PRN RN- Capital Caring Health

Chapters Health System•Manassas, 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 the patient/family unit. The role may include clinical admissions, obtaining physician orders and medical records, coordinating referrals and discharges, and providing care for General Inpatient (GIP) patients in hospitals. The RN communicates clinical information using SBAR, works with admissions staff and referral partners, and may represent the company at assigned facilities. The RN provides and manages direct patient and family care as part of the IDG, develops and coordinates individualized Plans of Care, educates patients, families, caregivers, and health professionals, reports changes in patient condition, and participates in evaluating referrals and admissions. The position also includes supervising other nursing team members, attending patient deaths, supporting bereaved families, and contributing to quality improvement and professional education activities. During emergencies, the Triage RN may be required to report to a company-designated location before scheduled hours and remain overnight as needed to maintain services.

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 the Red Cross.
  • Previous experience working with an electronic medical or health record (EMR/EHR) system.
  • Valid driver’s license and automobile insurance in accordance with 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 working with and 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 or lack of air conditioning.
  • Ability to perform essential job functions and physical requirements, with or without reasonable accommodation, including lifting patients or equipment, bending, pushing, pulling, and kneeling.
  • Satisfactorily complete the competency requirements for the position.
  • For employees working at PACE: completion certification for Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.

Nice To Haves

  • At least one year of nursing experience in hospice or a hospital; this experience is preferred.

Responsibilities

  • Assess patient and family needs using the nursing process and coordinate the Plan of Care with the Interdisciplinary Group (IDG).
  • Provide and manage direct care for patients and families, incorporating psychosocial, spiritual, cultural, physical, and biological components and appropriate nursing interventions and follow-up.
  • Develop and coordinate an individualized Plan of Care that reflects the patient’s evolving needs.
  • Educate patients, families, caregivers, and other 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 or other health professionals.
  • Participate with the IDG in evaluating hospice referrals and admissions for level-of-care appropriateness.
  • Complete clinical admissions, explain services, address concerns and admission barriers, educate families about admission requirements, complete informed consents and initial assessments, and initiate skilled nursing interventions.
  • Obtain physician orders and medical record information, and complete documentation in accordance with company policy.
  • Coordinate referrals and communicate with Admissions to ensure timely follow-up; inform Admissions when assignments are complete and prepare for the next assignment.
  • Provide timely clinical communication using SBAR and discuss potential needs with after-hours staff.
  • Obtain service consents and arrange safe, efficient discharges for referred and eligible patients while meeting productivity expectations.
  • Act as the company representative at assigned facilities and facilitate referrals to all service lines.
  • Develop relationships with case managers, physicians, facilities, patients, families, and the general public; work with Professional Relations Representatives to provide education on available services.
  • Provide care for hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
  • Attend patient deaths, prepare bodies for transport, oversee medication disposal, and provide appropriate bereavement interventions with psychosocial staff.
  • Present concise oral and written reports to the IDG and communicate accurately with physicians, staff, patients, families, and supervisors.
  • 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 before scheduled hours and for overnight stays.
  • Comply with applicable regulations and company policies; protect confidentiality, use resources responsibly, and observe health, safety, and security practices.
  • Participate in performance improvement, quality assessment, professional development, company research and educational activities, and community or professional organizations.
  • Perform other duties as assigned.
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