Registered Nurse (RN)-Hospice Inpatient, FT, Days

Prisma Health•Columbia, SC

9d•Onsite

About The Position

Provides hospice and palliative nursing care to terminally ill patients of all ages and supportive care to their families in the Hospice House. Uses the nursing process, complies with organizational policies and regulatory requirements, and practices within the scope of the South Carolina Nursing Practice Act. This is a non-management role reporting to a supervisor, manager, director, or executive. The position is bonus-eligible.

Requirements

Associate degree in Nursing.
Current RN compact/multistate license recognized by the NCSBN Compact State, or an RN license to practice in the state where the team member works.

Nice To Haves

Two years of acute care nursing experience preferred.
Experience in hospice or other home care services preferred.
BSN preferred.

Responsibilities

Assess patients’ physiological, psychosocial, developmental, and environmental needs, as well as families’ need for supportive care, considering physical, emotional, and spiritual factors.
Assess pain and other symptoms; provide assessments to physicians and document findings in the medical record.
Contribute to the interdisciplinary Plan of Care and develop individualized nursing and CNA plans of care with input from patients and families.
Monitor and update plans of care in response to changes in patient status and family needs.
Assess patient and family education needs and provide education; identify needs for additional services and refer to hospice team members.
Develop a plan of care for the time of death that reflects the express wishes of the patient and family.
Perform appropriate nursing interventions and document them thoroughly and promptly; use standing orders and medical authorization guidelines.
Report assessment findings and changes in condition to physicians and make recommendations.
Recognize the family’s decision-making role and the patient’s right to self-determination.
Oversee CNA performance of the Plan of Care and evaluate intervention effectiveness and progress toward goals.
Support families through bereavement follow-up, the bereavement Plan of Care, and participation in funeral, visitation, memorial, and bereavement program events when possible.
Apply knowledge of grief and loss and provide appropriate supportive interventions.
Coordinate continuity of care by exchanging information accurately and promptly with team members and other agencies; communicate patient status and coordinate care with physicians and others.
Attend and participate in team meetings, briefings, and related activities.
Communicate with pharmacies, DME vendors, material management, and insurance companies to help control agency costs.
Document clinical findings, interventions, physician orders, Plan of Care changes, telephone calls, team conferences, and referrals.
Initiate the Plan of Care at the time of death and notify appropriate persons and agencies; complete discharge paperwork.
Perform admission and evaluation visits and consultative services as requested.
Work on projects and committees as requested and educate the public about end-of-life issues.
Assist with orientation and training of students, new employees, and volunteers.
Perform other duties as assigned.
Comply with organizational requirements, including licensure renewal, assigned training, employee health screenings, time and attendance, dress code, patient confidentiality, infection control, and medication administration.
Demonstrate knowledge of regulatory agency requirements, including The Joint Commission and DHEC.