The Registered Nurse functions as an IDT member to provide routine and emergency assessment, (including on-call responsibilities), educational, and evaluative services to meet the needs of patients and their families. He/she helps the patient and family maintain their maximum level of comfort and coping. He/she flexes schedule to meet agency-staffing needs and provides after hours emergency support to the patient and family.
1. Performs routine and emergency assessments.
Completes routine and emergency assessments on each patient as indicated by departmental policy.
Provides clinical and psycho-social services as indicated by plan of care through case management.
Records observations, treatments, and other pertinent information.
Communicates with IDT, Medical Director and Attending Physician as directed regarding measures to alleviate symptoms, and monitors response to measures implemented.
Provides physical and emotional interventive care to support the patient and family in period of crisis through case management with the psycho-social team.
Prevents unwarranted hospitalizations by meeting patient and family needs in the home.
2. Case Management of routine and emergency patient care.
Collaborates with IDT meet needs of patient for clinical and psycho-social interventions.
Collaborates with IDT to coordinate hospice care for the patient and family to ensure appropriateness, continuity, and quality of care.
3. Updates the POC for IDT
Develops and updates care plans following each POC change and ensures updates are made from the psycho-social staff
Assists in identifying the need for intervention of other IDT members.
Effectively communicates patient/family needs to IDT.
4. Educates patient/caregiver regarding:
Care of patient.
5. Maintains appropriate communication.
Keeps physician and Medical Director informed of patient needs and condition.
Ensures documentation at bedside.
Notifies other IDT members of physician concerns and suggestions.
Submits appropriate documentation and paper work to contracted facilities within 24 hours of patient visit.
Completes and submits IDT Narratives, time logs, and all required documentation within 24 hours of patient visit.
Currently licensed to practice in the state of employment.
Registered nurse with broad experience in the skilled nursing field, preferably in home health care, oncology, and emergency care.
Understanding and acceptance of hospice philosophy
Ability to flex schedule to respond to emergency and/or temporary staffing needs for on call needs of the patients.
Computer proficiency in Microsoft Office preferred.
Possess strong leadership, organizational and interpersonal skills.
Must be of high integrity including maintenance of confidential information including all personnel and patient records.
Has a valid driver's license and auto liability insurance.
Ability to meet physical job requirements as specified by attachment.
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