HHC/Hospice RN (Casual)

Calumet County•Chilton, WI

2d•Remote

About The Position

Under general supervision of the HHC/Hospice Supervisor, provides nursing services that are specific, comprehensive, and intermittent, with the dominant responsibility to the individual patient and family. Plans and implements nursing care to ill, disabled, or dying patients in their homes and facilities. This is a casual, as-needed position with variable work hours based on operational needs. The County does not guarantee any minimum number of hours, shifts, or ongoing work. Essential duties include evaluating patients, identifying problems/needs (physical, emotional, psychological, environmental, educational), developing and coordinating a plan of care with the patient, physician, family, and Interdisciplinary Group (for Hospice). Implements the plan of care, delegates appropriately, and documents interventions. Evaluates patient response to care and modifies the plan as needed. Maintains patient confidentiality and communicates effectively with the healthcare team. Promotes and maintains health through teaching, counseling, and preventive/rehabilitative/palliative measures. Educates patients and families on disease management, home safety, medication safety, end-of-life care, and anticipated outcomes. Provides nursing services in homes and facilities for critically, chronically, and terminally ill patients. Coordinates services with other professionals and providers. Plans and manages caseload in a specific geographic area. Teaches, demonstrates, supervises, and evaluates services provided by other agency staff. Prepares and submits records and reports. Assumes responsibility for self-development and continuing education. Participates in community disaster planning and may assume administrative responsibilities as designated. May be assigned on-call duty. The list of duties is indicative and not exhaustive.

Requirements

Graduate of a school of nursing, accredited by the national professional nursing accrediting program, with an Associate's Degree, Diploma, or Bachelor's Degree in Nursing
Two to three years of experience in a hospital, long term care facility, Home Health Care, or Hospice Agency; or any equivalent combination of experience and training which provides the required knowledge, skills and abilities.
Ability to read and interpret documents such as Plans of Care, safety rules, operating and maintenance instructions, professional journals, and procedure manuals.
Ability to document care and treatment given and record changes in patient's condition.
Ability to write routine reports and correspondence.
Ability to educate, train, communicate, and present information effectively, cooperate and respond to common inquiries or complaints from patients, patient's family, physician, health care professionals, co-workers, or the general public.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent.
Ability to apply concepts of basic algebra fractions, percentages, ratios, and proportions in practical situations.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to be flexible in responding to the needs of patients/families, staff members, and other health care providers.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to seek and utilize supervision/consultation effectively.
Knowledge of word processing and documentation systems.
Current licensure from the State of Wisconsin as a Registered Nurse.
Current Wisconsin Driver's License, with access to a dependable automobile and carrying at least the minimum automobile insurance coverage.
CPR Certification.
Comprehensive knowledge of the nursing process (assessment, planning, implementation, evaluation).
Comprehensive knowledge and skill in current nursing practice.
Thorough knowledge of the use of community resources.
Comprehensive knowledge of interprofessional and interfamily relationships in the implementation of nursing/medical care plans.
Thorough knowledge of Home Health Care principles and Hospice philosophy.
Ability to apply appropriate theory that is scientifically sound as a basis for decisions regarding nursing practice.
Ability to wear gloves, masks and other protective equipment.

Responsibilities

Evaluates assigned home health care and hospice patients and identifies problems/needs including but not limited to physical, emotional, psychological, environmental and educational.
Develops, communicates, and coordinates a goal oriented plan of care for each assigned patient in collaboration with the patient, M.D., and family, and for Hospice, the Interdisciplinary Group.
Implements plan of care, nursing interventions, patient/family teaching and other appropriate procedures as necessary to ensure high quality nursing care of the home care/hospice patient; delegates appropriately and ensures documentation of interventions.
Evaluates each patient's response to the care provided and modifies the plan of care based on signed physician orders.
Maintains strict confidentiality with client information.
Communicates effectively and timely with all members of the health care team; maintains up-to-date and accurate documentation of care provided to ensure the integration of information for use by the health care team.
Promotes and maintains health of individual families through teaching, counseling and initiation of appropriate preventive, rehabilitative, or palliative measures.
Educates patients and families regarding disease management, home safety, medication safety, end of life care, plans of care and anticipated outcomes.
Provides nursing services in the homes of and facilities for critically, chronically and terminally ill patients under a medical plan of treatment established according to agency policy.
Coordinates services with other professionals and service providers, and for Hospice, the Interdisciplinary Group to assure a wholistic approach to patient and family needs.
Plans, manages caseload, and provides nursing services in a specific geographic area.
Teaches, demonstrates, supervises and evaluates services provided in the home by other agency staff.
Prepares and submits records and reports according to agency policy.
Assumes responsibility for self development and participates in appropriate continuing education activities in order to maintain competence within the scope of own practice.
Participates in developing and implementing a community disaster plan.
Assumes administrative responsibilities as designated by the HHC/Hospice Supervisor.
May be assigned to perform on-call duty.
Provides mentorship to nursing students.