I prioritize my caseload by assessing the urgency and complexity of each patient's needs. I use a combination of electronic health records (EHR) and time management tools to organize visits, documentation, and follow-ups. High-risk patients, such as those with recent hospital discharges or complex medical conditions, are prioritized. I also communicate regularly with the interdisciplinary team to ensure continuity of care and adjust priorities as needed to meet patient goals and agency requirements.

I ensure effective communication by tailoring my approach to each individual’s needs and preferences. For patients and families, I use clear, non-medical language and provide written materials when necessary. With the healthcare team, I utilize secure messaging systems, regular team meetings, and timely documentation to share updates. Active listening and empathy are key to building trust and ensuring everyone is aligned on the care plan.

I have extensive experience creating individualized care plans based on comprehensive assessments, patient goals, and physician orders. I focus on measurable outcomes, such as improved mobility or medication adherence, and regularly evaluate progress. I involve patients and families in the planning process to ensure the plan is realistic and achievable. Adjustments are made as needed based on ongoing assessments and feedback from the interdisciplinary team.

I approach challenging situations with empathy and patience. For non-compliant patients, I explore the root cause, such as financial barriers or lack of understanding, and work to address it. In cases of family conflict, I act as a mediator, facilitating open communication and finding common ground. My goal is to maintain a positive relationship while ensuring the patient’s safety and well-being.

I stay current by attending continuing education courses, participating in professional organizations like the Home Healthcare Nurses Association, and reviewing updates from regulatory bodies such as CMS. I also collaborate with colleagues to share knowledge and best practices. Regularly reviewing agency policies and attending in-service trainings ensures I remain compliant and provide high-quality care.