Registered Nurse Admissions Nurse

Lutheran Senior Services•St. Louis, MO

4d•$31 - $50

About The Position

Introduction At EverTrue, team members at all levels find their calling in our mission of Older Adults Living Life to the Fullest. In this work environment, all team members are part of a community and appreciated by the people they work with – residents and coworkers – every day. Summary The Hospice registered nurse is responsible for providing skilled nursing services to hospice patients. Essential Duties and Responsibilities: Provides skilled nursing services in accordance with the orders of a physician and under a plan of care in a patient’s home; Has the responsibility for the observation, assessment, nursing diagnosis, counsel, care and health teaching of the hospice patient and family Performs, completes, and documents initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psycho-social and environmental needs and activities of daily living including: Risk for pathological grief Cultural and spiritual implications Verbal and non-verbal communication patterns Initiates IDT Plan of Care with consultation from the basic IDT members, attending physician and medical director; Reviews and revises the plan as necessary Determines the scope and frequency of services needed based on acuity and patient/family needs Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility Assesses the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care; Evaluates and documents the appropriateness and ability of the patient or family member’s administration of medications Completes all required consent, election, and notification paperwork Evaluates the effects of the care given and regularly reevaluates the patient’s nursing needs Provides those services requiring substantial specialized nursing skill based on the physician’s orders and the nursing diagnosis related to palliative and end-of-life care; Examples of such services include, but are not limited to, appropriate preventive and rehabilitative nursing procedures, physical assessment, managing discomfort and providing symptom relief, patient and family teaching, urinary catheter insertion and care, venipuncture and administration of IV fluids or medications, sterile and nonsterile dressing changes Counsels the patient and his/her family regarding the disease process including self-care techniques, end-of-life care, and the processes for dealing with issues of ethical concern Reviews medication use with the patient and/or family and provides medication information, counseling, and education when appropriate Uses the case management approach and acts as the coordinator of the interdisciplinary team to maintain the proper linkages with a continuum of care When a patient is a facility resident, will coordinate the implementation of the plan of care with the facility and will respond to questions and concerns from the nursing facility Informs the attending physician, medical director, and other personnel of changes in the patient’s needs and outcomes of intervention Makes referrals to other agencies or services as needed Prepares clinical and progress notes on the relevant and specialized nursing services he/she provides Utilizes the medical record software system via laptop or agency desktop for patient documentation; Initiates documentation in the patient’s home and completes it after the visit Submits documentation per agency policy Participates in Clinical Record Reviews Participates in in-service programs and staff meetings including provision of specialized hospice training to other staff, family members and informal caregivers to insure adequate care Develops a written aide assignment based upon the patient’s/family’s needs when home health aide services are provided Visits the patient’s home at least every two weeks, when aide services are provided; The visit shall include an assessment of the aide services and relationship issues; Documents to show that the aide is providing services in accordance with the plan of care and/or makes revision to the aides plan of care as needed Evaluates own needs for support and using identified system(s) to meet the need

Requirements

Must possess a current RN license to practice nursing in the state of practice
Graduate of an accredited nursing school
Must be CPR BLS (basic life support) certified with the American Red Cross
Should have computer and excellent communication skills
Ability to work well with others, function well under pressure, and function independently
Must comply with the standards outlined in the Nurse Practice Act
Must demonstrate basic knowledge of all procedures included in the EverTrue Registered Nurse description
Must have the ability to follow instructions from the physician, nursing supervisor and other professional staff
Ability to communicate effectively with managers, patients, families and co-workers
Ability to assess safety of home situations for self, patients, and other staff members, including physical and psychological dangers
Must have the ability to effectively cope with patients, families and all others with varying backgrounds, socioeconomic conditions, and value judgments
Must be able to lift 75lbs, Lift 20lbs from floor to shoulder, and push/pull 35lbs
Must be able to roll resident from prone to supine to sitting

Nice To Haves

Prior experience in general nursing practice, hospice experience and/or palliative, end of life care preferred

Responsibilities

Provides skilled nursing services in accordance with the orders of a physician and under a plan of care in a patient’s home
Has the responsibility for the observation, assessment, nursing diagnosis, counsel, care and health teaching of the hospice patient and family
Performs, completes, and documents initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psycho-social and environmental needs and activities of daily living including: Risk for pathological grief Cultural and spiritual implications Verbal and non-verbal communication patterns
Initiates IDT Plan of Care with consultation from the basic IDT members, attending physician and medical director
Reviews and revises the plan as necessary
Determines the scope and frequency of services needed based on acuity and patient/family needs
Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility
Assesses the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care
Evaluates and documents the appropriateness and ability of the patient or family member’s administration of medications
Completes all required consent, election, and notification paperwork
Evaluates the effects of the care given and regularly reevaluates the patient’s nursing needs
Provides those services requiring substantial specialized nursing skill based on the physician’s orders and the nursing diagnosis related to palliative and end-of-life care
Counsels the patient and his/her family regarding the disease process including self-care techniques, end-of-life care, and the processes for dealing with issues of ethical concern
Reviews medication use with the patient and/or family and provides medication information, counseling, and education when appropriate
Uses the case management approach and acts as the coordinator of the interdisciplinary team to maintain the proper linkages with a continuum of care
When a patient is a facility resident, will coordinate the implementation of the plan of care with the facility and will respond to questions and concerns from the nursing facility
Informs the attending physician, medical director, and other personnel of changes in the patient’s needs and outcomes of intervention
Makes referrals to other agencies or services as needed
Prepares clinical and progress notes on the relevant and specialized nursing services he/she provides
Utilizes the medical record software system via laptop or agency desktop for patient documentation
Initiates documentation in the patient’s home and completes it after the visit
Submits documentation per agency policy
Participates in Clinical Record Reviews
Participates in in-service programs and staff meetings including provision of specialized hospice training to other staff, family members and informal caregivers to insure adequate care
Develops a written aide assignment based upon the patient’s/family’s needs when home health aide services are provided
Visits the patient’s home at least every two weeks, when aide services are provided
Evaluates own needs for support and using identified system(s) to meet the need