Home Hospice Registered Nurse

4 weeks ago

Sheboygan Falls, United States SHARON S RICHARDSON HOSPICE Full time
Job DescriptionJob Description

As a Home Care RN Case Manager at Sharon S. Richardson Community Hospice, you will be responsible for providing nursing care to terminally ill hospice patients for a mission-driven, local non-profit. You will also provide assistance and understanding to families in home care situations. Working as a member of the hospice team, you will play a vital role in providing compassionate end-of-life care. This is a salaried position working 1st shift, Monday - Friday with flexible hours There is a minimal on-call, weekend, and holiday rotation required.

ESSENTIAL RESPONSIBILITIES

  1. Knowledge and application of policies and protocols of SSRCH.
  2. Practices infection control techniques.
  3. Within the scope of practice, prioritizes daily work, makes adjustments taking into account the needs of the patients, physicians and others in the organization.
  4. Organizes and maintains safe patient care and work areas.
  5. Documents patient care on a timely basis according to policy.
  6. Responds to emergency situations.

PATIENT CARE
  1. Develops and supervises the planning, coordination, and delivery of patient/family care.
  2. Provides direct and indirect nursing care to patient/family care.
  3. Implements physician orders and maintains communication with primary care physician.
  4. Teaches family members signs and symptoms of dying and grieving process.
  5. Maintains communication with Interdisciplinary Team (IDT) members through participation in IDT meetings.
  6. Acts as liaison to community resources to meet patient/family needs. Refers when appropriate.
  7. Uses tools of observation, interviewing, data history, and physical observation and assessment for initial assessment.
  8. Interprets changes in behavior, psychological and physiological status of patient for initial and ongoing assessment of needs.
  9. Develops nursing diagnosis and care plans individualized for each specific patient and modifies care plan based on ongoing assessment of patient condition.
  10. Gives or directs total care for all patients including personal hygiene, comfort measures, nourishment, and provides physical and psychological support to the patient and family.
  11. Documents medication given, care given, patient condition, assessment, and patient diagnosis within the patient chart.
  12. Performs other related duties and responsibilities as deemed necessary.

HOME CARE

  1. Coordinates care provided by the IDT for an assigned group of patients residing in the community.
  2. Evaluates patient outcomes related to self-medication and self-treatment and modifies care plan.
  3. Anticipates needs of patient and family. Educates and plans accordingly.
  4. Contacts patient or family to set up schedules for home visits.
  5. Teaches family members’ patient care skills, meds, treatments, use of equipment and informs them of signs and symptoms of dying and grieving process.
  6. Assigns another case manager to cover for case load when taking PTO or extended leave of absence.

PERSONNEL

  1. Supervises, supports, gives guidance and direction to volunteers and ancillary staff according to patient/family needs and State regulations.
  2. Ability to mentor students and provide input for evaluations.

PROFESSIONAL DEVELOPMENT

  1. CHPN certification within 3 years of hire is strongly encouraged.
  2. Participates in SSRCH provided education and employee meetings.

PERSONAL QUALIFICATIONS
  1. Affirms the knowledge, philosophy and principles of hospice care.
  2. Maintains patient confidentiality.
  3. Directs and applies problem-solving techniques in resolving issues.
  4. Required to work reasonable amounts of overtime and flexible hours.
  5. Instills confidence in the patient by maintaining a neat and attractive appearance and performing duties in a competent and caring manner.
  6. Able to maintain healthy boundaries.

WORKING CONDITIONS
  1. Physical Requirements: Frequent ambulation; constant bending, lifting, twisting, pushing and pulling; reposition patients; able to sit for extended periods of time; manual dexterity to operate computer and other office equipment. Locates and drives to patients’ homes and to meetings at other locations. Ability to lift up to 50 lbs.
  2. Mental Requirements: Read, speak, write and understand English; cognitive processes to interpret patient condition and apply appropriate nursing procedures; ability to add, subtract, multiply, divide and work with fractions; must function independently without supervision.
  3. Working/Environmental Conditions: Fast-paced changing environment, with multiple directives from several disciplines. Requires work in patient homes with no control over environmental conditions.
  4. Machines, Equipment, Tools Used: IV equipment; glucometer; PCA; computerized equipment; blood pressure equipment; Foley catheter; bed boards; bed cradle; enteral feeding equipment; infusion pump; automobile; pager; telephone; oximeter; phototherapy equipment; computer.
  5. Exposures: Reasonably anticipated exposure to blood, other body fluids or other potentially infectious materials. Possible exposure to communicable diseases or infections. Reasonably anticipated exposure to hazardous equipment, assorted chemicals, gases/vapors and other pollutants.
  6. Personal Protective Equipment Required: Assorted gloves; assorted masks, utility gloves; protective eyewear; impervious gowns; impervious aprons; needleless systems as appropriate.

PROFESSIONAL QUALIFICATIONS
  1. Certificate/Degree/License Requirements: RN license to practice nursing in Wisconsin upon hire; valid Wisconsin driver’s license upon hire; re-certification as required. Must carry car insurance on vehicle used to perform job and an acceptable driving record. Certified in CPR BLS according to the American Heart Association and/or the Red Cross.
    1. Home Care: Locate and drive to and from patients’ homes and to meetings at other locations.
  2. Experience Requirements: Minimum of one year medical/surgical, ICU, public health, home health nursing or hospice experience preferred.
  3. Education Requirement: Prefer 4-year bachelor’s degree in nursing or 3-year diploma. Will consider a 2-year associate degree with appropriate experience.
  4. Communicative Skills: Able to communicate directions to RNs, LPNs, CNAs, Team Assistants and auxiliary personnel; communicates and explains new policies and procedures to employees and new hires; able to describe patient condition to physician, patients and family members and offer comfort; able to recognize and respond to non-verbal cues and communication.

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