Hospice RN Full-Time Day Shift(8AM-4:30PM)

Lutheran Senior Services•Saint Louis, MO

About The Position

The Hospice Registered Nurse provides skilled nursing services to hospice patients in their homes, in accordance with physician orders and the plan of care. The RN assesses and monitors patients’ physical, functional, psychosocial, and environmental needs, including activities of daily living, grief risks, cultural and spiritual considerations, and communication patterns. The role includes coordinating and revising interdisciplinary plans of care, determining service needs and eligibility, evaluating caregiver abilities and medication administration, and completing required consent and notification paperwork. The RN provides specialized palliative and end-of-life nursing care, which may include physical assessments, symptom management, patient and family education, catheter care, venipuncture, IV fluids or medications, and dressing changes. The RN coordinates care with the interdisciplinary team, physicians, agencies, and nursing facilities as applicable; documents services and patient progress in the medical record; participates in clinical record reviews, staff meetings, and training; and develops and monitors aide assignments when home health aide services are provided. The position involves home and community visits, including visits at least every two weeks when aide services are provided. This is a full-time day-shift position, scheduled 8:00 a.m. to 4:30 p.m. The job may require work beyond normal hours and on weekends and holidays when necessary, as well as travel in the community. Pay is $31.05 to $49.75 per hour, with shift differentials potentially available.

Requirements

Current RN license to practice nursing in the state of practice.
Graduation from an accredited nursing school.
Current CPR BLS (Basic Life Support) certification from the American Red Cross.
Computer skills and excellent communication skills.
Ability to work well with others, function under pressure, and work independently.
Compliance with the standards outlined in the Nurse Practice Act.
Basic knowledge of the procedures included in the EverTrue Registered Nurse description.
Ability to follow instructions from physicians, nursing supervisors, and other professional staff.
Ability to communicate effectively with managers, patients, families, and coworkers.
Ability to assess safety in home situations for oneself, patients, and other staff, including physical and psychological dangers.
Ability to cope effectively with patients, families, and others from varying backgrounds, socioeconomic conditions, and value judgments.
Ability to lift 75 pounds, lift 20 pounds from floor to shoulder, and push or pull 35 pounds.
Ability to roll a resident from prone to supine to sitting.
Ability to perform the physical activities described, including standing, walking, handling objects, sitting, reaching, squatting, stooping, kneeling, crouching, crawling, and occasionally climbing or balancing.
Willingness to work beyond normal working hours and on weekends and holidays when necessary.

Nice To Haves

Prior experience in general nursing practice.
Hospice experience and/or experience in palliative or end-of-life care.

Responsibilities

Provide skilled nursing services to hospice patients in their homes in accordance with physician orders and the plan of care.
Observe, assess, diagnose, counsel, care for, and provide health teaching to hospice patients and their families.
Complete and document initial and ongoing assessments of patients’ physical, functional, psychosocial, and environmental needs and activities of daily living.
Initiate and revise interdisciplinary plans of care in consultation with the interdisciplinary team, attending physician, and medical director.
Determine the scope and frequency of services based on patient acuity and patient and family needs.
Apply hospice admission and recertification criteria and establish appropriate levels of care and patient eligibility.
Assess caregivers’ ability to meet patients’ needs and evaluate and document patient or family medication administration when appropriate.
Complete required consent, election, and notification paperwork.
Evaluate the effects of care and regularly reevaluate patients’ nursing needs.
Provide specialized palliative and end-of-life nursing services, including physical assessments, symptom relief, patient and family teaching, catheter care, venipuncture, IV fluids or medications, and dressing changes.
Counsel patients and families about disease processes, self-care, end-of-life care, and ethical concerns.
Review medication use and provide medication information, counseling, and education when appropriate.
Coordinate interdisciplinary case management and maintain appropriate links with the continuum of care.
Coordinate plan-of-care implementation with nursing facilities when patients reside in facilities and respond to facility questions and concerns.
Inform physicians, the medical director, and other personnel of changes in patient needs and intervention outcomes.
Make referrals to other agencies or services as needed.
Prepare clinical and progress notes and document in the medical record using a laptop or agency desktop; initiate documentation in patients’ homes and complete it after visits.
Submit documentation according to agency policy and participate in clinical record reviews.
Participate in in-service programs and staff meetings, including providing hospice training to staff, family members, and informal caregivers.
Develop written aide assignments based on patient and family needs when home health aide services are provided.
Visit patients’ homes at least every two weeks when aide services are provided, assess aide services and relationship issues, and document or revise the aide plan of care as needed.
Evaluate personal support needs and use identified systems to address them.

Benefits

Paid Time Off (PTO) and PTO Sell-back.
Retirement savings benefits with an employer match contribution.
Education Financial Assistance.
Employee Assistance Program (EAP).
Wellness benefits.
Pay advances (PayActiv).
Caregiver support (TCARE).
Leaves of Absence.
Special retail deals and discounts (Perkspot).
Commuter support.
Extended Sick Pay, Bereavement Pay, and Jury Duty Pay for part-time employees and above.
Medical and pharmacy coverage for full-time or Weekend Option employees.
Dental insurance for full-time or Weekend Option employees.
Vision insurance for full-time or Weekend Option employees.
Flexible Spending Accounts for healthcare and dependent care for full-time or Weekend Option employees.
Life insurance for full-time or Weekend Option employees.
Short-term and long-term disability coverage for full-time or Weekend Option employees.
Voya income protection benefits, including hospital, critical illness, and accident coverage, for full-time or Weekend Option employees.
Pet insurance for full-time or Weekend Option employees.
Shift differentials: $3.00 per hour for evenings, $2.50 per hour for nights, and $2.50 per hour for weekends in Illinois and Missouri; amounts may vary in other states.