Registered Nurse (RN) Hospice, Labor Pool

Riverside Health System•Newport News, VA
•$37 - $50

About The Position

The Registered Nurse works under the supervision of the Nurse Manager and Director to assess, plan, implement, and evaluate nursing care for assigned hospice patients through intermittent visits. The RN may work in a variety of Riverside Health System settings, typically in a home care setting, and uses communication, critical thinking, problem-solving, and decision-making to develop individualized care plans that account for patients’ physiological, psychosocial, and cultural needs. The position supports the hospice philosophy and requires competence in meeting the age-related needs of the patient populations served. Working under leadership and with a multidisciplinary team, the RN helps provide comprehensive clinical services in accordance with Riverside Health System standards and facility goals. The RN coordinates patient and family care, manages symptoms and discomfort, provides palliative and end-of-life nursing services, supervises and delegates to nonprofessional personnel, and supports team members, volunteers, students, family members, and informal caregivers.

Requirements

  • Registered Nurse qualification.
  • Registered Nurse (RN) license from the Virginia Department of Health Professions (VDHP).
  • CPR/BLS certification from the American Heart Association, American Red Cross, or American Safety and Health Institute, required within 30 days.
  • Valid driver’s license.
  • Drives a personal vehicle for Riverside Health System business 25% or more of the time to perform essential job functions.

Nice To Haves

  • Bachelor’s degree in Nursing.
  • Acute care experience.

Responsibilities

  • Assess, plan, implement, and evaluate total nursing care for assigned patients on an intermittent visiting basis, including comprehensive assessment of terminal illness and its effects on physical, functional, psychological, environmental, and daily living needs.
  • Assess risk for pathological grief, cultural and spiritual considerations, communication patterns, and caregiver capacity to meet patient needs; determine the scope and frequency of services based on acuity and patient and family needs.
  • Complete required clinical documentation, patient notes, verbal orders, certifications, and recertifications in accordance with Riverside Health System standards and deadlines.
  • Apply hospice admission and recertification criteria to determine appropriate levels of care and patient eligibility.
  • Implement individualized plans of care, recommend revisions, manage discomfort, provide symptom relief, and deliver specialized palliative and end-of-life nursing care.
  • Consult with, counsel, and educate patients and families about nursing needs, disease processes, self-care, end-of-life care, and ethical concerns.
  • Use a case-management approach, refer patients to other services, and coordinate patient and family services and priorities with interdisciplinary team members.
  • Evaluate patient and family responses to care; communicate changes in patient needs and care plans to the physician and interdisciplinary team.
  • Initiate preventive and rehabilitative nursing procedures and provide treatments that support patients’ physiological and psychosocial outcomes and stability.
  • Prepare clinical and progress notes documenting progress toward established goals.
  • Supervise LPN/LVNs and Home Health Aides in accordance with regulatory guidelines; provide specialized hospice training to staff, family members, and informal caregivers.
  • Participate in training and supporting team members, volunteers, and students; delegate and prioritize tasks to support quality care and meet patient needs.
  • Recognize and respond to emergencies, assess personal support needs, and use available systems and resources.
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