The Hospice Nurse is a licensed R.N. who is responsible for providing patient care, supervising the care, and directing and educating Hospice Aides, LVN's/LPN's to ensure delivery of qualify comfort care to patients and their families.
Essential Functions Statement(s)
- Provide initial and ongoing assessment of the impact of the terminal diagnosis on the patient's physical, functional, psychosocial and environmental needs and activities of daily living; including risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.
- Implement the individual plan of care and recommend revisions to the plan of care as necessary; including managing discomfort and providing symptom relief, providing specialized nursing skills related to palliative and end-of-life care, and consulting with and educating the patient and family regarding the disease process, self-care techniques, end-of-life care, and the processes for dealing with issues of ethical concern.
- Prepare clinical notes that demonstrate progress toward established goals.
- Coordinate patient and family services and prioritize needs with the members of the interdisciplinary team.
- Use case management approach and refer to other services as needed.
- Inform the physician and other personnel of changes in the patient's needs and outcomes of intervention.
- Determine the scope and frequency of services needed based on acuity and patient/family needs.
- Supervise LPNs/LVNs and Hospice Aides providing services to the patient according to regulatory guidelines.
- Participate in in-service program.
- Provide specialized hospice training to other staff, family members and informal caregivers to ensure adequate care.
- Provide on-going evaluation of patietn/family response to care.
- Assess the ability of the caregiver to meet the patient's immediate needs upon admission and througout care.
- Evaluate own needs for support and use identified systems to meet the need.
- Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
- Communicate information using current process and technology available.
- Participate in the QAPI hopice performance improvement program.
- Assist with special projects and other responsibilities as assigned by the Patient Care Manager.
Accuracy-Ability to perform work accurately and thoroughly.
Adaptability-Ability to adapt to change in the work place.
Dying and Death-Identifies those who are approaching last days of living. Communicates honestly to patient/family about approaching death and gifts of last days. Speaks of death as natural process not failure of treatment. Determines patient/family wishes regarding of death and seeks to have death occur where desired. Assists family to give persmission to die, to 'good bye' and to bring reconciliation to family relationships.
Ethical-Ability to demonstrate conduct conforming to a set of values and accepted standards.
Honoring Patient Care Wishes-Understands and communicates the patient and family end of life care wishes prior to crisis or impending death. Honors wishes as care goals change from cure to comfort care. Only carries out interventions that make a difference for patient comfort and/or recovery. Support patient and family when treatments are refused. Provides welcoming environment for family to stay with patient.
Judgement-The ability to formulate a sound decision using the available information.
Pain and Sympton Management-Appropriately manages patient plan and other distressing physical symptoms of disease, illness or treatment in a timely manner and achieves outcomes acceptable to the patient/family.
Reliability-The train of being dependable and trustworthy.
Safe Awareness-Ability to identify and corrrect conditions that affect employee safety.
Team Collaboration-Provides care with a team approach that includes patient and family as integral and essential member of the care team.
Education: Minimum, education leading to R.N. Bachelor's degree preferred
To perform this job successfully, an individual should have knowledge of Internet software; Word Processing software, Healthcare software.
Certificates & Licenses
Current Registered Nurse (RN) license in state where work is performed with no restrictions.
1 to 3 years of related experience and/or taining in Hospice or Home Health long-term care area. Ability to convery compassion and empathy. Ability to operate and troubleshoot medical equipment, including blood pressure cuff. 02 Sat monitor, CADD pumps, IV pumps, and suction machines. Proficient in oral, IV, rectal, and topical adminstration of medications.