Registered Nurse - Hospice Shenandoah House - Full-Time RN

Augusta Health

1d • Onsite

About The Position

A registered professional nurse is responsible for the delivery of patient care
for assigned patients on a specific shift working at the Shenandoah House.
Coordinates with the Hospice Care Manager on the nursing plan of care as well as
carrying out provider orders and nursing standards of care using the nursing
process. Collaboration with the hospice IDT, medical director, and providers to
ensure quality care at end of life. Also directs and guides other members of the
patient care team.

This position plays a critical role in supporting Augusta Health’s mission and
advancing departmental goals through measurable performance indicators and
service excellence. This position contributes to a collaborative,
patient-centered environment and helps drive outcomes aligned with
organizational priorities.

Requirements

• Education: Nursing Diploma and/or Associate Degree in Nursing
• Licensure/Certification: Current and valid Registered Nurse license in the Commonwealth of Virginia or from a state that is part of a Compact Agreement with Virginia
• CPR-Basic Life Support Healthcare Provider Certification (BLS HCP)
• Experience: Requires at least one year of recent Medical/Surgical/ICU experience
• Driver’s License: Yes To drive an Augusta Health Vehicle, must also be 21 years old and Motor Vehicle (MVR) must be approved by Risk Management.
• Eligibility to work in the United States and meet Virginia state employment requirements
• Unit and annual competencies to be completed each year
• HIPPA - no breaches of confidentiality. No related complaints voiced on patient/family satisfaction surveys. No related complaints voiced by fellow care providers of observed incidences.
• Knowledgeable of location and content of departmental policies and procedures
• Nurse Practice Act-Scope of Practice
• Basic computer skills
• National Patient Safety Goals
• Clinical competence in all aspects of the unit
• Ability to work under stressful situations to meet patient and family needs

Nice To Haves

• Education: BSN, MSN
• Licensure/Certification: Certified Hospice and Palliative Nurse Certification (CHPN) preferred
• Experience: Hospice experience
• Prior experience in a hospital, healthcare system, or related service-oriented environment
• Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

Responsibilities

• Medications Completes 5 Rights with 100% compliance. Knowledge of medications used. Knowledge and use of high-risk medications. Ability to perform calculations for mixtures/solutions. Follows policy for bar code scanning with high level of compliance.
• Implement Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines. Observed to anticipate patient’s potential complications and need for appropriate preventive measures. Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction. Demonstrates proficiency in starting IVs and phlebotomy and follows hospital policy and procedure. Maintains patient safety. Maintains patient confidentiality. Provides patient education appropriate to age and knowledge level of patient. Demonstrates proficiency in computer applications necessary to perform the job. Coordinates care through use of interdisciplinary services as needed.
• Personal Safety Consistently uses Personal Protective Equipment including eye protection when appropriate. Maintains organization and safety in the physical environment of care. Demonstrates knowledge of proper body mechanics. Utilizes Safe Patient Handling devices correctly to minimize risk of injury. Disposes of sharps and infectious waste appropriately. Maintains calm and safe approach with those patients that display violent or aggressive behavior.
• Patient Safety Demonstrates knowledge of patient two unique identifiers. Utilizes SBAR approach to patient hand off communication. Follows policy and procedure in the administration of medication. Abides by policies/procedures for Isolation. Consistently follows CDC guidelines for hand hygiene. Knowledgeable of their role in patient evacuation plan. Utilizes Safe Patient Handling Equipment appropriately Documents appropriately by not using an abbreviation from standard "......Do Not Use Abbreviation List..."... Implements fall preventions. Assure patient rounds by policy. Involve family in prevention measures. Demonstrates appropriate use of restraints. Provides written plan of care based on patient problems/diagnosis. Assures intervention list up to date. Labels all specimens appropriately at bedside. Completes "Time Out" and documentation for all invasive procedures.
• Assess/Plan- Assess and develop individualized needs and plan of care: Assessments are complete and appropriate for patients age, special care needs, and patient's knowledge level, psychosocial, emotional, physical, and spiritual status. Reassessment is timely and performed as patient condition warrants. Consults with and educates the patient and family regarding disease process, end-of-life care, nutrition, and dietary needs. Prioritize any needs with the members of the IDT. Provide training to other team members as needed. Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patients and family, and return demonstration if appropriate. Responsible for improving patient outcomes and comfort at end-of-life. Responsible for fiscal utilization of services/supplies per patient. Documentation of assessment is timely. Communicates assessment data as necessary to interdisciplinary team members including attending provider and hospice medical director. Informs physician/provider and other team members of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care.
• Personal Growth Assumes responsibility for own personal education and developmental needs. Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education. Displays positive attitude and flexibility toward work unit. Cooperates with interdisciplinary team members and other units to meet the needs of the patient. No complaints from patients/family, other units, providers, or team members. Attends 50% of staff meetings. Attends in-services as required or requested by clinical coordinator.
• QI- Participate in quality improvement processes. Participates in team member engagement projects. Assist Clinical Manager on quality improvement projects when requested. Knowledge of unit PI projects. Participation in hospice QAPI plan and meetings as needed. Provides suggestions for cost containment. Assist unit in ACHC preparedness by maintaining environment and practicing within established standards. Knowledge of state and federal hospice regulations and ACHC standards as it relates to everyday work practices. Awareness of patient/family satisfaction goals to meet individual patient needs on a daily basis.
• Leadership- Demonstrates effective skills to be a leader within the unit. Able to function as a team leader ensuring optimal patient care while supervising the work of other nurses and supportive nursing staff. Demonstrates ability and knowledge to be a resource and mentor for other staff. Minimizes absences and reports to work in a dependable manner. Communicates effectively with physicians utilizing SBAR approach. Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations. Maintains responsible attitude towards management and cost containment. Serves on organizational committees as requested by Department Director. Participating in Clinical Ladder is encouraged. Attaining certification in hospice and palliative care (CHPN) is highly encouraged. Mentor, educate, and support new team members and students.
• Evaluation- Evaluate patient outcome: Updates plan of care based on continuing assessment of patient outcomes. Documentation reflects nursing interventions, patient responses, as well as follow through with patient outcomes. Responsible for improving patient outcomes and comfort at end-of-life. Responsible for fiscal utilization of services/supplies per patient. Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patient and family, and return demonstration if appropriate.

Benefits

• Comprehensive insurance package including medical, dental, and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders, shared governance, and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree