After Hours RN / Hospice Weekend On-Call Triage Registered Nurse
I. JOB SUMMARY—This is a part-time position, 24-hours/week for weekends only. Saturday 8am-8pm and Sunday 8am-8pm.
The registered nurse plans, organizes 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 individuals and families within their homes and communities.
II. DUTIES & RESPONSIBILITIES
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. Performs triage on the weekend and makes visits as needed.
3. Provides professional nursing care by utilizing all elements of the nursing process.
4. Assesses and evaluates patient’s status by:
A. Writing and initiating plan of care
B. Regularly re-evaluating patient and family/caregiver needs
C. Participating in revising the plan of care as necessary
5. Uses health assessment data to determine nursing diagnosis.
6. 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.
7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
8. Counsels the patient and family in meeting nursing and related needs.
9. Provides health care instructions to the patient as appropriate per assessment and plan.
10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
11. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.
Communication
1. Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management
changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan.
4. 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.
5. Provides and maintains a safe environment for the patient.
Additional Duties: Ensures that arrangements for equipment and other necessary items and services are available.
III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
1. Graduate of National League for Nursing accredited school of nursing.
2. A minimum of two years of experience, at least one of which is in-the-area of public health, home care, or hospice nursing is preferred.
3. Management experience not required.
4. Registered nurse with current licensure to practice professional nursing in the state.
5. Demonstrates excellent observation, problem solving, verbal and written communications, nursing skills per competency checklist.
6. Shows ability to organize and prioritize workload independently.
7. 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.
8. Maintains a current CPR certification.
9. Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
10. Self-directed and able to work with minimal supervision.
11. Homecare Homebase EMR system preferred.
Custom Care Hospice is an exemplary organization to work for. We incorporate our core values into our daily work habits, such as Customer's Second, Accountability, Passion for Learning, Love One Another, Intelligent Risk, Celebration and Ownership--also known as CAPLICO. Consider being a part of our team and family.
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