To provide nursing care in accordance with the client's plan of care to include comprehensive health and psychosocial evaluation, monitoring of the client’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care.

RNs are responsible for:

• Coordinate 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.
• Evaluate the effectiveness of nursing service to the client and family on an ongoing basis.
• Perform admission, transfer, re-certification, resumption of care and discharge OASIS for the home care client.
• Perform revisits, supervisory visits for LPNs and CNAs.
• Prepare and present client's record to the Clinical Record Review Committee as indicated.
• Consult with the attending physician concerning alterations of client care plans, checks with the appropriate supervisor and makes changes, as appropriate.
• Coordinate client services.
• Submit clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated.
• Submit a tally of client care visits made each day.
• Participate in case conferences, discuss with the supervisor problems concerning the clients and how they may best be handled.
• Discuss with the appropriate supervisor the need for the involvement of other members of the health team such as the CNA, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc.
• Obtain orders for paraprofessional service and submits a referral to the appropriate personnel.
• Participate in the client’s discharge planning process.
• Continuum of Care after discharge from home health with resource organizations to support family and patient. Continue to provide care with patient’s safety.
• Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
• Participate in staff development meeting.
• Continually strive 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.
• Participate in the development and periodic revision of the physician's plan of treatment and processes change orders as needed
• Submit clinical notes within seventy-two (72) hours, and progress notes and other clinical record forms outlining the services rendered.
• Participate in the evaluation of all clinical employees to ensure they are best qualified to provide assigned care.
• Maintain an ongoing knowledge of current drug therapy. 
• Adhere to Federal, State and accreditation requirements including Medicare and Medicaid regulations. 
• May be requested by Director of Nursing to fill in for the other nurses.
• Mandated reporter of abuse, neglect, and exploitation