Summary: Provides and directs the provision of hospice/home nursing care as prescribed by the physician and in compliance with applicable laws and regulation and the policies of WestCare Home health and Hospice and the competent application of the nursing process. Responsible for providing palliative and supportive care to patients/family unit and assisting and evaluating care provided.
Education: Bachelors or Associates degree in Nursing.
Skills: Demonstrated knowledge and competencies necessary to provide care to and communicate with the terminal care client, from pediatric to geriatric in the home care setting. Must have a high interest in the delivery of hospice services and palliative care philosophy. Must demonstrate ability to work in "team" model of care delivery. Must demonstrate a sensitive, mature, nonjudgmental approach towards patients/families, peers, and community in the delivery of care. Must be flexible, adaptable, with coping skills to deal with the emotional, physical, and spiritual dimensions as the professional caregiver working with dying patients and their families. Able to assess data reflecting the client''s status and interpret the appropriate information needed to identify each client''s requirements relative to his or her age-specific needs. Must be self-directed with the ability to work with little supervision, has good organizational skills.
Experience: Minimum of one year of nursing experience required.
Certifications: Possesses and maintains unencumbered NC RN license. Possesses and maintains current BLS certification.
Other: Must be at least 21 years of age and possess a valid NC driver's license and motor vehicle record acceptable to MedWest's auto liability insurance carrier.
Physical Requirements: The nurse may be required to assist in moving and lifting patients, to push/pull heavy objects (i.e.; wheelchairs or stretchers) to stay on his /her feet for long periods, bend and stoop and reach above shoulder height. Patients may vary in size from as little as 4 lbs. to as large as 400 lbs., and may be totally dependent in all aspects of daily living or relatively independent. There is a moderate amount of potential exposure to infectious materials. Mentally, he/she may be required to reassure distressed and frightened patients; motivate resistant/apathetic patients; support grieving patients and families; respond to patient emergencies with calm efficiency. Discuss death and dying issues with patients and families, including advanced directives/DNR orders. Deal with the emotional burden of working with individuals who are disabled, sick or dying. All above must be accomplished without impairing the caregivers job performance.
Working Environment: The RN case manager is responsible for participating in the provision of hospice care 24 hours a day seven days a week. Normal working hours are 8:00am to 4:30pm Monday through Friday with on-call coverage evenings and weekends and holidays on a pre determined rotational basis. The nurse must have reliable transportation to make patient visits; valid driver''s license and automobile insurance. Must be able to physically access any home or nursing home in the service area. (I.e. navigate stairs, narrow spaces, tolerate lack of heat or air conditioning). Must have endurance to be able to manage demands of hospice/home care field work i.e. travel, time, home arrangements and stress both physical and emotional. Must be able to use equipment with visual and auditory mechanism: lift patients as per patient contact, infant to adult; maneuver patient care equipment and be able to communicate in English.
WestCare Health System - 13 months ago