Registered Nurse (RN) - Washington, DC - Per Diem

Chapters Health System•Washington, DC

11d

About The Position

The Registered Nurse (RN) provides quality nursing care through the nursing process, patient and family education, and documentation. The RN provides and manages direct care to patients and families as part of the Interdisciplinary Group (IDG), coordinating individualized plans of care that reflect patients’ changing needs. The role includes clinical admissions, referral follow-up, care coordination, education, symptom management, and communication with patients, families, physicians, facilities, and other healthcare professionals. The position is per diem and requires schedule flexibility to meet patient and service needs. The RN may provide hospice care in hospice houses, hospitals, assisted living facilities, and patients’ homes. Some locations may require cross-training and flexible staffing across positions of equal licensure and scope. During emergencies, the Triage RN may be required to report to a company-designated location outside the scheduled date or time and may need to stay overnight to maintain continuity of care.

Requirements

Current Registered Nurse license in the state where the employee will work.
Active BLS for healthcare professionals certification from the American Heart Association or Red Cross.
Previous experience using an EMR/EHR system.
Valid driver’s license and automobile insurance in accordance with company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Flexible schedule to meet the needs of Hospice House patients.
Ability to manage the emotional stress of caring for terminally ill patients and their families.
Ability to access patient rooms and other areas of a Hospice House, hospital, assisted living facility, or home, including navigating stairs and narrow spaces and tolerating heat and lack of air conditioning.
Ability to perform essential job functions and physical requirements, with or without reasonable accommodation, including lifting patients or equipment, bending, pushing and pulling, and kneeling.
For employees working at PACE: certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.

Nice To Haves

At least one year of nursing experience; hospice or hospital experience is preferred.
Some locations may require cross-training to hospice house or field positions (home, facility, or admission) of equal licensure, certification, and scope when census requires flexible staffing.

Responsibilities

Provide and manage direct care to patients and families as part of the Interdisciplinary Group, incorporating psychosocial, spiritual, cultural, physical, and biological needs and appropriate nursing interventions and follow-up.
Coordinate individualized Plans of Care and ensure they accurately reflect patients’ evolving needs.
Educate patients, families, caregivers, and other health professionals about disease processes and decline, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patients’ conditions to appropriate IDG members or other health professionals.
Participate with the IDG in evaluating hospice referrals and admissions for appropriate level of care.
Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
Provide appropriate bereavement interventions to families and caregivers in conjunction with psychosocial staff.
Present concise and pertinent oral and written reports to the IDG, respecting and encouraging input from all disciplines.
Communicate accurately and completely with physicians, staff, patients, families, and supervisors, using positive approaches when working with others.
Supervise patient care provided by other nursing team members, including LPNs, Hospice Aides, and contract nurses.
Complete clinical admissions for company services; explain services, address questions and concerns, identify admission barriers, educate patients and families on admission requirements, complete informed consents and initial assessments, provide information to physicians, initiate Plans of Care, and begin skilled nursing interventions.
Obtain physician orders and complete documentation according to company policy.
Represent the company at assigned facilities and facilitate referrals to all service lines, working with hospitals, physicians, facilities, patients, families, and the public.
Communicate frequently with Admissions to ensure timely follow-up, report when assignments are complete, and prepare for the next assignment.
Provide timely clinical communications using SBAR and discuss potential needs with after-hours staff.
Obtain service consents and medical record information, and arrange safe, efficient discharges for referred and eligible patients while meeting productivity expectations.
Develop relationships with facility case managers and physicians, and work with Professional Relations Representatives to provide education about available services.
Provide care for hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
During emergencies, report to a company-designated location as needed to ensure continuity of services; this may include reporting early and staying overnight.
Represent the company professionally; comply with applicable regulations and company policies; observe health, safety, and security practices; protect confidentiality; and use resources responsibly.
Promote the company through community and professional organizations; contribute to performance improvement and Quality Assessment and Performance Improvement activities; improve professional knowledge and electronic media skills; support research and educational activities; and share expertise with coworkers.
Satisfactorily complete competency requirements and perform other duties as assigned.