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

Prisma Health•Columbia, SC

10d

About The Position

Utilizes the nursing process to provide hospice and palliative care to terminally ill patients of any age and supportive care to their families in the Hospice House. Provides care within the scope of the South Carolina Nursing Practice Act and complies with organizational policies, procedures, and regulatory requirements, including licensure renewal, assigned training, employee health screenings, time and attendance, dress code, patient confidentiality, infection control, and medication administration. Demonstrates knowledge of requirements from regulatory agencies such as The Joint Commission and DHEC. This is a non-management position 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 a license to practice as an RN in the state where the team member works.
No experience required.

Nice To Haves

Two years of acute care nursing experience preferred.
Experience in hospice or other home care services preferred.
Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Assess patients’ physiological, psychosocial, developmental, and environmental needs, as well as families’ needs for supportive care, considering physical, emotional, and spiritual aspects.
Assess pain and other symptoms; provide assessment information to physicians; contribute assessment-based input to interdisciplinary plans of care; and document assessments in the medical record.
Develop individualized nursing and CNA plans of care as needed, seeking patient and family input, and monitor and update the plans in response to changes in status and family needs.
Assess patient and family education needs, provide education, monitor the need for additional services, and refer to other hospice team members as appropriate.
Develop a plan of care for the time of death that meets the expressed wishes of the patient and family.
Perform appropriate nursing interventions, document them thoroughly and promptly, and use standing orders and medical authorization guidelines to guide practice.
Report assessment findings and changes in patient condition to physicians and make recommendations.
Recognize the family’s decision-making role and the patient’s right to self-determination.
Oversee CNAs’ performance of the plan of care according to requirements.
Evaluate intervention effectiveness and progress toward goals, including patient response to treatment or medication, disease progression, family response to change and teaching, caregiver ability to cope, and cultural or developmental needs.
Support families through bereavement follow-up, the bereavement plan of care, funeral, visitation or memorial attendance whenever possible, and scheduled bereavement program events; demonstrate knowledge of grief and loss and provide appropriate support.
Facilitate continuity of care through timely information exchange with team members and other agencies; communicate regularly with staff and volunteers about patient status; coordinate care with physicians and others; and participate in team meetings, briefings, and related activities.
Communicate with pharmacies, durable medical equipment 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, notify appropriate persons and agencies, and complete discharge paperwork.
Perform admission and evaluation visits and provide consultative services as requested.
Work on projects and committees as requested.
Educate the public about end-of-life issues.
Assist with orientation and training of students, new employees, and volunteers.
Perform other duties as assigned.