REGISTERED FIELD NURSE/RN - Key Biscayne/Brickell/Down Town

Description

Hours: Monday to Friday - 8am to 5pm (Alternating Weekends)

Summary & Objective

The Registered Nurse Field plans and delivers care to patients in their place of residence utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, families, and other team members while maintaining standards of professional nursing.

Essential Functions

• Assess physical, psychological, social and spiritual needs of the patient and family within 24 hours of admission.
• Assess and evaluates the patient for physical home care needs, medications and nursing care needs timely.
• Develops and implements an individualized plan of care including creating measurable patient-centered goals in collaboration with the physician and the patient, that consistently is updated and reviewed to reflect assessment findings to ensure quality patient home care.
• Reviews and updates plan of care including interventions, medication profile, visit frequency to meet the patient’s changing needs.
• Assess and reports to physician changes of patient condition, needs and facilitates documentation to meet program’s eligibility for services timely.
• Documents physicians’ orders when received to provide accurate information and ensure safe delivery of services.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
• Supervises, teaches and evaluates care provided by other care providers to ensure compliance to the plan of care.
• Educates and instructs the patient and their families as required.
• Documents assessments, interventions and all changes thoroughly at the point of service in the electronic health record and synchronizes this documentation for each patient according to Catholic Hospice standards Communicates handoffs, timely to ensure communication is relayed appropriately for continuation of quality care.
• Effectively plans, organizes, sets priorities and completes assignments within established time frames.
• Administers medications and treatments prescribed by the attending physician and/or hospice physician.
• Attends and participates in Interdisciplinary Team Meetings as required.
• Participates in hospice activities such as Memorial Services, Community Education, etc., as requested by the Team Manager.
• Able to identify and provide ongoing assessment of the physical, psychological, social and spiritual needs of the patient and family and act accordingly or initiate appropriate intervention or referral.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties

• Assists in other activities and departments when requested to ensure complete and thorough patient care for all Catholic Hospice patients.
• Participates in Continuous Quality Improvement activities to support the quality of services.
• Precepts new staff to support professional relationships with newly hired team members as required.
• Completes accurate and appropriate documentation of patient/family services within 24 hours of visit and maintains accuracy of electronic medical record including accuracy of medication profile.
• Coordinates care to the patient and family within the Interdisciplinary team and availability of all resources.
• Collaborates with Nursing Home staff by initiating the written plan of care, maintaining professional management of hospice care and attending care plan meetings.
• Actively participates in quality assurance and performance improvement projects as directed by Clinical Team.
• Serves as case manager and advocate to the patient and family while collaborating with attending physicians, insurance case managers, skilled nursing facility staff, assisted living facility staff as well as all health-related practitioners.
• Evaluates services provided by the Hospice Aide every two weeks with periodic on-site supervisory visits if needed.
• Demonstrates knowledge of hospice levels of care, Medicare and Medicaid Hospice Benefits by providing appropriate documentation when the need arises.
• Provides on-going assessments of physical, psychological, social and spiritual needs of the patient and family and initiates appropriate intervention or referral.
• Actively participate in the care planning process, updating care plans according to the needs of the patient in the IPU.
• Provides education to a diverse group of caregivers audibly and in writing, on how to properly care for patient/family care.
• Participates in the team responsibility of providing patient care twen