Especially looking for nurses in the Lawrence, Eudora, Baldwin, and Leavenworth area!!! Also looking for PRN (Part-time) Nurses with Hospice experience!!
1. Document initial physical and psychosocial assessment of the patients presenting symptoms and diagnosis and submit for review and filing following business day.
2. Identify nursing diagnosis using assessment data and analyze and document in the Clinical record. Submit for review and filing following business day.
3. Assess existing and potential problem areas, needs and resources of individuals, families and significant others; set priorities in collecting data and developing a Plan of Care.
4. Initiate nursing care plan in response to identified nursing diagnosis immediately after development of the Initial Plan of Care. Immediately update the Plan of Care as changes occur. Complete Plan of Care Update Summaries every 2 weeks and discuss and review within the IDG Team Conference Meetings. Update the Comprehensive Assessment, at minimum, every 15 days or when changes occur.
5. Make clinical decisions regarding patient care based on objective and subjective data, nursing assessment, and quality assurance criteria.
6. Obtain diagnostic information on patients (i.e., lab values, x-ray reports, etc.) and document in the Clinical Record.
7. Plan nursing care for patients regardless of care setting, utilizing appropriate available resources.
8. Assist and guide patients/families in making decisions pertaining to their health care needs. Involve patient and/or significant others in determining care goals, objectives and teaching plans.
9. Teach and demonstrate care to the patient/significant other, utilizing established available patient education principles, guidelines, and resources. Document patient teaching and response in patient record and submit documentation following business day.
10. Must exhibit understanding regarding the LCD eligibility guidelines for hospice care and documentation must reflect patient’s eligibility based on disease specific documentation.
11. Reinforce with patient and/or significant other information and skills taught by physician, nurse, or other disciplines.
12. Provide service in accordance with the established Plan of Care and in compliance with third-party regulations, certified hospice care requirements, and standards of practice.
13. Coordinate services, medical care, and community resources involved in patient/family care.
14. Assess need for Hospice Aide service and develop the Hospice Aide care plan and assignment.
15. Instruct and supervise the Hospice Aide and the service provided to the patient by the aides within fourteen (14) days and on an ongoing basis within a fourteen (14) day time span according to Medicare regulations.
16. Evaluate and document in the patient’s record the patient’s physical and emotional reactions to treatments, care, and medications. Submit documentation within following business day.
17. Make necessary changes in assignment to compensate for emergency situations and/or acutely ill patients.
18. Evaluate the effectiveness of the established Plan of Care. Modify the Plan of Care as appropriate.
19. Assess for the patient need of Homemaker Services and establish a homemaker plan of care when indicated.
20. Administer prescribed medications according to policy and procedure.
21. Update and document within the medication/treatment records, hospice plan of care, hospice plan of care, recertification documentation as required
22. Under the direction of a physician, alter medications within the limits of professional judgment based on a patient’s emotional and physical needs.
23. RN will case manage team of patients as assigned. Will perform direct, ongoing and extensive supervision of LPN staff. RN will co-sign all LPN documentation. RN Case Manager will coordinate care of patients with LPN (if assigned). RN Case Manager will obtain and write any medication / treatment orders obtained during the course of patient care.
24. Work collaboratively with staff members to assess the overall effectiveness of care provided.
25. Share information with appropriate staff personnel about the communities in which they work, such as resources available to the patient, significant others and organizations which may contribute to the implementation of the Plan of Care.
26. Maintain collegial relationships with other disciplines, interpreting the role and responsibilities of the Registered Nurse.
27. Identify the need for level of care changes with hospice patients, based on the needs of the patient and/or family. Provide continuous care duties to patients as appropriate.
28. Be available to provide continuous care to other hospice patients, as assigned.
29. Will need to be available for on-call rotation, as assigned (based on current staffing and availability of primary on-call personnel).
30. Assist in the orientation of new personnel and students.
31. Participate in the Quality Improvement / QAPI Program activities.
32. Attend mandatory inservice education programs:
33. Act independently and responsibly to perform duties on a consistent basis.
34. Demonstrate financial responsibility in developing and facilitating delivery of care.
35. Assume case manager role in coordinating all aspects of care.
36. Follow and honor all rules and regulations within the State Nurse Practice Act.
37. Must maintain an active, non-restricted nursing license at all times.
38. Must submit complete, accurate documentation the following business day.
39. Must be able to stand or sit for extended periods of time.
40. Must be able to lift, at minimum 25 lbs without restrictions.
41. Must be available for after-hour on-call duties as deemed necessary.
42. Must be available for Continuous Care, EvenMore Care™ and/or Watch Status duties as deemed necessary.
43. Must maintain ongoing continuous education related to the field of nursing and hospice trends. Maintain state required CEU’s (based on state of licensure).
44. And any other duties assigned by the Executive Director, Clinical Director and/or Assistant Clinical Director(s).
45. Must work well with others.
1. Requires current, unrestricted state specific RN 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 or more years of current professional hospice nursing, home health or acute care, long term care, oncology or radiation oncology, medical surgical nursing or related fields of nursing experience required.
4. Must possess interpersonal skills sufficient to interact effectively with patients and their families, as well as all interdisciplinary caregivers, peers, subordinates and supervisors.
5. Requires a willingness to work any assigned schedule of duty and rotating on-call duty as scheduled.
6. Must be able to adjust schedule as dictated by patient’s need.
7. Must exhibit or demonstrate the ability to learn computer skills related to required clinical software and electronic clinical record utilization.
8. Must have reliable, personal vehicle / transportation, a valid driver’s license and the ability to safely and personally operate vehicle.