Per Diem Hospice RN

PATIENT CARE

1. Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of nursing process.

3. 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

1. Uses health assessment data to determine nursing diagnosis.

2. 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.

3. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care.

4. Counsels the patient and family in meeting nursing and related needs.

5. Provides health care instructions to the patient as appropriate per assessment and plan.

6. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.

7. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

On an An Average Day you Will:

(Includes, but not limited to)

• Will perform after hours and weekend visits and admissions as needed.
• Follow up on phone calls by either directing the phone call to the DPCS, RN Clinical Supervisor/Manager or RN Case Manager and/or taking care of the need immediately per scope of practice
• Dispatch field nurses and other appropriate staff to patient's residence in a timely manner
• Re-fill prescriptions, order supplies and DME, and assist in any other coordination needed by the patients and families
• Document calls, conversations and outcomes of call-in software system
• All other duties as assigned

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 concert with the interdisciplinary group.

Provides and maintains a safe environment for the patient.

Assists the patient and family/caregiver and other team members in providing continuity of care.

Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.

Attends interdisciplinary group meetings.

ADDITIONAL DUTIES

Participates in on-call duties as defined by the on-call policy.

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 inservice classes.

Fulfills the obligation of requested and/or accepted case assignments.

Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATION

Registered nurse with current licensure to practice professional nursing in the state.

Maintains a current CPR certification

Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.

Minimum of two years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

Self-directed and able to work with minimal supervision.

Management experience not required. Responsible for supervising hospice aides.

Demonstrates excellent observation, problem solving, verbal and written communications, nursing skills per competency checklist.

Shows ability to organize and prioritize workload independently.

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.

Pay: $ $350.00 per hour

Work Location: In person