discharge planning. Maintains an on-going knowledge of
current drug therapy. Prepares the care plan for the
paraprofessional. JOB CONDITIONS Must have a drivers license and be
willing and able to drive to clients residences. The ability to
access clients homes which may not be routinely wheelchair
accessible is required. Hearing, eyesight and physical dexterity
must be sufficient to perform a physical assessment of the client's
condition and to perform and demonstrate client care. Physical
activities will include, walking, sitting, stooping, and standing
and minimal to maximum lifting of clients and the turning of
clients. The ability to communicate both verbally and in writing is
required as frequent communication by telephone and in writing is
involved. EQUIPMENT OPERATION Thermometer, B/P cuff, glucometer,
penlight, hand washing materials COMPANY INFORMATION Has access to
all client medical records, personnel records and client financial
accounts which may be discussed with the Director of Clinical
Services QUALIFICATIONS Must be a graduate from an accredited
School of Nursing. Must be licensed in the State as a Registered
Nurse. One or more years of experience in community/home health
agency or in a hospital setting is preferred. Must have a working
knowledge of home health care and the principles and techniques of
professional nursing and required documentation that pertains to
it. Should be skillful in organization and in the principles of
time management and have knowledge of management processes. Must be
able to contribute to the quality of care being rendered through
constructive communication with nursing managers and staff. Must
have a criminal background check. Must have a current CPR
certification.
Keywords: APH Dependable Healthcare, Silver Spring , PRN Homecare Nurse - Silver Spring Area, Healthcare , Silver Spring, Maryland
