ADMISSIONS RN - FCS HOSPICE
Employment Type: Full-Time
The Hoag at Home, Admissions Nurse (RN) for Hospice 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.
* Review's hospice qualification criteria and provides overview of hospice services to the patient and their family.
* Completes the explanation of benefits with the patient and their family.
* Completes the hospice consent form.
* Completes an initial, comprehensive, and ongoing comprehensive 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.
* Assesses and evaluates patient's status by:
* Writing and initiating plan of care
* Regularly re-evaluating patient and family/caregiver needs
* Participating in revising the plan of care as necessary
* Orders durable medical equipment to ensure patient safety.
* Orders appropriate pharmaceuticals.
* Coordinates ambulance transportation services.
* Assists with patient placement to skilled nursing facility, board and care facility, or assisted living facility when the patient is unable to return home.
* 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. Includes the patient and the family in the planning process.
* 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.
* 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.
* Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert 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.
* Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
* Attends interdisciplinary group meetings
* Participates in on-call duties as defined by the on-call policy.
* Ensures that arrangements for equipment and other necessary items and services
* Supervises ancillary personnel and delegates responsibilities when required.
* Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.
* Fulfills the obligation of requested and/or accepted case assignments.
* Actively participates in quality assessment performance improvement teams and activities.
Education, Training and Experience
* Successful completion of a nursing program, must have completed an Associate's Degree in Nursing or higher nursing education, preferred.
* Registered nurses shall have a minimum of (1) to (2) years' experience, at least one of which is in the area of public health, home care, or hospice nursing is 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.
* Current licensure in state and CPR/BLS certification.
* All Clinical Nurse I's must have current licensure as a Registered Nurse in the State of California.
* Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.