Hospice RN PPV- Fairfield Hospice

Provides skilled nursing care to hospice clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost-effective care.

·         Reviews referrals, and initiates contact with client and family.

·         Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status.  Demonstrates clinical expertise in symptom management and end of life issues.

·         Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilizations of appropriate resources.  Facilitates peaceful death and assures appropriate bereavement follow up through timely documentation of bereavement assessment.  Modifies plan of care as conditions change.

·         Demonstrates understanding of payer information in order to maximize care planning.  Utilizes Hospice Levels of care appropriately.

·         Follows IDT process of approving non-formulary medications, treatments, and DME.

·         Initiates and maintains a client record utilizing the Agency’s standard for documentation.

·         Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment so as to promote peaceful death; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers.  Utilizes interdisciplinary team members to support patient/family needs.

·         Teaches patients and reinforces