Hybrid HH & Hospice Nurse, RN

HOME HEALTH & HOSPICE CARE INC•Smithfield, NC

6d•Hybrid

About The Position

The Hybrid HH & Hospice Nurse, RN is responsible for administering skilled nursing care to patients requiring intermittent professional nursing service and the coordination of all Hospice Services in accordance with the Hospice philosophy, Agency goals, objectives and policies.

Requirements

Registered Nurse currently licensed to practice nursing in the state of North Carolina
Minimum of one-year experience as a professional nurse in an acute care setting
Maintain current CPR certification (BCLS)
Basic computer skills/knowledge and experience in electronic medical records
Ability to understand and communicate well with patients, family, staff, physicians and the public
Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized a plan of care
Possess valid Driver's License and reliable transportation

Nice To Haves

Previous experience working with terminally ill patients preferred

Responsibilities

Abides by and supports 3HC's Compliance Program and Code of Ethics.
Creates positive experiences for internal and external customers that will meet their expectations.
Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget.
Provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing.
Observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention.
Ensures on-going evaluation of patient/family needs and response to care.
Refers to other services as needed.
Initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety.
Educates, supervises, consults, and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern.
Assures the development and implementation of the patient individualized plan of care and updates as needed.
Conducts a complete assessment of the patient to identify appropriate care needs.
Obtains a medical history to include OASIS when needed, particularly as it relates to the present condition.
Performs a physical assessment.
Assesses the support system to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon changes throughout care.
Assesses the patient, family member(s) and home situation to determine what health teaching will be required.
Assesses the patient's condition and home situation to determine if other home health services are needed.
Interprets nursing and other services of the agency to the patient and family as a part of planning for care.
Plans for discharge from services.
Completes OASIS at specific point in time, such as admission, resumption of care, recertification, etc.
Provides comfort to patient/family to facilitate quality of life and death with dignity.
Responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit.
Plans, coordinates, provides and directs the delivery of compassionate, quality patient care.
Actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education.
Provides continuity of care to all hospice patients.
Assist the interdisciplinary team in the development and implementation of the patient/family care plan.
Refers hospice patients to other services as needed.
Provides end of life care as outlined in plan of care and policy and procedures.
Provides ongoing assessment of medicinal, DME needs.
Participates in QAPI and QI projects as requested.
Assists the Social Workers with bereavement counseling as requested.
Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need.
Notify attending physicians, staff members and family members of patient deaths when they occur.
Collaborates with PBM regarding medication changes, administration, and recommendations.
Share PBM recommendations with the attending MD.
Documents in the medical record electronically and downloads daily: those services rendered to the patient; conferences held with other disciplines, physician, or community resources; changes noted in the patient's condition and/or family home situation; revisions in the nursing care plan as needed; evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals.
Ensures that the physician is involved ongoing with the patient's care.
Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines.
Ensures task assigned to the LPN: are within the Nurse Practice Act and Supervises LPN on every patient at least every 30 days.
Ensures that care is provided by the nursing assistant: provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed; supervises and evaluates the care given at least every two weeks and participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
Collaborates with supervisor to meet assigned productivity of 100%.
Rotates weekday, weekend, and holiday "on-call" and "back-up-call".
Maintains regular communication with supervisor.
Communicates problems of the patient(s) on a timely basis following chain of command.
Communicates information using current process and technology available to 3HC.
Completes IDG notes and communicates with the team.
Ensures that 3HC can bill for services appropriately.
Completes certifications and re-certifications within designated timeframes.
Keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care management, including preauthorization and re-authorization for insurance.
Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice.
Stays abreast of overall patient care and improves nursing care skills.
Participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services.
Attends and participates in interdisciplinary team conferences at least 75% of the time.
Attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing.
Strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
Demonstrates an interest in personal and professional growth for self and staff.
Attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations, relating to job functions and department.
Does individual reading and research.
Recommends educational opportunities for staff and encourages participation.
Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.