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

Capital Caring•Washington, DC

About The Position

The Registered Nurse 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), incorporating psychosocial, spiritual, cultural, physical, and biological needs and appropriate nursing interventions and follow-up. The RN coordinates an individualized Plan of Care that reflects the patient’s evolving needs and educates patients, families, caregivers, and health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices. The role includes completing clinical admissions for company services, explaining services and admission requirements, addressing questions and barriers compassionately, obtaining informed consents and physician orders, completing initial assessments and required documentation, and initiating skilled nursing interventions to prevent complications, alleviate symptoms, and maximize comfort. The RN represents the company at assigned facilities, facilitates referrals, communicates with Admissions and other care partners, coordinates safe discharges, and provides care and documentation for general inpatient (GIP) hospice patients in hospitals. The RN reports patient-condition changes to appropriate IDG members and health professionals, participates in evaluating referrals and admissions for appropriate level of care, presents reports to the IDG, and supervises care delivered by other nursing team members. Duties also include attending patient deaths, preparing bodies for transport, overseeing medication disposal, and providing bereavement interventions in conjunction with psychosocial staff. During emergencies, the Triage RN may need to report to a company-designated location ahead of schedule and stay overnight as needed to maintain continuity of services. Other duties may be assigned.

Requirements

  • Current RN 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 working with 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.
  • Ability to maintain a 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 physically access patient rooms and other areas of Hospice House, hospitals, assisted living facilities, and homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.
  • Ability to perform essential job functions and physical requirements, including lifting patients or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
  • Satisfactorily complete position competency requirements.
  • For employees working at PACE, completion certification for Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
  • Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.

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 (home/facility/admission) positions 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 (IDG), with appropriate nursing interventions and follow-up.
  • Coordinate an individualized Plan of Care and ensure it reflects the patient’s changing needs.
  • Educate patients, families, caregivers, and health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices.
  • Report changes in patient condition to appropriate IDG members and other health professionals.
  • Participate with the IDG in evaluating hospice referrals and admissions for level-of-care appropriateness.
  • 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 oral and written reports to the IDG and encourage input from all disciplines.
  • Communicate accurately and completely with physicians, staff, patients, families, and supervisors.
  • Supervise patient care provided by LPNs, Hospice Aides, and contract nurses.
  • Complete clinical admissions for company services, including explaining services, addressing concerns and barriers, educating patients and families, obtaining consents, completing assessments, initiating plans of care and nursing interventions, obtaining physician orders, and documenting according to policy.
  • Represent the company at assigned facilities and facilitate referrals to its service lines; coordinate with hospitals, physicians, facilities, patients, families, the public, Admissions, and Professional Relations Representatives.
  • Provide timely clinical communication using SBAR, follow up with Admissions, discuss potential needs with after-hours staff, obtain referral medical records, and arrange safe and efficient discharges.
  • Provide care for hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
  • During emergencies, report to a company-designated location as required, potentially ahead of schedule, and stay overnight if needed to maintain continuity of services.
  • Comply with applicable regulations and company policies; maintain confidentiality and observe health, safety, and security practices.
  • Use resources responsibly, participate in performance improvement and quality activities, maintain and improve professional and electronic-media skills, and share expertise with coworkers.
  • Perform other duties as assigned.
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