Registered Nurse
1 week ago
PRIMARY FUNCTION
The VITAS RN is a member of the interdisciplinary team that works together to meet the physical, medical, psychosocial, emotional, and spiritual needs of hospice patients and families facing terminal illness and bereavement. The VITAS RN is designated to provide coordination of care, ensure continuous assessment of each patient's and family's needs, initiate interventions for patients and families, and implement and oversight of the interdisciplinary plan of care.
JOB RESPONSIBILITIES
Follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license and knows hospice eligibility requirements.
Case Management and Supervision
- Coordinates all service delivery including review of entries in the record made after hours, patient and family education, dispatching of interdisciplinary visits, and coordination of services with external vendors and resources as needed.
- Provides support and collaboration with IDG and after-hours staff to ensure favorable patient outcomes.
- Supervised (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses), and Volunteers per the plan of care.
- Reports any request to practice outside of the scope of the license to the manager/supervisor.
- Documents interactions with patients, families, contacts, and vendors in the patient record to include the assessment, plan of care, caller agreement to the plan, any actions and interventions, and the resolution of each patient/family interaction at the time of the event.
- Completes in-person visit documentation at the location of care unless otherwise directed.
- Provides education and training to patients, families, caregivers, and referral sources in the care of the patient, including pain management.
- participates in patient care meetings as assigned
- participates in bereavement support
- participates in the on-call rotation and or provides shifts during nonbusiness hours such as evenings. weekends and holidays based on identified needs
- Provides visits /shifts in the program coverage area.
- Works with IDG to develop, coordinate, and follow the patient's individualized care plan.
- Obtains physician orders when necessary.
- Provides those services requiring substantial and specialized nursing skills.
- Evaluates the outcome of services.
- Appropriately delegates nursing tasks to Hospice Aides/Homemakers, volunteers, and licensed practical/vocational nurses
- Provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HAs, and Volunteers.
- Participates in and monitors patient and family care compliance activities.
- Professionally manages/coordinates the hospice plan of care.
- Provides and follows infection control practices.
- Delivers care following the patient's plan of care.
- Provides primary nursing care for inpatient and continuous care patients as assigned.
- Participates in the orientation of new team members as assigned by the supervising manager.
- Attends regularly scheduled in-services, staff meetings, and educational conferences.
- Instructs and documents appropriate use of medications, home medical equipment, and supplies.
- Appropriately utilizes the resources such as Pharmacy, HME, agency staff, and transportation services.
Professional Development
- Develops and achieves professional growth goals and objectives personally and per Team
Manager reviews. - Responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned.
- Participates in the orientation of Hospice Aides, volunteers, and other IDG members as assigned.
- Participates in training activities internally within VITAS and externally as assigned.
- Seeks certification in the specialty of hospice nursing when qualified to do so.
JOB REQUIREMENTS
- To see patients in person must have reliable transportation to be used for work with adequate insurance coverage for drivers and passengers as applicable.
- Cellular Telephone available.
ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS
The physical demands described in this job description are representative of those that must be met by an employee to perform the essential functions of this job successfully.
While performing the duties of seeing patients in person, the employee is regularly required to:
- Assist in lifting and transferring patients, as required.
- Lift objects over 20 pounds.
- Sit, stand, or walk more than one hour per day.
- The Employee will be required to sit and stoop, kneel, and crouch.
- Talk bear, and have visual abilities including close vision, distance vision, and the ability to adjust focus.
QUALIFICATIONS
- Currently licensed to practice nursing in the state where the VITAS program/patient is located.
- A minimum of one year of nursing experience.
- Equivalent experience or licensure may be considered.
- Ability to work as a team player and multi-task.
- Proficient in customer conflict resolution and crisis management.
- Thorough knowledge of professional nursing principles, methods, and procedures; anatomy and physiology; medical supplies and equipment used in nursing practice; and the uses and effects of medications including narcotics,
- Working knowledge of applicable state and federal laws and regulations about registered nursing and clinic support staff's scope of practice limitations.
- Ability to work weekends and holidays as necessary to support the operations of the Care
Connection Center.
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