Hospice Case Manager- Registered Nurse- RN
2 months ago
Butterfly Hospice of Orange County -
Job Summary
This individual will
plan, organize, and
directs
hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of
individual
and families within their homes and communities.
Responsibilities
Patient Care
Completes
an initial
,
comprehensive
and ongoing comprehensive assessment of patient and family to
determine
hospice needs.
Provides
a complete physical assessment and history of current and
previous
illness(es).
Provides
professional nursing care by
utilizing
all elements of nursing process and as defined in the state Nurse Practice Act.
Assesses and evaluates patient’s status by:
Writing and initiating plan of care
Regularly re-evaluating patient and family/caregiver needs
Participating in revising the plan of care as necessary
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Uses health assessment data to
determine
nursing diagnosis.
Develops a care plan
that
establishes
goals, based on nursing
diagnosis
and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
Initiates
appropriate preventive
and rehabilitative nursing procedures. Administers medications and treatments
as prescribed by
the physician in the physician’s plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides
health care instructions to the patient as
an
appropriate per
assessment and plan.
Assists
the patient with activities of daily living and
facilitates
the patient’s efforts toward self-sufficiency and optional comfort care.
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
Completes,
maintains
and submits
accurate
and relevant clinical notes
regarding
patient’s condition and care given. Records pain/symptom management changes/outcomes as
appropriate
.
Communicates with the physician
regarding
the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as
required
.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as
appropriate
. Provides medication, diet and other instructions as ordered by the physician and recognizes and
utilizes
opportunities for health counseling with patients and families/caregivers. Works in concerts with the interdisciplinary group.
Provides
and
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