Employment Type

: Full-Time


: Miscellaneous

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. Essential Functions: Patient Care * 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. 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. * 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 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. * 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 Required: * 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.


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