Hospice On-call RN- Weekends

Job Type: Full-time; Weekends Friday 5:00pm – Monday 8:30pm

Salary: $65,000K Annuallly

What the position looks like:

• The on-call nurse provides direct hospice services to the patient and their families, within their homes and nursing communities.
• Provides triage support and education to the patient and caregivers when needed.
• Provides health care instructions to the patient as appropriate per assessment and plan of care.
• Prepares clinical notes and updates the primary physician when necessary
• Administers medications and treatments as prescribed by the physician.
• Provides direct patient care as defined in the State Nurse Practice Act.
• Counsels the patient and family in meeting nursing and related needs.
• Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required.
• Ensures that arrangements for equipment and other necessary items and services are available

• The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

Requirements:

• RN license – Ohio
• 1 year experience as an RN
• CPR certified
• Previous hospice experience preferred

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Flexible spending account
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• Paid time off/sick time
• Referral program
• Mileage reimbursement

#HP123

SUMMARY OF RESPONSIBILITY
The registered nurse plans, organizes and directs the care of the terminally ill patient by promoting patient comfort and optimizing quality of life. This professional nurse builds from the resources of the community to plan and direct these services to meet the needs of the terminally ill individual and their families within the patient's home and their community.
MAJOR RESPONSIBILITIES
Patient Care
1. Completes the initial assessment of the patient and family to determine hospice needs. Provides complete physical assessment focused on disease progression and decline including history of current and previous illness(es), pain assessment, safety assessment, wound assessment as applicable.
2. Performs the admission process to include: signed legal forms, verbal physician certification for hospice service, completed IPOC, completed narrative note of admission process, medication entry to computer, completed appropriate clinical summary, copied patient records to support hospice appropriateness, and copied Advanced Directives.
3. Provides professional nursing care by using the Nursing Process.
4. Initiates the POC based on the patient and family/caregiver needs reflecting assessment data obtained to determine the nursing diagnosis and establish goals for care incorporating palliative nursing actions. Includes both the patient and family/caregiver in the care planning process. Re-evaluates this POC regularly and revising as needed to reflect the patient and family/caregiver care needs.
5. Initiates appropriate palliative nursing procedures. Makes recommendations for symptom management; administers medications and treatments as prescribed by the physician in the physician's plan of care.
6. Counsels the patient and family/caregiver in meeting care needs of the terminally ill patient. Provides health care instructions to the patient and family/caregiver as appropriate per the assessment data and POC.
7. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency as consistent with the POC.
8. Acts as Case Manager assigned by the Team Manager assuming the responsibility of coordinating the patient care for each assigned patient.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient condition and care given at the time the assessment is done or care given. Records pain/symptom assessments and management, changes/outcomes to pain/symptom management as appropriate.
2. Communicates with the primary care physician regarding the patient's needs and reports changes in patient condition; obtains/receives physician orders as needed.
3. Communicates with the facility staff or community health related persons to coordinate the plan of care for each assigned patient.
4. Teaches the patient and family/caregiver care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician recognizing and using opportunities for health counseling with patient and family/caregiver. Works in concert with the hospice Interdisciplinary Group/Team members.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient, family/caregiver and other team members in providing continuity of care. Works in cooperation with the patient and family/caregiver and the hospice Interdisciplinary Group/Team members to meet the emotional needs of the patient and family/caregiver.
7. Attends the Interdisciplinary Group/Team meetings regularly.
Additional Duties
1. Participates in on-call duties as assigned by the VP of Hospice and defined by the on-call policy.
2. Ensures that equipment, medication and other necessary items and services are available to the patient.
3. Supervises ancillary personnel and delegates responsibilities when required.
4. Assumes responsibility for personal growth and development maintaining and improving professional knowledge and practice skills through attendance and participation in continuing education programs.
5. Fulfills the obligation of case assignments.
6. Actively participates in quality management program.