Hospice RN On Call 5p-8a

Arizona Life Hospice Ft. Mohave•Fort Mohave, AZ

About The Position

The On-Call Nurse is a valuable member of the hospice team and will be responsible for meeting the needs of patients outside normal business hours. The nurse is responsible for triaging calls, making home visits, ordering medications and supplies, directs hospice care and working as part of the interdisciplinary team to provide a patient-centered end-of- life care and symptom management to ensure quality care is provided and to meet the needs of individual and families within their homes and communities. II. DUTIES & RESPONSIBILITIES Patient Care 1. Supports nursing needs of patients during after-hours by phone and in person visits 2. Triages calls as they come in using a specific set of guidelines to determine how urgent their need is and which place in the que they should occupy. Utilizing other members of the on-call team such as the social worker and chaplain when needed. 3. Order DME, Medical supplies and equipment as patient needs 4. Directs patients to the most appropriate form of care after triaging the call. 5. Completes an initial, comprehensive, and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 6. Provides professional nursing care by utilizing all elements of nursing process. 7. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 8. Uses health assessment data to determine nursing diagnosis. 9. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 10. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 11. Counsels the patient and family in meeting nursing and related needs. 12. Provides health care instructions to the patient as appropriate per assessment and plan. 13. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 14. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 15. Participates in on-call duties as defined by the on-call policy. 16. Ensures that arrangements for equipment and other necessary items and services are available. 17. Supervises ancillary personnel and delegates responsibilities when required. 18. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 19. Fulfills the obligation of requested and/or accepted case assignments. 20. Actively participates in quality assessment performance improvement teams and activities. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

Requirements

Graduate of National League for Nursing accredited school of nursing.
Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
Management experience not required. Responsible for supervising hospice aides.
Registered nurse with current licensure to practice professional nursing in the state.
Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
Shows ability to organize and prioritize workload independently.
Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
Maintains a current CPR certification.
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
Self-directed and able to work with minimal supervision.
This position consistently supports and promotes compliance with the Code of Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the agency, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal, State, and local laws and regulations, accreditation, and licensure requirements (if applicable), and all policies and procedures.

Responsibilities

Supports nursing needs of patients during after-hours by phone and in person visits
Triages calls as they come in using a specific set of guidelines to determine how urgent their need is and which place in the que they should occupy.
Utilizing other members of the on-call team such as the social worker and chaplain when needed.
Order DME, Medical supplies and equipment as patient needs
Directs patients to the most appropriate form of care after triaging the call.
Completes an initial, comprehensive, and ongoing assessments of patient and family to determine hospice needs.
Provides a complete physical assessment and history of current and previous illness(es).
Provides professional nursing care by utilizing all elements of nursing process.
Assesses and evaluates patient’s status
Writing and initiating plan of care
Regularly re-evaluating patient and family/caregiver needs
Participating in revising the plan of care as necessary
Uses health assessment data to determine nursing diagnosis.
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions.
Includes the patient and the family in the planning process.
Initiates appropriate preventive and rehabilitative nursing procedures.
Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.
Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given.
Records pain/symptom management changes/outcomes as appropriate.
Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as appropriate.
Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
Works in concert with the interdisciplinary group.
Provides and maintains a safe environment for the patient.
Assists the patient and family/caregiver and other team members in providing continuity of care.
Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
Attends interdisciplinary group meetings.
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Supervises ancillary personnel and delegates responsibilities when required.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities.