Hospice Weeknight Registered Nurse

The hospice Second Shift RN uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting. Provides individualized patient care for patients in the terminal phase of their lives according to established policies, procedures, guidelines and nursing standards of care. This position is responsible for the initial, comprehensive, and ongoing assessments of the patient’s needs and ensuring interdisciplinary collaboration in the development of a patient specific plan of care based on identified needs. Will perform admissions and non-start-of-care visits as necessary to ensure physician orders are being followed and patients receive quality care. Will take on-call duties during the night and respond to patients needs including medication concerns, symptom management, urgent care concerns, and provide in person visits as needed.

Hours of Work: Monday - Thursday, 5pm - 8am

PRIMARY JOB DUTIES
1.    Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.
2.    Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
3.    Appropriately communicates with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain/receive physician orders as required.
4.    Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
5.    Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
6.    Organizes and performs work effectively and efficiently.
7.    Maintains and adjusts schedule to enhance agency performance.
8.    Demonstrates a daily commitment to the values of the agency.
9.    Demonstrates positive interpersonal relations in dealing with all members of the agency.
10.    Maintains and promotes customer satisfaction.
11.    Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

 
1.0    40%    QUALITY OF WORK:
        
1.1    15%    Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by:
•    Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
•    Providing and/or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
•    In collaboration with the patient/family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
•    Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
•    Implements interventions in a manner consistent with agency policy and discipline standards.  Evaluates patient response to interventions according to agency policy.
•    Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.
                 
    1.2        12%            Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.
•    Plans admission process the day before admission when possible by calling patient and gathering necessary supplies and paperwork.
•    Conferences with case manager and other members of interdisciplinary team regarding the status of patient and provides appropriate paperwork to follow the plan of care.
•    Make appropriate referrals to other disciplines when indicated and provides information related to patient’s status.
•    Appropriately informs the physician (Attending and Hospice) and other members of interdisciplinary team of any changes in patient’s condition, safety issues, or other complications that might impede the plan of care.
•    Informs supervisor of any potential or actual client concerns, risk  management issues and referrals to Child/Adult Protective Services 100% of time.
•    Provides scheduled and PRN visits to patients when requested by the Management Team.

    1.3        8%