POSITION TITLE: Registered Nurse, Care Center South
REPORTS TO: Patient Care Manager
FLSA: Non-Exempt
Position Scope:
The Registered Nurse, under the direction of the Patient Care Manager, provides skilled nursing care to individuals and families while the patient is hospitalized in the Care Centers. Plans, implements and evaluates nursing care through systematic assessment of patient/family needs. The RN is responsible for the coordination of the plan of care for all patients in our Care Centers. Dual Licensure is required as organizational need may require reassignment to a sister Care Center as needed.
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
I. Essential Functions/Performance Factors
· Uses the nursing process in the initial and ongoing assessment of the impact of the terminal diagnosis on the patient's physical, functional, psychosocial and environment needs and activities of daily living.
o Complete the initial nursing assessment within agency time frame.
o Initiate appropriate preventive and rehabilitative nursing procedures.
o Determine the scope and frequency of services needed based on acuity and patient/family needs.
o Provide ongoing evaluation of patient/family response to care.
o Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
· Prepares clinical and progress notes that demonstrate progress toward established goal(s).
o Complete documentation of each nursing visit by the end of shift.
o Complete the MAR accurately.
o Write nursing notes that reflect the patient’s terminal illness according to NHPCO guidelines, local Medical Review policies and the care plan.
o Sign all entries with full signature and credentials.
o Provide care/medications in accordance with a physician’s order.
o Chart to reflect the nurse’s role as case manager.
o Document change in status accurately.
o Complete the discharge summary within agency time frame and reflect an overview of the care provided.
- Implements the individualized plan of care and recommends revisions to the plan as necessary.
o Manage discomfort and provide symptom relief.
o Utilize specialized nursing skills related to palliative and end-of-life care.
o Assess patient’s physical condition with each visit and document findings.
o Complete pain assessment thoroughly with each visit.
o Identify other symptoms and treat appropriately.
o Continually evaluate the effectiveness of nursing interventions and make appropriate changes to the care plan.
o Attend weekly team meeting and update team members regarding patient’s condition, care needs, and response to nursing interventions.
o Update the care plan based on the needs of the patient/caregiver, or at least every two weeks.
· Coordinates all patient/family services and prioritization of needs with the members of the IDT.
o Use case management approach and refer to other services as needed.
o Inform the physician and other personnel of changes in the patient’s needs and outcomes of intervention.
o Supervise LPNs and paraprofessionals providing services to the patient according to regulatory guidelines.
o Assess the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
o Communicate information using current process and technology available to the organization.
· Uses agency resources wisely.
· Participates in performance improvement activities.
Values Ownership/Performance Factors
Teamwork
· Support and encourage my teammates throughout the organization.
· Provide positive, constructive feedback.
· Consistently “manage up” co-workers.
· Celebrate success – look for the good and share it.
· Be a role model.
· Communicate with respect and professionalism to create a safe environment in which open dialogue can take place.
Integrity
· Be reliable, allowing others to place their trust in me.
· Do the right thing even when no one is watching.
· Respect all individuals through acknowledgment, acceptance, and courtesy.
· Walk my talk.
· Refrain from gossip.
Performance
· Be flexible and willing to adapt to change.
· Be knowledgeable about my job responsibilities and the organization.
· Seek self development-Utilize tools that are provided to grow personally and professionally.
· Take responsibility for my actions; be willing to take both credit and critique.
Conduct myself as a professional at all times by performing my job competently and ethically (i.e, maintaining confidentiality, maintaining boundaries, making eye contact, dressing professionally, using professional demeanor).
· Recognize I am a reflection of Valley Hospice.
· Be on time.
· Set and achieve goals.
Spiritual
· Recognize the spirituality inherent in each individual without judgement
· Be open and respectful to each individual’s spiritual beliefs
· Meet patients and families where they are and don’t project your spiritual beliefs on others
· Be attentive to your own spiritual needs, as you perceive them
· Live your spirituality in acts of compassion and service in the workplace
· Build one another up and encourage your coworkers in times of distress, personal crisis, and spiritual need
Mission Focused
· Recognize the value of each person and accept that value without judgment.
· Be good stewards of time, money and all resources entrusted to me.
· Offer hope, compassion and empathy to coworkers and those we serve.
· Know our mission and apply it to my work every day.
Engagement
· Focus my physical, emotional, and spiritual energy in order to fulfill our mission.
· Take pride and ownership in my performance each day.
· Build professional relationships
· Inspire and Motivate others.
· Consistently ‘manage up’ Valley Hospice.
· Appreciate the efforts of others.
· Support the communities in which I serve.
Supervisor Responsibilities:
None
Education and Work Experience:
- Minimum of 18 months registered nursing experience; home health, medical surgical or hospice nursing preferred.
- Graduate of an accredited school of nursing
- Evidence of clinical experience and skills necessary to perform job
- Exhibits excellent communication skills
Certifications and Licenses:
RN, WV and OH
Certified Hospice & Palliative Care Nurse (CHPN) after two years of hospice experience
Current driver’s license, automobile insurance, and reliable transportation
Confidentiality:
The Registered Nurse must carry out responsibilities in an ethical, professional and confidential manner.
PHYSICAL DEMANDS
Physical Demands
Lift/Carry
Stand
O (Occasionally)
Walk
O (Occasionally)
Sit
O (Occasionally)
Handling / Typing
F (Frequently)
Reach Outward
O (Occasionally)
Reach Above Shoulder
O (Occasionally)
Climb
O (Occasionally)
Crawl
N (Not Applicable)
Squat or Kneel
O (Not Applicable)
Bend
O (Not Applicable)
10 lbs or less
O (Occasionally)
11-20 lbs
O (Occasionally)
21-50 lbs
O (Occasionally)
51-100 lbs
O (Occasionally)
Over 100 lbs
N (Not Applicable)
Push/Pull
12 lbs or less
O (Occasionally)
13-25 lbs
O (Occasionally)
26-40 lbs
O (Occasionally)
41-100 lbs
N (Not Applicable)
N (Not Applicable)
Activity is not applicable to this occupation.
O (Occasionally)
Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)
F (Frequently)
Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)
C (Constantly)
Occupation requires this activity more than 66% of the time (5.5+ hrs/day)
Other Physical Requirements
Sense of Sound (able to hear normal conversation)
Sense of Touch
Sense of Sight
WORK ENVIRONMENT
While performing the duties of this job, the employee frequently is exposed to outside weather conditions when traveling between sites. Patients’ home environments are variable with regard to heat, noise, air circulation and conditioning, space, cleanliness, accessibility and all other environmental factors. Inpatient and skilled nursing facility environments are standardized. Office environment in a controlled atmosphere building.
Job Type: Part-time
Pay: $31.00 - $35.00 per hour
Expected hours: 24 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Medical Specialty:
- Hospice & Palliative Medicine
Physical Setting:
Experience:
- Nursing: 2 years (Required)
License/Certification:
Work Location: In person
