The Registered Nurse (RN) will provide direct patient care services to hospice patients and supportive care to the patient’s family; manage an interdisciplinary group consisting of Licensed Practical/Vocational Nurses, Certified Nursing Assistants and support staff to enhance the quality of hospice care; and, case manages all assigned patient clinical records.
• Assures the highest quality of care is provided and documented in accordance with the Plan of Care.
• Performs the initial and on-going assessment of the patient.
• Helps develop and implement the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the Interdisciplinary Group.
• Responsible for the education of the patient, family or other caregivers in relation to needs identified on the Plan of Care, including, but not exclusive of, medication administration, dressing changes, oxygen administration, Hospice philosophy and care of the terminally ill patient.
• Works closely with other members of the Interdisciplinary Group to provide all-inclusive physical, psychosocial, educational, emotional and spiritual services including bereavement support to the patient and family to achieve the highest quality of care.
• Maintains primary control and professional management of each patient and acts as primary liaison between physician, patient/family and hospice team so as to be fully aware and abreast of all clinical issues, staffing and scheduling concerns.
• Reports any change in the patient’s condition to both the Attending Physician and Hospice Physician.
• Maintains close contact with the patient’s family and/or significant others to provide information, support, and continuity of care.
• Maintains an accurate and updated medical record, including all Interdisciplinary notes, Plans of Care, initial and on-going assessments and any other information pertinent to the care of the patient.
• Performs on-going review and follow up on assigned patient clinical records to assure quality services are provided, standards of practice are followed, and compliance with policies, procedures and regulatory requirements is met and maintained.
• Practices infection control measures and standard precautions.
• Makes routine supervisory visits of, and with, all other team members at least monthly.
• Monitors scheduling of all staff.
• Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process.
• Participates in the Curo Quality Assessment and Performance Improvement Program.
• Attends staff meetings.
• May be requested to participate in agency on-call schedule.
• Performs other activities as assigned.
• Consistently promotes company’s core values.
• Completes required Curo annual training.
• This is a safety-sensitive position.
STATE-SPECIFIC REQUIREMENTS FOR:
Revision Date 2/24/2017 (Covers Delaware, Minnesota, Iowa, Minnesota, Nebraska, New Mexico and Illinois)
DELAWARE: requires current state licensure as a registered nurse.
ILLINOIS: requires completion of registered professional nurse education program and current state licensure as a registered professional nurse.
IOWA: requires that nursing services are planned and provided or supervised by a registered nurse who has a current Iowa license to practice nursing. A registered nurse will develop a nursing plan of care after assessing the patient and family’s nursing needs. A registered nurse may be asked to perform the following additional job duties:
• Participate in IDT meetings to develop and amend the plan of care
• Document nursing care given and observations made regarding patient, family reactions and
• Develop and implement nursing service objectives, policies and procedures;
• Develop job descriptions for all nursing personnel;
• Establish staff schedules to meet patient and family needs and ensure 24-hour service;
• Develop and implement orientation and training programs;
• Develop and implement performance evaluation for the nursing staff;
• Assign duties to nurses consistent with their education and experience; and
• Facilitate periodic meetings of the professional nursing staff to evaluate the nursing care
• provided by hospice personnel.
MINNESOTA: allows registered nurses to perform the following additional job duties:
• Develop nursing interventions to be integrated with the plan of care.
• Implement nursing care through the execution of independent nursing interventions.
• Implement interventions that are delegated, ordered, or prescribed by a licensed health care provider.
• Delegate nursing tasks or assign nursing activities to implement the plan of care.
• Provide safe and effective nursing care.
• Promote a safe and therapeutic environment.
• Advocate for the best interests of individual patients.
• Evaluate responses to interventions and the effectiveness of the plan of care.
• Collaborate and coordinates with other health care professionals in the management and implementation of care within and across care settings and communities.
• Provide health promotion, disease prevention, care coordination, and case finding.
• Participate in the development of health care policies, procedures, and systems.
• Hold accountability for the quality of care delivered, recognizing the limits of knowledge and experience; address situations beyond the nurse’s competency; and perform to the level of education, knowledge, and skill ordinarily expected of an individual who has completed an approved professional nursing education program.
• Design and implement teaching plans based on patient need, and evaluate plan effectiveness.
NEBRASKA: registered nurses may perform, but are not limited to, the following job duties:
• Assessing human responses to actual or potential health conditions;
• Establishing nursing diagnoses;
• Establishing goals and outcomes to meet identified health care needs;
• Establishing and maintaining a plan of care;
• Prescribing nursing interventions to implement the plan of care;
• Implementing the plan of care;
• Teaching health care practices;
• Delegating, directing, or assigning nursing interventions that may be performed by others and that do not conflict with the Nurse Practice Act;
• Maintaining safe and effective nursing care rendered directly or indirectly;
• Evaluating responses to interventions, including, but not limited to, performing physical and psychological assessments of patients under restraining and seclusion as required by federal law, if the registered nurse has been trained in the use of emergency safety intervention;
• Teaching theory and practice of nursing;
• Conducting, evaluating, and utilizing nursing research;
• Administering, managing, and supervising the practice of nursing; and
• Collaborating with other health professionals in the management of health care.
NEW MEXICO: requires certification of registration as a registered nurse under the Nursing Practice Act.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Education: Registered Nurse
• Experience: A minimum of one (1) year experience, either in oncology, long-term care, or hospice or home health. School internships and clinical hours may be considered as experience in individual cases.
• Licenses, Certifications and/or Registration:
o Current license to practice nursing in the state of requested employment
o CPR Certification
o Current automobile insurance and valid driver’s license
• Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work.
• Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, and human resource) management principles
• Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team.
• Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be requested by individuals with disabilities to allow them to perform the essential functions.
• Express or exchange ideas by means of the spoken word
• Must be able to read, write, and comprehend English
• Perceive the nature of sounds by the ear
• Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus
• Endure long periods of driving
• Stand, walk and/or sit for extended periods of time
• Recurring movement to fingers, hands, wrists, legs and feet.
• Occasional bending, kneeling, crouching, reaching, pushing, pulling
• Demonstrate manual dexterity
• Ambulate on rough surfaces and climb stairs
• Lift or move up to 25 lbs when transporting supplies and lift and turn patients in excess of 50 lbs
• The ability to work in a constant state of alertness and safe manner.
• Maintains high standards of integrity and business ethics.
• Abides by company rules, policies and procedures, and applicable laws and regulations.
• Conducts self in an honest, ethical manner.
• Reports promptly any suspected violation of compliance standards via the open door policy.
Reports to the Director of Operations or designee