Hospice & Palliative Care Nurse Practitioner

This job was posted by https://www.vermontjoblink.com : For more

information, please see: https://www.vermontjoblink.com/jobs/1368036

Job Summary

The Hospice and Palliative Care Nurse Practitioner is a registered

professional nurse with advanced graduate education and clinical

training who provides comprehensive hospice services in compliance with

the state Nurse Practice Act and under the supervision of a

collaborating physician. Provides hospice care through the evaluation

and assessment of the health history, health promotion, diagnosing

medical conditions, management of health problems by directing and

developing the plan of care, prescribing medications or treatments,

coordinating and collaborating with patients, families, and other

healthcare practitioners. Under the supervision of a physician, the

nurse practitioner visits patients, completes physical assessments,

performs face-to-face assessments and evaluates hospice eligibility as

assigned in consultation with the hospice interdisciplinary team. The

nurse practitioner builds from the resources of the community to plan

and direct services to meet the need of individuals and families within

their homes and communities.

Supervisory Responsibilities

This position has no direct supervisory responsibilities.

Essential Job Functions/Responsibilities

ESSENTIAL DUTIES

• Provides medical care, palliates, and manages terminal illness in
  
  

compliance with the state Nurse Practice Act under the supervision

of a collaborating physician.

• Completes history and physical examinations, by evaluating the
  
  

patients medical condition and health history, ordering and

interpreting results from laboratory and diagnostic tests or

procedures, diagnosing health conditions and documents the findings

in the patients medical record.

• Manages health conditions and terminal illnesses by developing an
  
  

individualized plan of care, prescribing, administering and

dispensing medications and/or treatments, obtaining consultations or

making referrals and coordinating hospice care services.

• Completes the hospice face to face visit requirements prior to the
  
  

third and subsequent hospice benefit periods to assess hospice

eligibility based on the hospice conditions of participation and the

local coverage determinations. Provides clinical information to the

hospice medical director for interpretation for eligibility for

hospice recertification.

• Makes recommendations to the hospice medical director regarding
  
  

patient eligibility for certification and recertification for

hospice care.

• Reviews clinical information, coordinates and oversees patient care
  
  

in consultation with the hospice interdisciplinary team and other

healthcare practitioners.

• Participates with physician in quarterly review of the patients
  
  

health record.

• Assures that patient receives appropriate measures to control
  
  

symptoms, through collaboration with interdisciplinary team members.

• Reviews and develops protocols for treatment and proposes options
  
  

for interventions based on the literature in collaboration with the

collaborating physician.

• Consults the collaborating physician when the patient\'s plan of
  
  

care is outside standardized practice and protocols.

• Provide general preventive health care to Palliative Care patients.
  
  

Manage and follow-up routine and problem patients.

• Adheres to policies and procedures as outlined in Policy and
  
  

Procedure Manual.

COMMUNICATION

Communicates and collaborates with the interdisciplinary group to

create, review and revise the patient\'s plan of care.

Consults with the patient\'s attending physician, the hospice medical

director and other healthcare practitioners regarding the patient\'s

eligibility for hospice care, ongoing care needs and medical management

related to the patient\ s terminal condition.

Works with Medical Director to insure compliance with practice

activities around patient satisfaction, utilization, productivity,

clinical competence, and peer satisfaction.

Communicates with other community health practitioners to coordinate the

plan of care.

Attends and participates in meetings, including but not limited to

hospice interdisciplinary group meetings.

Completes, maintains and submits accurate and relevant clinical notes,

physical examination notes, assessment visit notes, medical orders,

collaboration notes and other documentation in the medical record.

Educates/counsels patients, families, and/or caregivers as to

preventative care, medical problems, psychological problems, and

spiritual problems in conjunction with the interdisciplinary team to

meet the total needs of patients.

Provides and maintains a safe environment for the patient.

Assists the patient and family / caregiver and other team members in

providing continuity of care.

Works in cooperation with the family / caregiver and hospice

interdisciplinary group to identify the goals of care and meet the care

needs of the patient and family / caregiver.

Serves as a nursing resource for consultation and educations to members

of the interdisciplinary team and other healthcare practitioners in the

community.