Admission Nurse (RN)
Crossroads Hospice of Kansas - Lenexa, KS

REPORTS TO: REFERRAL COORDINATOR / CLINICAL DIRECTOR
RESPONSIBILITIES

1. Facilitates communication between registration representative and referral coordinator to insure prompt admission to hospice services.

2. Performs clinical record review and patient assessment to insure hospice LCD eligibility criteria guidelines are met for admission to the hospice program.

3. Performs admission within the required time frame after referral to insure prompt admission to the hospice program.

4. Accurately completes a thorough, initial assessment to identify the patient/family’s immediate needs.

5. Accurately and completely documents patient’s condition on specific clinical admission forms and completes all forms as required.

6. Submits all admission paperwork to the hospice office the following business day after admission or sooner if requested by the Clinical Director, to insure coordination of care.

7. Demonstrates a professional approach with staff, physicians, significant others, patients, and others.

8. Responsible for maintaining complete confidentiality of patient records, and all other confidential information which may be received during the course of patient care, including financial information and personnel records.

9. Shares information with staff members regarding the newly admitted patient to insure continuity and coordination of care.

10. Initiate initial hospice plan of care in response to identified problems, concerns, and needs to insure palliation of symptoms and safe, competent and continuity of care.

11. Make clinical decisions regarding patient care based on objective and subjective data, nursing assessment and state, federal and nursing board practices.

12. Obtain diagnostic information on patient (i.e., lab values, xray reports, therapy assessments, biopsy reports) and document pertinent findings in the hospice medical record.

13. Assist and guide patient/families in making decisions pertaining to health care needs. Involve patient and/or significant others in determining hospice care goals, objectives and teaching plans.

14. Teach and demonstrate care to the patient/significant other utilizing established, available patient education principles, guidelines and resources. Document all teachings and response to those teachings in the patient hospice record.

15. Reinforce with patient and/or significant other information and skills taught by physician, nurse, contracted facility staff, and others to insure understanding and compliance.

16. Order medications, treatments, supplies and durable medical equipment upon admission, required to insure safety, comfort, and palliation of symptoms.

17. Assess need for a Hospice Aide, homemaker and the service provided to the patient by the aides upon admission and notify the hospice case manager assigned to the care of the patient, to ensure coordination and continuity of care.

18. Provide services in accordance with the initial hospice plan of care and in compliance with third party regulations, hospice care requirements, and standards of practice.

19. Contact physician for any medical orders needs to insure the palliation of symptoms and document verbal order within the hospice record.

20. Administer prescribed medications or treatments according to policy and procedure.

21. Share information with appropriate staff personnel regarding the needs, condition, and dynamics determined during the patient admission assessment to insure coordination of care.

22. Maintain collegial relationship with other disciplines, interpreting the role and responsibilities of the admission nurse.

23. Be available to provide continuous care to other hospice patients as deemed necessary by the hospice clinical director, executive director, or supervisor.

24. Be available for oncall, after hour rotations, as assigned. (based on current staffing and availability of primary oncall personnel)

25. Assist in the orientation of newly hired personnel and students.

26. Participate in the QAPI program if requested.

27. Attend mandatory educational inservice programs as required by state and federal guidelines.

28. Act independently to perform duties on a consistent basis.

29. Demonstrate financial responsibility in developing and facilitating delivery of care, including pharmaceutical formulary, DME formulary, overtime, mileage, and other financial issues.

30. Perform nursing care to other hospice patients as deemed necessary by a supervisor.

31. Follow and honor all rules and regulations within the State Nurse Practice Act.

32. Must maintain an active, nonrestricted,
current state nursing license at all times.

33. Must maintain ongoing continuous educations related to the field of nursing and palliative care. Obtain all state required CEU’s as required by state mandates.
34. Maintain and follow all HIPAA and confidential information at all times.

35. Must work well with others.

36. Must be able to stand and sit for long periods of time.

37. Must be available for after hour emergencies if scheduled by the hospice Clinical Director and/or Assistant Clinical Director(s)..

38. Promote, provide, and assist with the hospice Gift of a Day and/or Veteran’s Recognition program and activities as deemed necessary.

39. Must maintain professional appearance and behavior at all times during working hours and while representing Crossroads Hospice.

40. Perform marketing / public relations duties as required. Must actively market to referral sources, physicians and facilities when not actively admitting a hospice patient to service.

41. Must be able to perform admission in allotted time frame.

42. Must be able to complete admission paperwork as required.

43. Must be able to lift, at minimum, 25 pounds without restrictions.

44. Any other duties assigned by the Clinical Director, Executive Director, Assistant Clinical Director(s) and/or Carrefour Associates.

45. Must be available for Continuous Care, EvenMore Care™ and/or Watch Visit duties as deemed necessary.

46. Must demonstrate ability to work as an interdisciplinary team member.

QUALIFICATIONS:
1. Registered Nurse with current license or permit from State Board of Nursing. (As of July 1, 2003, nurses residing in a state designated as a compact state, may only hold one nursing license as directed by the Nurse Licensure Compact Law)

2. Graduation from an accredited school of nursing

3. Two (2) to five (5) years of professional nursing experience required. Medical, surgical, intensive care, or oncology clinical experience is desirable. Community health or hospice nursing experience required.

4. Requires well developed communications and interpersonal skills.

5. Requires demonstrated time management skills including the ability to prioritize workloads and deal effectively with multiple priorities.

6. Must possess interpersonal skills sufficient to interact effectively with patients and their families, as well as all referring physicians, contracted facility staff, interdisciplinary team, peers, subordinates and supervisors.

7. Must demonstrate the ability to show flexibility with changes and work within time constraints.

8. Must demonstrate the ability to complete all documentation requirements, as dictated by policy and procedures and that all documentation is complete, accurate, detailed and timely.

9. Must exhibit or demonstrate the ability to learn computer skills related to required clinical software and electronic clinical record utilization.

10. Must have reliable, personal vehicle / transportation, a valid driver’s license and the ability to safely and personally operate vehicle.


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