Skilled Nursing Services
Dependable Home Care supplies both registered nurses and licensed practical nurses to provide a range of private duty health care services. The type of nursing needed, and the nursing schedule, is determined during the patient needs assessment. Private duty nursing services can include:
- The administration of medication
- The administration of treatment regimens
- The apportioning of medication (planning and scheduling of medication dosages)
- Immunization services such as flu shots
- Convalescent care following surgery or an injury
- Assessments for nursing home eligibility, etc. (including PRI Assessments)
Personality and disposition are very important in nursing Nurses must be caring and sympathetic. They must also be responsible and detail oriented. They must be able to direct or supervise others, and be able to take direction from others. They must correctly assess patients' condition and know when to seek further consultation. Emotional stability to cope with stress, emergencies, and human suffering is a must.
The nurses provided by Dependable Home Care have differing levels of training and certification, and are commonly designated as either registered nurse or licensed practical nurse. Dependable Home Care will assign the appropriate type of nurse depndent upon patient by need. The following information explains the differences between the different types of nurses.
Common Duties of registered nurses
- Treat to ill, injured, convalescent, or disabled patients
- Assess patient health problems and needs
- perform diagnostic tests and analyze results
- develop and implement nursing care plans
- administer treatment and medications
- operate medical machinery
- record patients' medical histories and symptoms
- maintain medical records
- advise patients on health maintenance and disease prevention
- teach patients and their families how to manage their illnesses or injuries
- provide case management
- provide advice and emotional support to patients' family members
- help with patient follow-up and rehabilitation
- explaining post-treatment home care needs
- Explain diet, nutrition, and exercise programs
- Explain self-administration of medication and physical therapy
Licensing and registration is required of registered nurses. Advance practice nurses such as: nurse practitioners are RNs who have specialized formal, post-basic education and function in highly autonomous and specialized roles.
When caring for patients, RNs:
- Observing the patient and record those observations
- Establish a care plan
- Perform diagnostic and therapeutic procedures and may have prescriptive authority (Nurse Practitioners)
- Administering therapies and treatments
- Administering medication, including dosage and interaction checking
- Starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, and blood products
- Consulting with physicians and other healthcare clinicians
- Provide direction to licensed practical nurses and nursing aides regarding patient care
RNs may specialize in specific health conditions such as diabetes management or with one or more organs or body system, such as respiration. RNs may also specialize with certain population, such as geriatric nurses, who work with seniors. Some RNs may combine specialties.
- Home healthcare nurses provide at-home nursing care for patients, frequently as follow-up care after discharge from a hospital or from a rehabilitation facility.
- Rehabilitation nurses care for patients with permanent or temporary disabilities.
- Hospice and palliative care nurses provide care focused on maintaining quality of life for terminally ill patients.
- Long- term care nurses provide healthcare services on a recurring basis to patients with chronic physical or mental disorders.
- Diabetes management nurses help diabetics to manage their disease by teaching them proper nutrition and showing them how to test blood sugar levels and administer insulin injections
- Wound, ostomy, and continence nurses treat patients with wounds caused by traumatic injury, ulcers, or arterial disease. They may provide care for patients with ostomies - openings that allow for alternative methods of bodily waste elimination - and treat patients with fecal or urinary incontinence.
- HIV/AIDS nurses care for patients diagnosed with HIV and AIDS
- Psychiatric-mental health nurses treat patients with personality and mood disorders.
- Intellectual and developmental disabilities nurses provide care for patients with mental, behavioral, or physical disabilities, which may include help with feeding, controlling bodily functions, independent mobility, and speaking or other communication
Licensing and Certification
Nurses must have graduated from an approved nursing program and pass a national licensing examination, known as the National Council Licensure Examination, or NCLEX-RN, to have obtained a nursing license. Advanced practice nurses such as nurse practitioners also need have obtained a master’s degree. Career-long learning is required of registered nurses since continuing education credits are necessary to maintain licensure.
Licensed Practical Nurse
The LPN will care for ill, injured, or convalescing patients or disabled persons. LPNs must be licensed, and may work under the supervision of a registered nurse or physician. The nature of the direction and supervision may vary.
- Monitor patients
- provide basic bedside care
- Keep patients comfortable
- Measure and record patients' vital signs such as temperature, blood pressure, pulse, respiration, height, and weight
- Report adverse reactions to medications or treatments
- Gather information from patients, including their health history and how they currently feel
- Prepare and give injections
- Prepare and give enemas
- Monitor catheters
- Dress wounds
- Collect samples for testing
- Perform routine laboratory tests
- Record food and fluid intake and output
- Clean and monitor medical equipment
- Give alcohol rubs and massages
- Complete insurance forms, and pre-authorizations
- Share information with registered nurses and doctors
- Teach family members simple nursing tasks and how to care for a relative
- Teach patients about good health habits.
- Assist with bathing and dressing
- Assist with personal hygiene
- Assist with moving in bed, standing, and walking
- Prepare meals
- Feed patients who need help eating
- Supervise nursing assistants and aides.
- LPNs are permitted to administer prescribed medicines, start intravenous fluids, and provide care to ventilator-dependent patients.
Licensing and Certification
LPN nurses must have graduated from an approved nursing program and pass a national licensing examination, known as the National Council Licensure Examination, or NCLEX-RN, to have obtained a nursing license. Advanced practice nurses such as nurse practitioners also need have obtained a master’s degree. Career-long learning is required of registered nurses since continuing education credits are necessary to maintain licensure