Nurse Practitioner GGL - Attending of Hospice Record NE

GBMC HealthCare•Howard, WI

8d•$40 - $66•Onsite

About The Position

Under general supervision, accountable for the clinical management of patients, in accordance with State and National regulatory agency standards.

Requirements

Successful completion of a Nurse Practitioner program; Master’s in Palliative Care preferred.
At least five (5) years of related experience in a healthcare environment.
At least one (1) year related experience in Hospice and/or Palliative care.
Skill in leading, motivating and developing others
Skill in teaching nurses, physicians and other clinical and non-clinical staff
Skill in using computer and a variety of personal productivity applications
Effective written and oral communication skills to communicate and relate effectively with staff, the public, physicians, and insurers
Analytical ability in order to problem solve, develop goals, objectives, clinical protocols, critical paths, case management practices, and policies and procedures
Able to work under varying degrees of stress and the ability to adjust to changes in the work environment
Skill in care of patients and families with serious illness and/or end of life concerns
Skill in applying principles and practices of integrative medicine and health
Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner, specializing in Adult, Family or Geriatrics; Inpatient position can include Acute Care certification.
National and State Certification as required for the relevant position (DEA, CDS)
Completion of “healthcare provider” CPR course

Nice To Haves

Personal or professional experience with integrative medicine or complementary modalities
Certification in Hospice and Palliative Care through Hospice and Palliative Credentialing Center (HPCC), Advanced Certified Hospice and Palliative Nurse (ACHPN), or equivalent, preferred.
Center for Advancing Palliative Care (CAPC) Designation, preferred.

Responsibilities

Assumes responsibility for the initial evaluation and treatment of patients in Gilchrist Inpatient Centers
Performs initial Hospice history and physical as evidenced by appropriate documentation.
Writes standard orders in accordance with hospice policy.
Writes appropriate orders related to pre-existing conditions.
Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient.
Manage all aspects of the patient’s symptoms, including medication/prescription management, conduct family meetings as needed and requested, coordinate care with other members of the IDT through daily rounds, and document care activities and the rationale for the GIP level of care.
Responsibility for completion of the MOLST form as required and for the completion of the death certificate of each expired patient.
Attend the weekly inter-disciplinary team meetings
Work with the hospice access team to facilitate a smooth admission process. Work with the Gilchrist Inpatient Centers inter-disciplinary team to facilitate live discharges from the Center, including completion of transfer/discharge summary, prescriptions, and other discharge related documentation.
Provide telephone and afterhours coverage via emedicall for patients at the assigned Center
Evaluates patient progress on a continuing basis and in collaboration with the attending physician, and alters treatment modalities as needed.
Evaluates nursing, medical, social and educational needs on assigned patients.
Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime.
Writes orders appropriate to the patient's care requirements in compliance with existing contract.
Establishes medical diagnoses in compliance with contract.
Refers to the physician or designee those problems which require consultation and documents same on progress note.
Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy.
Documents results of technical functions performed.
Reports to physician or designee any abnormal findings related to it.
Monitors patient response related to technical function performed and documents it.
Acts as a clinical resource.
Actively supports and participates in nursing and/or hospital performance improvement initiatives.
Leads staff wellness activities as directed by supervisor.
Performs activities to meet patient/family educational needs.
Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet.
Plans and reviews home care instructions with patient and family if needed. Include needs for service provided by community resources and hospital based ancillary services.
Educates and supports patient and family using integrative/palliative principles to facilitate patient and family well-being
Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continue certification as well as attending mandatory in service as required.
Performs activities to facilitate personal growth and professional development
Participates in clinician wellness activities as directed by supervisor.
Pursues continuing education in hospice care principles and practice.
Able to articulate and carry out a self-care plan.
Self-assesses and communicates effectively regarding perceived burnout, compassion fatigue, grief and other stresses associated with caring for seriously ill patients and families.