IPU Registered Nurse

JOB DESCRIPTION SUMMARY

Inpatient RN – Hospice House / General Inpatient Care

Islands Hospice is seeking a clinically strong Registered Nurse to care for terminally ill patients requiring a General Inpatient Level of Care at our hospice house.

This is a high-skilled nursing position focused on complex symptom management, IV medications, rapid changes in condition, family support, and compassionate end-of-life care.

The ideal candidate has strong acute care experience, with ICU or ER experience preferred. Hospice experience is helpful but not required. We will train the right RN who has strong clinical judgment, excellent assessment skills, and comfort caring for high-acuity patients.

8am – 8pm & 8pm – 8am

Requirements:

• Current Hawaiʻi RN license
• Acute care nursing experience required
• ICU or ER experience preferred
• Strong IV skills and comfort with high-acuity symptom management
• Compassionate, calm, and confident communication with patients and families

Benefits:

• Medical/Dental/Vision Insurance
• Paid time off (PTO) and Paid Holidays
• 401(k) matching
• Life insurance
• Flexible Spending Account (FSA)
• Supplemental Insurance (Aflac)

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

The registered nurse (IPU) plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Patient Care

• Completes an initial, comprehensive and ongoing assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
• Assesses and evaluates patient’s status by:
• Writing and initiating plan of careRegularly re-evaluating patient and family/caregiver needsParticipating in revising the plan of care as necessary
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions, including the patient and the family in the planning process.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• 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; obtains/receives physicians’ orders as required.
• Communicates with community health related persons to coordinate the care plan.
• Educates the patient and family/caregiver by teaching self-care techniques as appropriate, providing medication, diet and other instructions as ordered by the physician and recognizing and utilizing opportunities for health counseling with patients and families/caregivers.
• Collaborates with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Cooperates with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends and participates in interdisciplinary group meetings.

Additional Duties

• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATIONS

• Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in-home care.
• Current licensure in State and CPR certification.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
• Bachelor’s degree, with one (1) year of hospice care experience preferred.
• Management experience not required. Responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

Job Types: Full-time, Part-time

Pay: $45.00 - $52.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Experience:

• Nursing: 1 year (Required)

License/Certification:

• BLS Certification (Required)
• RN (Required)
• Driver's License (Required)

Work Location: In person

Salary : $45 - $52