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Nurse Practitioner
2 months ago
St Croix Hospice is seeking a skilled Registered Nurse to join our team as an On-Call Registered Nurse. This role will provide hospice care to patients in their homes and communities, with a focus on community health education and experience.
Job Summary:The On-Call Registered Nurse will be responsible for organizing and directing hospice care, providing professional nursing care to patients and families, and working in concert with the interdisciplinary group to meet the emotional needs of patients and families.
Key Responsibilities:- Available to receive and respond to calls from Triage during assigned shifts, making visits to patients with changing conditions, and completing weekend admissions.
- Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs for after-hours calls.
- Provides professional nursing care by utilizing all elements of the nursing process.
- Assesses and evaluates patient's status by writing and initiating a plan of care, re-evaluating patient and family/caregiver needs, and 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 and develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions.
- Counsels the patient and family in meeting nursing and related needs, provides health care instructions to the patient as appropriate per assessment and plan, and assists the patient with activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.
- After hours on-call responsibilities include remaining available for all calls related to patient care and making all appropriate visits as necessary.
- Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition and care given, records pain/symptom management changes/outcomes as appropriate, and communicates with the physician regarding the patient's needs and reports changes in the patient's condition.
- Works in concert with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver, attends interdisciplinary group meetings, and ensures that arrangements for equipment and other necessary items and services are available.
- Supervises ancillary personnel and delegates responsibilities when required, assumes responsibility for personal growth and development, and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
- Graduate of an accredited school of nursing.
- One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care.
- Current licensure in State and CPR certification.
- Management experience not required. Responsible for supervising hospice aides.
- Excellent observation, verbal, and written communication skills, problem-solving skills, basic math skills, and nursing skills per competency checklist.
- Prolonged or considerable walking or standing, able to lift, position, and/or transfer patients, able to lift supplies and equipment, considerable reaching, stooping, bending, kneeling, and/or crouching, visual acuity, and hearing to perform required nursing skills.
- Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.