Commonwealth

• You will provide skilled nursing care under the direct supervision of the Registered Nurse • You will assist the Registered Nurse in carrying out the plan of care, and will help with the preparation, implementation, and continuity evaluation of the client care plan • You will assist the Registered Nurse in performing specialized procedures • You will help teach the client the appropriate self-care techniques • You will observe, record and report to the appropriate person the general physical and mental condition of clients and signs of symptoms which may be indicative of changes in condition • Further assist in rehabilitation by reporting any abnormalities in the client’s range of motion, body mechanics or body alignment • Actively participate in weekly case conferences, inservices, and any staff meetings

• Provide initial and ongoing comprehensive assessments of the client’s needs, including Outcome and Assessment Information Set (OASIS) assessments • Establish a treatment plan in consultation with the physician and revise it with the approval of the physician as necessary • Assist in development and implementation of the interdisciplinary client care plan as it pertains to Physical Therapy • Assist the physician in evaluating clients by applying diagnostic and prognostic muscle, nerve, joint and functional ability tests • Treat clients to relieve pain, develop or restore functional and maintain maximum performance, using physical means, such as exercise • Consult and familiarize staff regarding the established plan • Teach, supervise, and counsel the family and client in the physical therapy program • Instruct client in care and use of wheelchairs, braces, crutches, canes and prosthetic and orthotic devices • Provide the equipment required to carry out the plan. • Arrange for out‐client service for procedures which cannot be given at home • Record on a timely basis all evaluation data, treatments, and client's response to therapy intervention; Also records quality assurance data • Prepare an assessment of the client's condition and periodic evaluations and summaries. • Supervise Physical Therapy Assistants and paraprofessionals as per agency policy • Record and report to the physician the client's reaction to treatment and /or any changes in the client's condition • Communicate with the physician at least every 30 days or whenever changes occur regarding the client’s status and obtain additional orders, if necessary. • Communicate with other team members (including Home attendants) and, when appropriate, instructs them in certain phases of physical therapy that they may use while working with the client • Write clinical/progress notes on the date of the visit and incorporate the same in the client's record within 72 hours. • Participate in case conferences, physical therapy staff meetings, agency activities and in‐service programs as necessary

• Provide pathology service on an intermittent basis to clients in their homes in accordance with physician's orders • Evaluate the client's level of functioning and recommend mechanisms to enhance the client's hearing ability • Provide initial and ongoing comprehensive assessments of the client’s needs, including Outcome and Assessment Information Set (OASIS) assessments • Establish a Speech Therapy treatment plan in consultation with the physician and revise it with the approval of the physician as necessary • Assist in development and implementation of the interdisciplinary client care plan as it pertains to Speech Therapy • Assure that the physician's orders are appropriate and discuss necessary changes • Communicate with other team members and, when appropriate, instructs them in speech pathology techniques that they may use while working with the client • Teach, supervise, and counsel the family and client in the total Speech Therapy program and other related problems of the client at home • Evaluate the client, his/her significant other(s) and the home situation to determine what instruction will be required, what assistance will be available for the family in caring for the client, and what other agency and community services will be required • Make arrangements for out‐client services for procedures which cannot be given in the home • Record and report to the physician the client's reaction to treatment and/or any changes in the client's condition • Participate in the development of periodic revision of the physician's plan of treatment keeping him/her informed of the client's status, and obtaining additional orders if necessary • Communicate with the physician at least every 30 days or whenever changes occur regarding the client’s status and obtain additional orders, if necessary • Evaluate the effectiveness of speech pathology intervention and update the client care plan as needed • Confirm, on a weekly basis, the scheduling of visits with the Director of Nursing in order to coordinate the client’s visit schedule • Participate in agency activities, case conferences and meetings, when appropriate • Write clinical/progress notes on the date of the visit and incorporate the same in the client's record within 72 hours

• Evaluate the client's level of functioning and recommend mechanisms to enhance the client's hearing ability. • Provide initial and ongoing comprehensive assessments of the client’s needs, including Outcome and Assessment Information Set (OASIS) assessments. • Establish a Speech Therapy treatment plan in consultation with the physician and revise it with the approval of the physician as necessary. • Assist in development and implementation of the interdisciplinary client care plan as it pertains to Speech Therapy. • Assure that the physician's orders are appropriate and discuss necessary changes. • Communicate with other team members and, when appropriate, instructs them in speech pathology techniques that they may use while working with the client. • Teach, supervise, and counsel the family and client in the total Speech Therapy program and other related problems of the client at home. • Evaluate the client, his/her significant other(s) and the home situation to determine what instruction will be required, what assistance will be available for the family in caring for the client, and what other agency and community services will be required. • Make arrangements for out‐client services for procedures which cannot be given in the home. • Record and report to the physician the client's reaction to treatment and /or any changes in the client's condition. • Participate in the development of periodic revision of the physician's plan of treatment keeping him/her informed of the client's status, and obtaining additional orders if necessary. • Communicate with the physician at least every 30 days or whenever changes occur regarding the client’s status and obtain additional orders, if necessary. • Evaluate the effectiveness of speech pathology intervention and update the client care plan as needed. • Confirm, on a weekly basis, the scheduling of visits with the Director of Nursing in order to coordinate the client’s visit schedule. • Participate in agency activities, case conferences and meetings, when appropriate. • Write clinical/progress notes on the date of the visit and incorporate the same in the client's record within 72 hours.