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Skilled Nurse
This nurse visits a variety of acute and chronically ill patients who are
"homebound" and in need of skilled nursing care under a treatment plan developed
and signed by the patient’s physician. The nurse may perform a wide range of
tasks from collection of a laboratory specimen to changing a dressing to
administration of chemotherapeutic agents. While the focus is typically on the
patient, interaction with family members and community agencies often takes
place. The average number of visits expected per eight-hour day is seven.
Preparation
There are no additional educational requirements beyond a basic licensure as a
RN. However, most employers require or prefer at least one year of hospital
experience, particularly in critical care. Certification is available through
the American Nurses Credentialing Center.
Competencies or Skills
Excellent clinical skills are essential. In addition, communication skills,
including competency in teaching others how to carry out various procedures or
self-care activities is extremely important. This nurse needs to have excellent
assessment skills in order to detect early signs of potential or actual problems
and alert the physician that a change in the plan of care is needed.
Documentation of care is also important because of its relationship to
reimbursement. The abilities to be self directed, work independently and work in
collaboration with a multidisciplinary team are also valuable. Being respectful
of the patient's s environment, culture, life style and resources facilitate
cooperation and compliance with treatment. |
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