PRN RN Cornerstone Hospice

Chapters Health•Ocala, FL

About The Position

The Per Diem RN assesses and identifies patient and family needs, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to patients and families. The role includes direct patient care, clinical admissions, referrals, coordination with facilities and healthcare professionals, and support for patients receiving general inpatient (GIP) hospice care. The nurse must provide compassionate care to terminally ill patients and their families while meeting documentation, communication, and productivity expectations. The nurse may work in Hospice House, hospital, assisted living facility, or home settings, and may be cross-trained to other roles of equal licensure and scope when staffing needs require. During emergencies, the Triage RN may be required to report to a company-designated location earlier than scheduled and may need to stay overnight to maintain continuity of services.

Requirements

  • Current RN license in the state where the employee will work.
  • Active BLS for healthcare professionals certification from the American Heart Association or Red Cross.
  • At least one year of nursing experience; hospice or hospital experience is preferred.
  • Previous experience working with an 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 caring for terminally ill patients and their families.
  • Ability to access patient rooms and other care settings, including homes with stairs or narrow spaces and environments with heat or no air conditioning.
  • Ability to perform the job’s essential functions and physical requirements, with or without reasonable accommodation, including lifting patients or equipment, bending, pushing, pulling, and kneeling.
  • Employees working at PACE must have completed Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
  • Satisfactorily complete the competency requirements for the position.
  • Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
  • For Florida affiliate roles, meet eligibility requirements verified through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and maintain ongoing eligibility.

Nice To Haves

  • Hospice or hospital nursing experience.
  • Some locations may require cross-training to hospice house or field roles of equal licensure, certification, and scope when census requires flexible staffing.

Responsibilities

  • Assess patient and family needs and provide direct palliative and supportive care as part of the IDG.
  • Coordinate and update individualized Plans of Care to reflect patients’ evolving needs.
  • Complete clinical admissions, explain services, address concerns and barriers, educate patients and families, obtain informed consents, complete initial assessments, and initiate care according to regulations and company policy.
  • Provide information to physicians, obtain physician orders, and initiate skilled nursing interventions to prevent complications, relieve symptoms, and maximize comfort.
  • Complete required clinical documentation and communicate timely and accurately using SBAR.
  • Represent the company at assigned facilities, facilitate referrals to service lines, coordinate with Admissions, and maintain relationships with case managers, physicians, facilities, patients, and families.
  • Arrange safe and efficient discharge for referred and eligible patients and obtain relevant medical record information.
  • Work with Professional Relations Representatives to educate others about available services.
  • Provide care for GIP patients in hospitals, including daily visits, professional management, documentation, and discharge coordination.
  • Educate patients, families, caregivers, and health professionals about disease progression, 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.
  • Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
  • Provide appropriate bereavement interventions in conjunction with psychosocial staff.
  • Present concise reports to the IDG and encourage input from all disciplines.
  • 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 to ensure continuity of services, potentially ahead of schedule and overnight.
  • Comply with applicable regulations and company policies, protect confidentiality, use resources responsibly, participate in quality improvement and community activities, and maintain professional knowledge and skills.
  • Perform other duties as assigned.
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