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After Hours Admission/Visit Registered Nurse

4 months ago

San Francisco, United States Pathways Home Health and Hospice Full time
For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect

TITLE: After Hours Admission/Visit Registered Nurse (RN)

OFFICE LOCATION: South San Francisco

PATIENT TERRITORY: San Mateo - San Francisco

SCHEDULE: Per Diem or Part Time

SHIFT: 4pm-12:30am

The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

POSITION SUMMARY: The Shared Services After Hours Visit RN is responsible for providing skilled nursing visits to patients and their families as requested by Intella Triage. Documents observations and interventions related to the patient’s environment; physical, mental, emotional and social status. Coordinates care with other

members of the Interdisciplinary Group (IDG) or team, including the patient’s physician.

AREAS OF RESPONSIBILITY:

  • Admits patients to service, assesses the patient’s and family’s physical, psychosocial,environmental, safety and developmental needs. Develops an individualized plan of care based

on the assessment.

  • Obtains informed consent from patients and families and assists in completing forms required

for hospice admission per regulations.

  • Assesses patient, provides and documents appropriate skilled nursing care, including teaching,

family support and other actions as needed.

  • Assesses patient’s environment; physical mental and social status and eligibility for services in

accordance with third party payee regulations.

  • Coordinates care with the patient’s case manager, informing him/her of significant changes in

the patient’s condition and needs. Documents these communications.

  • Contacts patient’s physician when necessary
  • Demonstrates all skills of a registered nurse, including vein puncture and management of high

interventions in the home, e.g. IV’s.

  • Maintains in-dated and adequate stock of medical supplies and agency forms
  • Knowledgeably discusses overall history, philosophy and services of Pathways Home Health

and Hospice.

  • Admits patients to service, assesses the patient’s and family’s physical, psychosocial,

environmental, safety and developmental needs. Develops an individualized plan of care based

on the assessment.

  • Obtains informed consent from patients and families and assists in completing forms required

for Hospice and Home Health admission per regulations.

  • Provides patients and their families with guidance regarding health care decision-making and

options for making advance directives in coordination with the social worker.

  • Assesses all aspects of the patient’s pain and other symptoms and develops an individualized

symptom management plan.

  • Anticipates, prevents and treats undesirable symptoms or secondary symptoms including use of

non-pharmacologic measures.

  • Supports, instructs and educates the patient, family, caregivers, and facility staff
  • Documents nursing assessments, problems, appropriate goals, care interventions, patient and

family outcomes, and evaluation of these in the electronic record.

  • Accesses electronic device during patient visit and documents during or immediately after the

visit or per regulation.

  • Reports regularly to Shared Services After Hours Triage RN, as appropriate, and RN Case

Manager or designee regarding care provided, and when patient condition is found to be

unstable and there is a need for changes in current plan of care.

  • Supports, instructs and educates the patient, family, caregivers, and facility staff
  • Attends educational in-service trainings, and other agency meetings as requested by manager
  • Maintains the dignity of the dying patient and supports the patient’s and family’s unique

spiritual and cultural beliefs.

  • Provides holistic, family-centered care across the treatment settings to improve the quality of

life.

  • Knowledgeably discusses and initiates non-pharmacologic interventions as appropriate to

promote comfort, improve quality of life, and help manage emotional, spiritual, and physical

distress.

  • Participates in the hospice program’s quality assessment performance improvement program

and in-service education related to areas of practice as appropriate.

  • Meets productivity standards as established by the manager
  • When in a facility, adheres to “Pathways Standards of Care and Practice in Facilities” or

equivalent document.

  • Prints out and files visit documentation in facility (RCFE or SNF) binder or chart per facility

preference at the time of visit.

  • Maintains timely communication with patient, family, and facility staff regarding all aspects of

patient care as appropriate.

  • Demonstrates awareness of and adherence to the safety, infection control and other policies of

the facility.

  • Maintains and updates level of knowledge and skills required to provide quality nursing care
  • Creates, documents, and maintains the medication list. Evaluates medications for side effects

or interactions and communicates these.

  • Effectively instructs patient, family, and/or staff use of medications and reconciles medication

records.

  • Effectively communicates with and uses the Hospice prescription plans, formulary/preferred

drug list, and general hospice medication coverage philosophy.

  • Adheres to all agency policies and procedures, including updates, as communicated in written,

spoken, and electronic forms.

  • Promotes a culture of service when representing Pathways by at all times treating internal and

external contacts with respect, remaining professional, communicating clearly, preventing

conflict, following through on commitments, and actively listening. Positively promotes

Pathways by offering assistance and information.

  • Assists in development of Pathways protocols, procedures and policies as requested
  • Demonstrates all skills of a Registered Nurse, including those skills required by the agency

through competency testing.

  • Performs other duties as assigned consistent with skills and training and the mission and goals

of Pathways.

QUALIFICATIONS:

  • California RN license. Hospice or Home Health experience preferred
  • Graduate of an NLN accredited nursing school
  • Must be highly motivated, self directed, flexible, and able to work well and participate in a

multidisciplinary team setting. Excellent nursing assessment, communication, and

problem-solving skills.

  • Minimum of one-year experience as a professional nurse within the last three years or a

baccalaureate degree in nursing from a program accredited by the National League for Nursing

  • California driver’s license and automobile insurance with minimum Bodily Injury Liability

coverage Insurance per agency policy.

  • Current CPR Certificate– American Heart Association “BLS Health Care Provider” requested

upon renewal.

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