Weekend Visit Nurse Thurs

3 weeks ago

Santa Cruz CA United States Hospice of Santa Cruz County Full time

Job Summary

The Weekend Visit Nurse (VN) participates in providing staffing coverage including, but not limited to: team visit coverage, and Admissions support. The position is on Thurs - Sun (4 days, 8 hour days)

Working in collaboration with the PCM, Lead Weekend Nurse and Triage, the VN responds to pt/family needs as identified providing phone instruction/support or visits as needed. Care provided is based on an individualized Plan of Care developed by the IDG that reflects pt/family goals.

The VN demonstrates: flexibility and ability to manage multiple competing priorities; competence in admissions as well as case management; consistent communication with PCM, Triage and other team members regarding patient care throughout the day, clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services.

Essential Responsibilities

Patient/family Care

* Recognizes the patient and family as the "unit of care" and IDG members
* Respects patient right to self-determination and acts as an advocate within the context of the values and ethical standards of HSCC
* Makes visits per agency policy
* Makes home visit at time of death
* Utilizes nursing process in providing primary care to pt/families, and professional patient management to facility staff
* Documents all care and care planning per agency policy
* Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC
* Monitors management of pain and symptoms in collaboration with patient/family, facility staff, IDG and physician to achieve maximum comfort
* Administers medications and treatments as ordered prn
* Instructs and supports pt/family unit and facility staff re: symptom mgmt, patient care, disease process & death/dying

Admission Visits

* Meets with patients & families in all settings to explain services, answer questions and admit patient as appropriate
* Develops and implements an individualized, interdisciplinary Plans of Care for patients and families
* Uses electronic medical record (EMR) systems effectively and efficiently to complete required documentation in a variety of patient care settings

Secondary Responsibilities

Quality Improvement

* Meets all standards and requirement as indicated by licensing and accrediting agencies
* Participates in activities that affirm, enhance and develop the highest quality standards for HSCC
* Participates in developing standards for quality patient care within HSCC
* Participates in Quality Assessment & Improvement activities as requested
* Performs other related job duties as assigned by Supervisor

Compliance

* Ensures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, and all other regulatory/compliance requirements are understood and followed
* Submits all appropriate documentation as required for compliance including RN license auto insurance; driver's license, a good driving record, TB checks completed annually

Requirements

* Require current California RN license
* Required to attend regular meetings and in-services
* Critical thinking
* Familiarity with electronic charting programs and/or demonstrated keyboard and computer skills sufficient to utilize electronic medical record charting.
* Submits verification of current RN license
* Drivers license current and maintains a good driving record
* Ensures TB checks are completed in a timely manner; at least annually
* Maintains BLS certification
* Satisfactory results form all background and reference checks

Education/Experience

* Degree in Nursing from an accredited college
* 2+ years RN experience in hospice, oncology, medsurg, ICU, ER, skilled nursing facilities or homecare
* Acute care experience preferred
* Hospice and/or home health experience preferred
* End-of-life and pain management experience preferred
* Bilingual in English/Spanish preferred but not required
* Previous experience in hospice or palliative care preferred

Physical Demands

* Sufficient dexterity to utilize electronic record keeping systems, computers/keyboards and or laptops and other related equipment
* Ability to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilities
* Vision ability to read manual and electronic documentation, medications, charts, office related equipment, and instructions
* Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
* Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team

Work Environment/Environmental Condition

* Performs services in private homes and care facilities and will experience a variety of settings and situations
* Office work is performed in combination of private homes, care facilities and office environment.

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