Per Diem RN Daytime

Chapters Health System•Glen Allen, VA

About The Position

The Per Diem RN assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to patients and families. The role provides and manages direct patient care; coordinates individualized care plans; educates patients, families, caregivers, and health professionals; communicates condition changes; and participates in evaluating hospice referrals and admissions. It also includes clinical admissions, referral coordination, care for general inpatient (GIP) patients in hospitals, bereavement support, and supervision of other nursing team members. The RN works with patients and families in hospice houses, hospitals, assisted-living facilities, and homes as applicable. The position requires a flexible schedule to meet Hospice House patient needs. Some locations may require cross-training to hospice house or field roles when flexible staffing is needed. During emergencies, the Triage RN may be required to report to a company-designated location ahead of schedule and stay overnight as needed to maintain continuity of services. The position requires compliance with applicable regulations and company policies, protection of confidential information, participation in quality improvement and professional development activities, and professional representation of the company. A conditional offer is subject to drug and/or alcohol testing, and Florida affiliate employees are subject to background screening and ongoing eligibility verification.

Requirements

Current RN license in the state where the employee will work.
Active Basic Life Support (BLS) certification for healthcare professionals from the American Heart Association or Red Cross.
Previous experience working with an EMR/EHR system.
Valid driver’s license and automobile insurance per company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Flexible schedule to meet the needs of Hospice House patients.
Ability to manage the emotional stress of caring for terminally ill patients and their families.
Ability to access patient rooms and other areas of Hospice Houses, hospitals, assisted-living facilities, and homes, including navigating stairs and narrow spaces and tolerating heat and lack of air conditioning.
Ability to perform essential job functions and physical requirements, including lifting patients and/or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
For employees working at PACE: certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
Ability to see, hear, talk, walk, and use hands to finger, handle, or feel.
Satisfactorily complete competency requirements for the position.

Nice To Haves

Minimum one year of nursing experience in hospice or a hospital is preferred.

Responsibilities

Assess and identify patient and family needs using the nursing process, and coordinate the Plan of Care with the IDG.
Provide and manage direct patient and family care, incorporating psychosocial, spiritual, cultural, physical, and biological needs, with appropriate nursing intervention and follow-up.
Develop and coordinate an individualized Plan of Care that reflects the patient’s evolving needs.
Educate patients, families, caregivers, and health professionals about disease process and decline, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members and other health professionals.
Participate with the IDG in evaluating hospice referrals and admissions for appropriate level of care.
Complete clinical admissions for company services, including explaining services, addressing concerns and entry barriers, educating on admission requirements, obtaining informed consents, completing initial assessments, and initiating the Plan of Care and skilled nursing interventions.
Obtain physician orders and medical record information for referrals; complete documentation according to company policy.
Act as the company representative at assigned facilities and facilitate referrals to all service lines while working with referring hospitals, physicians, facilities, patients, families, and the public.
Communicate frequently with Admissions about timely follow-up, assignment completion, and the next assignment; provide clinical communication using SBAR and discuss potential needs with after-hours staff.
Obtain service consents and arrange safe, efficient discharge for referred and eligible patients while meeting productivity expectations.
Build relationships with case managers and physicians, and work with Professional Relations Representatives to educate others about available services.
Provide care for hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
Provide appropriate bereavement interventions with psychosocial staff.
Present concise and pertinent oral and written reports to the IDG and encourage input from all disciplines.
Communicate accurately and completely with physicians, staff, patients, families, and supervisors using positive approaches.
Supervise care provided by other nursing team members, including LPNs, Hospice Aides, and contract nurses.
During emergencies, report to a company-designated location as required, potentially ahead of scheduled work and for overnight stays.
Complete position competency requirements and perform other duties as assigned.
Comply with regulations and company policies; maintain confidentiality; use resources responsibly; observe health, safety, and security practices; and participate in quality improvement and professional development activities.