Admissions RN - Hospice (Wed-Sat or Sun-Wed) 9am to 8pm

ProCare Hospice of Nevada•Paradise, NV

About The Position

The Admissions RN is responsible for the coordination of patient information in conjunction with the Director of Nursing, Director of Marketing & Business Development, Intake Coordinators, and Community Liaisons. The Admissions RN is also responsible for completing timely and compassionate hospice admissions in both the hospital and home settings. The Admission RN meets directly with referred patients to provide a comprehensive assessment of their clinical findings to the Hospice Medical Director for certification and admission to the hospice program or rejection from the hospice program. Once the patient has received a verbal certification from the Hospice Medical Director, the Admissions RN coordinates all aspects of the patients' admission including transportation to their home, when necessary, durable medical equipment and medications related to their hospice prognosis. The Admissions RN then inputs data into the patient's hospice medical record and communicates their findings to the assigned hospice team for continuity of care. The role requires strong clinical judgement, excellent communication skills, and the ability to provide emotional support during critical moments in the patient and family journey. The schedule may consist of home hospice admissions, hospital admissions, or a mix of both. Although the Admissions RN may typically be scheduled in one setting, flexibility to assist with either type of admission is expected to meet patient and organizational needs. When available and necessary, the Admissions RN works as part of the clinical team to provide overflow nursing visits, emergency nursing visits, and death calls when other nursing staff is unavailable. The Admissions RN is responsible for completing all admissions paperwork and coordinating the hospice team as ProCare Hospice of Nevada policy dictates.

Requirements

Must be currently licensed as a Registered Nurse by the State Board of Nursing in the State of Nevada and in good standing with the Nevada State Board of Nursing.
Successful completion of a background check pursuant to NRS 449.188 and NRS 179A.100 along with a pre-employment drug screen and physical, TB testing, previous employment and reference checking, and an MVR (may include verification of education)
Must be able to read, speak, write, and understand the English language
Must be able to handle frequent interruptions, be flexible with schedule and effectively manage time
Must be able to cope with emotionally charged situations encompassing patients, families, and other caregivers
Must have availability for prescheduled on-call hours, weekends, and holidays
Must be able to work in varied environment of care including hospitals, skilled nursing facilities, assisted living facilities, group homes and personal residences
Must be able to utilize usual office equipment including computer, printer, calculator, copy machine and standard nursing equipment
Must have reliable transportation, a valid driver’s license, and current auto insurance
Must have current CPR/BLS Certification
Must have the strength and endurance required for standing, walking, lifting, bending, and pushing on a consistent basis up to 50 lbs.
Must utilize appropriate durable medical equipment as needed in a safe manner
Must use appropriate body mechanics as needed for safe patient care

Nice To Haves

Prefer 1 year experience as a registered nurse in hospice, home health, or geriatric care

Responsibilities

Adheres to patient rights, abuse reporting, and confidentiality policies
Gathers, reports, and analyzes patient care data to create a comprehensive patient assessment and reports findings to the Hospice Medical Director for verbal certification of patient admission or refusal of admission
Immediately reports significant condition issues/safety issues to the Admissions Coordinator, Admissions Assistant, Hospice Medical Director and assigned interdisciplinary team
Fosters and maintains an effective working relationship between peers, professional staff, and other personnel within the community
Able to effectively explain the hospice benefit to potential patients, their families, and representatives
Works with patients and families or caregivers upon admission to create a realistic Plan of Care and set of treatment goals
Supervises and delegates duties to Certified Nursing Assistants and Licensed Practical Nurses when needed
Anticipates overall care needs of newly admitted patients as much as possible and coordinates with all hospice disciplines
Complies with all documentation policies/procedures for patient admission including reviewing hospice admission criteria, gathering all patient data, reviewing pertinent H&P, and disseminating this information to the Hospice Medical Director and/or the assigned hospice interdisciplinary team
Completes all admission paperwork in the patient’s hospice medical record, same day unless prior approval is given for extenuating circumstances
Demonstrates good judgment with proper decision-making abilities
Participates in Interdisciplinary Team Meetings and other Performance Improvement Activities as needed
With previously established physician orders that RN may do so, RN may make Pronouncement of Death
Calls coroner and completes process related to removal of body from location of death when on call or performing case management
Attends scheduled staff meetings and or in-service training as required
Adheres to the departmental dress code requirements related to personal grooming and attire
Provides intervention and support as needed related to terminal illness and loss
Provides emotional and spiritual support and makes appropriate referrals to other team members
Assesses and addresses depression and fear associated with terminal illness
Facilitates communication among patient, family, and hospice team
Provides referral to community services and resources as needed
Identifies caregiver strain which may necessitate respite care relief and/or support
Provides personal care as assigned by the Interdisciplinary Team, Physician, Director of Nurses/Supervising RN, which may consist of but not limited to:
Patient Admissions
Nursing Assessment/reassessment
Medication management, administration, and teaching
Provides comfort measures
Insertion/maintenance/removal of Foley catheters
Insertion/maintenance/removal of various IV catheters for pain control/comfort
Application/adjustment of oxygen, IV, NG, G-Tube and other invasive lines as ordered by the physician
Vital signs (B/P, T, P, R)
Assist with ambulation/transfers
Follows the State of Nevada Nurse Practice Act during all patient care activities
Follow policy and Lippincott Manual of Nursing Practice for clinical care
Other duties as assigned
Visits potential patients to review and assess for hospice admission
Reports findings of potential patient assessments directly to the Hospice Medical Director for verbal certification of hospice admission or refusal of hospice admission
Requests additional H&P when necessary to make final determination
Communicates findings to the Medical Director, patient's chosen Attending Physician, and Admissions Coordinator
Appropriately educates patient about hospice services, assessing needs and preferences and referring patient for services needed and desired
Assures that the initial plan of care (POC) is based on a comprehensive physical, psychosocial, safety, age-related spiritual, financial, environmental, and cultural needs, resources, and preferences assessment
Assures that the initial assessment includes assessment of pain and symptoms, history of interventions and response, and pertinent knowledge base of patient/ caregiver/family
Communicates patient findings to assigned RN Case Manager and interdisciplinary team
Works with CNA Coordinator to ensure that the appropriate aid needs of each patient are met immediately upon admission
Ensures that all regulatory standards are met, State, Federal, CHAP and other regulatory bodies
Completes all communications and documentation accurately either electronically, in legible writing or type written
Coordinates development of the initial Plan of Care with the Interdisciplinary team (IDT) members
Presents new patient admissions for the IDT meeting, when available, or ensures that patient data is effectively communicated to assigned RN Case Manager or Director of Nursing so that they may give report during the IDT meeting
Maintains positive, compassionate, and credible image during patient assessments and with referral sources
When available, works with clinical team and Director of Nursing to assist with overflow patient visits, emergency patient visits, and death calls when no other nursing staff is available
Creates opportunities for new referrals when out in the community
Supports the philosophy, objectives, and mission of ProCare Hospice of Nevada
Maintains professional competency and licensure
Stays current with accreditation and both state and federal governmental regulations affecting hospice
Works well both independently and within the Interdisciplinary Team structure
Able to work with minimal supervision but seeks guidance from higher authority when needed
Promotes a team approach through cooperation, mutual respect, flexibility, and dependability
Assists with the training of newly hired Admissions RNs in the department to ensure consistency of care
Maintains flexibility to complete after hours, weekend and holiday assignments when needed
Completes all admission documentation per policy and communicates necessary information, in person or via phone to assigned RN Case Manager and interdisciplinary team
Must be able to complete three (3) admissions/evaluations per scheduled workday with flexibility to complete additional evaluations as needed and assigned