After Hours RN- 7 ON 7 OFF

Lifecare Home Health Family•Spring Valley, NV

13d

About The Position

Under the physician’s orders, uses the nursing process and nurse case management strategies to coordinate care and provide nursing services for hospice patients and their families in the home, long term care facility, assisted living facility, or hospital. This position reports to the Director of Inpatient and Program Development or designee. Primary tasks and duties: Promotes and practices the hospice mission and core values, and follows all policies and procedures of Infinity Hospice Care Visits patients and provides clinical, physical, educational and emotional support after-hours as directed by the Triage team Under the direction of a licensed physician, performs patient assessment, manages discomfort and provides symptom relief using specialized nursing skills related to palliative and end-of-life care Utilizes nursing interventions and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit Attends patient deaths, provides bereavement support to the patient caregiver/family, as indicated and performs post mortem care Respond to and triages all after hours visits, admissions, referrals, GIP hospital patients. Explains Medicare Hospice Benefit, obtains signatures on legal consent documents including informed consent, as requested Provides accurate and timely documentation of patient services within EMR to reflect the individualized plan of care and outcomes of interventions Documents and submits all visits in daily Call Log at end of shift via EMR Reviews and updates the Plan of Care, physician’s orders, MAR, pharmacy profile and other records to ensure patient/family needs are met Supervises LPNs and paraprofessionals providing services to the patient according to regulations Recognizes and maintains professional boundaries in relationships with patient/family/caregiver Demonstrates knowledge of and adheres to the state Nurse Practice Act as well as legal, regulatory, and accreditation requirements Remains awake and alert during entire shift; demonstrates responsibility in work attendance Respond to all calls/notifications within 15 minutes, per On Call Protocol Secondary Responsibilities: Every incidental duty connected with the After Hours RN-Field position cannot be specified in the job description and the colleague, at the discretion of the Director of Inpatient and Program Development, may be required to perform duties that are not included in this job description.

Requirements

Registered Nurse from an accredited program currently licensed and in good standing with the State Board of Nursing in the state of licensure.
Minimum one year recent experience in an acute-care hospital or Home Health environment; previous experience as a Hospice RN preferred.
Possess strong patient observation, assessment, clinical and documentation skills
Self-starter, dependable with excellent communication, collaboration and organizational skills
Effective and working knowledge of computers and clinical information systems and typing 30wpm
Able to work flexible hours (evenings, weekends and holidays) to meet identified organizational needs
Able to respond effectively to meet the treatment needs of chronically, acutely and terminally ill patients and their caregivers
Speak, write, read and comprehend English. Bilingual (English/Spanish) a plus
Possess reliable transportation, a valid driver’s license and current auto insurance
Two (2) years experience as a Registered Nurse in a clinical care setting and one (1) year full time hospice.
Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing.
Current State license as a Registered Nurse; Current driver’s license
Nursing skills as defined as generally accepted standards of practice. Knowledge of state and federal regulations. Good interpersonal skills

Nice To Haves

CHPN certification is strongly encouraged within 3 years of employment.
Bilingual (English/Spanish) a plus

Responsibilities

Promotes and practices the hospice mission and core values, and follows all policies and procedures of Infinity Hospice Care
Visits patients and provides clinical, physical, educational and emotional support after-hours as directed by the Triage team
Under the direction of a licensed physician, performs patient assessment, manages discomfort and provides symptom relief using specialized nursing skills related to palliative and end-of-life care
Utilizes nursing interventions and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit
Attends patient deaths, provides bereavement support to the patient caregiver/family, as indicated and performs post mortem care
Respond to and triages all after hours visits, admissions, referrals, GIP hospital patients.
Explains Medicare Hospice Benefit, obtains signatures on legal consent documents including informed consent, as requested
Provides accurate and timely documentation of patient services within EMR to reflect the individualized plan of care and outcomes of interventions
Documents and submits all visits in daily Call Log at end of shift via EMR
Reviews and updates the Plan of Care, physician’s orders, MAR, pharmacy profile and other records to ensure patient/family needs are met
Supervises LPNs and paraprofessionals providing services to the patient according to regulations
Recognizes and maintains professional boundaries in relationships with patient/family/caregiver
Demonstrates knowledge of and adheres to the state Nurse Practice Act as well as legal, regulatory, and accreditation requirements
Remains awake and alert during entire shift; demonstrates responsibility in work attendance
Respond to all calls/notifications within 15 minutes, per On Call Protocol