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

EverTrue•Brentwood, MO

5d•$31 - $50•Onsite

About The Position

The Hospice Registered Nurse provides skilled nursing services to hospice patients in their homes, in accordance with physician orders and an individualized plan of care. The role includes observing, assessing, diagnosing, counseling, caring for, and teaching patients and families, with a focus on palliative and end-of-life care. The nurse evaluates the effects of care and regularly reassesses nursing needs, patient eligibility, caregiver capacity, and the scope and frequency of services required. The nurse coordinates the interdisciplinary team (IDT), develops and revises plans of care in consultation with IDT members and physicians, and coordinates care with facilities when a patient is a facility resident. Responsibilities also include clinical documentation, referrals, medication education, patient and family counseling, staff and caregiver training, and oversight of home health aide services when provided. The position uses a medical record software system on a laptop or agency desktop and involves community travel to patient homes. The role requires an active RN license in the state of practice, graduation from an accredited nursing school, and CPR BLS certification through the American Red Cross. Prior general nursing experience and hospice, palliative, or end-of-life care experience are preferred. The posted schedule is full-time, 8:00 a.m. to 4:30 p.m.; the position may require work beyond normal hours and on weekends and holidays when necessary. Pay is $31.05–$49.75 per hour, with shift differentials available.

Requirements

Current RN license to practice nursing in the state of practice.
Graduate of an accredited nursing school.
Current CPR BLS (basic life support) certification with 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 procedures included in the EverTrue Registered Nurse description.
Ability to follow instructions from physicians, the nursing supervisor, and other professional staff.
Ability to communicate effectively with managers, patients, families, and coworkers.
Ability to assess safety in home situations, including physical and psychological dangers.
Ability to effectively work 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, push or pull 35 pounds, and roll a resident from prone to supine to sitting.
Ability to perform the physical activities and sensory and communication functions described in the posting, including standing, walking, handling objects or controls, 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.
Ability to work in community settings subject to vehicular travel, weather, potentially unsafe environments, emotionally upset residents or family members, fumes or airborne particles, toxic or caustic chemicals, and infectious waste and diseases, following standard precautions.

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 the terminal diagnosis and its effects on physical, functional, psychosocial, environmental, and daily-living needs, including grief risk and cultural and spiritual considerations.
Initiate and revise the interdisciplinary team plan of care in consultation with IDT members, the attending physician, and the medical director.
Determine the scope and frequency of services based on patient acuity and patient and family needs.
Apply hospice admission and recertification criteria to establish appropriate levels of care and patient eligibility.
Assess caregivers’ ability to meet the patient’s immediate needs and evaluate and document the appropriateness of medication administration by the patient or family.
Complete required consent, election, and notification paperwork.
Evaluate care outcomes and regularly reassess the patient’s nursing needs.
Provide specialized nursing services for palliative and end-of-life care, including physical assessment, symptom relief, patient and family teaching, catheter care, venipuncture, IV fluids or medications, and dressing changes as appropriate.
Counsel patients and families on disease processes, self-care, end-of-life care, and ethical concerns.
Review medication use and provide medication information, counseling, and education.
Coordinate the interdisciplinary team and maintain appropriate links across the continuum of care.
Coordinate implementation of the plan of care with a facility when a patient is a facility resident, and respond to facility nursing staff questions and concerns.
Inform physicians, the medical director, and other personnel of changes in patient needs and intervention outcomes.
Refer patients to other agencies or services as needed.
Prepare clinical and progress notes for nursing services; document using the medical record system and submit documentation according to agency policy.
Participate in clinical record reviews, in-service programs, and staff meetings; provide specialized 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 the patient’s home at least every two weeks when aide services are provided; assess aide services and relationship issues, document service delivery, and revise the aide plan of care as needed.
Evaluate personal support needs and use identified systems to address them.
Assess the safety of home situations for the nurse, patients, and other staff members.

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 full-time or Weekend Option employees.
Medical/Pharmacy, Dental, Vision, Flexible Spending Accounts (Healthcare and Dependent Care), Life insurance, Disability (Long-term and Short-term), Voya income protection benefits (Hospital, Critical Illness, and Accident), and Pet insurance for full-time or Weekend Option employees.