RN Medical Records Project
2 months ago
Inspire health. Utilizes the nursing process to provide hospice and palliative care to the terminally ill patient, regardless of their age, and supportive care to the patient's family in the Hospice House. Adheres to all compliance and policy and procedure requirements of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (The Joint Commission, DHEC). Provides care within the scope of the SC Nursing Practice Act.
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Assesses patient physiological, psychosocial, developmental, environmental needs, and the families' need for supportive care. Considers the physical, emotional, and spiritual aspects of the patient/family when assessing the patient's needs. Offers input into the interdisciplinary Plan of Care based on assessments. Documents assessments in the medical record.
Develops an individualized nursing and a CNA plan of care, as needed, seeking input from the patient and family. Monitors and updates the plans of care, as needed, due to changes in status and family needs.
Monitors the patient's/family's need for additional services and refers to other members of the hospice team.
Develops a plan of care for the time of death that meets the express wishes of the patient/family.
Performs appropriate nursing interventions with thorough and timely documentation in patient's chart. Utilizes standing orders and medical authorization guidelines to guide practice.
Oversees CNA's performance of the Plan of Care according to requirements.
The evaluation process is reflected by patient's response to any treatment and/or medication administered, patient's disease progression and family's response to change, patient's progress toward goals and achieved outcomes, patient/family response to teaching, family caregiver's potential and current ability to cope with the physical and emotional demands of their role in patient's care, and cultural needs and/or developmental needs.
Understands the importance of continued support for the family during the process of bereavement through bereavement follow-up with patient's family, supporting the bereavement POC, attending funeral, visitations or memorial services whenever possible, and attending scheduled bereavement program events, supporting those families served. Facilitates continuity of care with other team members and other agencies through accurate and timely exchange of information. Communicates on a regular basis with all staff/volunteers regarding patient status. Communicates with physicians and others, as needed, to coordinate and ensure quality care. Provides ongoing communication with all Hospice team members. Communicates verbally and in writing with pharmacy, DME vendors, material management and insurance companies to help control agency costs.
Documents all clinical findings, interventions, physician orders, changes in the Plan of Care, telephone calls, team conferences and referrals.
Works on various projects and committees as requested.
Assists with the orientation and training of students/new employees/Volunteers.
This is a non-management job that will report to a supervisor, manager, director or executive.
Education - Associate degree in Nursing
Two (2) years Acute Care Nursing preferred. Experience in hospice or other home care services preferred
Required Certifications, Registrations, Licenses
Work Shift
Hospice Of The Foothills
Facility
1067 Hospice - Upstate
10686050 Nursing Service
Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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