Hospice Float RN

Beth Israel Lahey Health•North Shore, VA

11d•$91,520 - $140,000•Onsite

About The Position

The Hospice RN Float plans and delivers palliative and hospice care using the nursing process, including assessment, care planning, interventions, implementation, and evaluation. The nurse interacts with patients, families, and interdisciplinary team members while maintaining professional nursing standards and clinical competency. Care includes assessment, teaching, counseling, direct care, pain and symptom management, and coordination with community resources and other providers. The role assumes responsibility for an established caseload across branches according to agency needs and supervisor direction. The work location may vary, and travel throughout the BILH at Home service area is required. The nurse participates in hospice case conferences and interdisciplinary team meetings, and in the organization’s weekend, holiday, and on-call rotation.

Requirements

Graduate of a National League for Nursing-accredited school of nursing.
Current license to practice as a registered professional nurse in Massachusetts and New Hampshire.
Current Basic Life Support certification.
Valid driver’s license.
3–5 years of recent professional nursing experience.
At least one year of hospice experience.
Must be vaccinated against influenza as a condition of employment.

Nice To Haves

Bachelor of Science in Nursing (BSN) strongly preferred.

Responsibilities

Manage patient care, coordinate services, and facilitate communication among providers.
Provide skilled nursing care and prescribed treatments to patients and families in their homes.
Meet productivity expectations and document services using a problem-oriented record.
Plan continuity of care with nursing team members, patients, families, and other disciplines.
Teach patients, families, and others about nursing care, comfort measures, and health practices.
Instruct and supervise care provided by Home Health Aides and hospice aides, including supporting aide-care supervision every 14 days and as needed.
Communicate and coordinate with health and social agency personnel to plan, implement, and evaluate services for patients and families.
Participate in bi-weekly hospice case conferences and interdisciplinary team meetings at least every two weeks and as needed.
Complete Hospice Hope Tool time points and take accountability for patient satisfaction and quality-of-care outcomes.
Complete and document initial assessments of patients and families, including physical assessments and histories of current and previous illnesses.
Develop and revise patient-specific plans of care with goals based on nursing diagnoses and therapeutic, preventive, and palliative nursing actions, involving the patient and family in planning.
Administer prescribed medications and treatments.
Counsel patients and families regarding physical, emotional, and spiritual needs, respecting their cultural beliefs, values, goals, and treatment preferences.
Explain the dying process and expectations to patients and families, and teach medication actions, side effects, dosage, route, and frequency.
Assist with management of hospice benefit periods according to patient needs and continued eligibility.
Conduct liaison and hospice informational visits in the community and facilities to discuss hospice and palliative care services.
Communicate patient needs and changes in condition to physicians, the Hospice RN Case Manager, and clinical manager; obtain or receive physician orders as required.
Coordinate with the team LPN and collaborate with other health care providers to support quality end-of-life care.
Ensure arrangements for equipment and other necessary items and services.
Participate in in-service programs and supervise, teach, or precept nursing personnel as assigned by the Clinical Manager.
Cover across branches as requested and travel to locations throughout the BILH at Home service area as needed.
Participate in the weekend, holiday, and on-call rotation.