The Home Care Admit Registered Nurse (RN) is a member of the interdisciplinary team who provides hospice/skilled professional nursing care as prescribed by the physician and in compliance with the medical plan of care.  They are primarily responsible for admitting the patient onto Angela Hospice services. The Home Care Admit RN is committed to the philosophy, goals, and objectives of Angela Hospice and the Felician Franciscan Core Values.

• Provides educational information to patients and families regarding the hospice philosophy, eligibility requirements, admission procedures, and Angela Hospice Home Care Inc.
• Completes an initial assessment of patient and family to determine hospice needs
• Completes all the initial necessary admission paperwork with the patient and/or family member/caregiver to get the patient signed onto Angela Hospice services
• Provides a complete physical assessment and history of current and previous illness(es)
• Initiates the patient’s plan of care and includes the patient and the family in the planning process
• Provides quality, professional nursing care to patients utilizing specialized nursing skills related to end-of-life care
• Performs comprehensive assessment of assigned patients in a timely manner upon admission and as required
• Assesses and evaluates patients and makes necessary revisions to the plan of care as patient status and needs change
• Initiates appropriate preventive and rehabilitative nursing procedures  
• Administers and documents medications and treatments as prescribed by the physician
• Orders medications as needed from pharmacy
• Educates the patients and families regarding medications, treatments and procedures, disease process, and end of life care/process
• Uses established confidential communication channels to communicate pertinent information
• Communicates patient/family concerns to appropriate interdisciplinary team member and initiatives a corrective action if required
• Assists the patient with activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care
• Lifts, moves, and transports patients using proper body mechanics or lifting devices
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given 
• Records pain/symptom management changes/outcomes as appropriate
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition
• Communicates and collaborates with community health related persons to coordinate the care plan
• Teaches the patient and family/caregiver self-care techniques as appropriate
• Provides and maintains a safe environment for the patient
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver
• Ensures that arrangements for equipment and other necessary items and services
  are available
• Maintains the comfort, privacy, and dignity of each patient and interacts with patients in a manner of compassion and empathy
• Reports an incident or evidence of abuse or violation of residents rights to the Director of Patient Access, or any administrative staff
• Provides clinical supervision of LPNs, SNAs, and hospice aides and delegates responsibilities when required

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

Supports the Felician Franciscan Core Values, and Vision of Angela Hospice:

• • Respect for Human Dignity
    • Provides an individualized/person centered approach in all interactions
    • Respects and honors differing cultures, viewpoints and beliefs
  • Compassion
    • Demonstrates patience and kindness
    • Goes the extra mile to meet others’ needs
  • Transformation
    • Represents the organization positively in the workplace and in the community as demonstrated through appearance, words and actions
    • Team player – supports and encourages others; works with other team members to achieve goals
    • Accountability/ownership – knows and understands responsibilities of job; adheres to organizational policies
  • Solidarity with People in Need
    • Provides love, care and support for all; regardless of financial circumstance
    • Supports those in the organization/community needing help
  • Justice and Peace
    • Treats the organization’s and patients’ property with care and respect
    • Resolves conflicts in a positive, constructive manner

This position does not have any direct supervisory responsibilities, but provides clinical supervision to LPS, SNAs and hospice aides.  This position is required to orient employees as needed and will act as a mentor to staff and volunteers.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. The position requires sitting and standing for long periods.  The position is also exposed to infectious diseases and requires lifting of a minimum of 50 pounds regularly.  It also requires bending, stooping, turning and twisting on a regular basis. They require the ability to operate a computer, phone and other office equipment as needed.  Manual dexterity is also required to perform tasks including computer tasks.

This position will be required to operate in an infield home health care setting under all types of weather conditions as required. The role requires working directly with patients and other team members. 

This is a position with a hospice organization open 24 hours a day, 365 days a year.  Scheduled regular, additional and holiday shifts as well as work during inclement weather will be required.

This position includes travel routinely.

• Graduate of an accredited school of nursing
• Current RN license in the State of Michigan
• CPR Certified
• Hospice experience in an inpatient or home care setting preferred
• Desire and ability to care for geriatric, convalescent, chronically, seriously or terminally ill persons
• Excellent organization and time management skills
• Proficient computer knowledge and skill
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist
• Ability to work with little or no supervision
• Capacity to lift, position and/or transfer patients
• Auditory and visual skills
• Proficient interpersonal relations and communicative skills
• Knowledge of Federal/State, NHPCO, and CHAP regulations and guidelines
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements