Weekend Visit Nurse Thurs

3 weeks ago


Santa Cruz, United States Hospice of Santa Cruz County Full time

Job Summary

The Weekend Visit Nurse (VN) participates in providing staffing coverage including, but not limited to: team visit coverage, and Admissions support. The position is on Thurs - Sun (4 days, 8 hour days)

Working in collaboration with the PCM, Lead Weekend Nurse and Triage, the VN responds to pt/family needs as identified providing phone instruction/support or visits as needed. Care provided is based on an individualized Plan of Care developed by the IDG that reflects pt/family goals.

The VN demonstrates: flexibility and ability to manage multiple competing priorities; competence in admissions as well as case management; consistent communication with PCM, Triage and other team members regarding patient care throughout the day, clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services.

Essential Responsibilities

Patient/family Care

  • Recognizes the patient and family as the "unit of care" and IDG members
  • Respects patient right to self-determination and acts as an advocate within the context of the values and ethical standards of HSCC
  • Makes visits per agency policy
  • Makes home visit at time of death
  • Utilizes nursing process in providing primary care to pt/families, and professional patient management to facility staff
  • Documents all care and care planning per agency policy
  • Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC
  • Monitors management of pain and symptoms in collaboration with patient/family, facility staff, IDG and physician to achieve maximum comfort
  • Administers medications and treatments as ordered prn
  • Instructs and supports pt/family unit and facility staff re: symptom mgmt, patient care, disease process & death/dying

Admission Visits

  • Meets with patients & families in all settings to explain services, answer questions and admit patient as appropriate
  • Develops and implements an individualized, interdisciplinary Plans of Care for patients and families
  • Uses electronic medical record (EMR) systems effectively and efficiently to complete required documentation in a variety of patient care settings

Secondary Responsibilities

Quality Improvement

  • Meets all standards and requirement as indicated by licensing and accrediting agencies
  • Participates in activities that affirm, enhance and develop the highest quality standards for HSCC
  • Participates in developing standards for quality patient care within HSCC
  • Participates in Quality Assessment & Improvement activities as requested
  • Performs other related job duties as assigned by Supervisor

Compliance

  • Ensures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, and all other regulatory/compliance requirements are understood and followed
  • Submits all appropriate documentation as required for compliance including RN license auto insurance; driver's license, a good driving record, TB checks completed annually

Requirements

  • Require current California RN license
  • Required to attend regular meetings and in-services
  • Critical thinking
  • Familiarity with electronic charting programs and/or demonstrated keyboard and computer skills sufficient to utilize electronic medical record charting.
  • Submits verification of current RN license
  • Drivers license current and maintains a good driving record
  • Ensures TB checks are completed in a timely manner; at least annually
  • Maintains BLS certification
  • Satisfactory results form all background and reference checks

Education/Experience

  • Degree in Nursing from an accredited college
  • 2+ years RN experience in hospice, oncology, medsurg, ICU, ER, skilled nursing facilities or homecare
  • Acute care experience preferred
  • Hospice and/or home health experience preferred
  • End-of-life and pain management experience preferred
  • Bilingual in English/Spanish preferred but not required
  • Previous experience in hospice or palliative care preferred

Physical Demands

  • Sufficient dexterity to utilize electronic record keeping systems, computers/keyboards and or laptops and other related equipment
  • Ability to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilities
  • Vision ability to read manual and electronic documentation, medications, charts, office related equipment, and instructions
  • Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
  • Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team

Work Environment/Environmental Condition

  • Performs services in private homes and care facilities and will experience a variety of settings and situations
  • Office work is performed in combination of private homes, care facilities and office environment.


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