Registered Nurse (Home Health and Hospice)-Sweetwater County

Symbii Home Health and Hospice South•Rock Springs, WY

About The Position

The registered nurse plans, organizes, and directs hospice care, drawing on nursing experience and community health education or experience to coordinate services for individuals and families in their homes and communities. The nurse assesses patients and families, provides professional nursing care, develops and revises care plans, administers prescribed medications and treatments, counsels and educates patients and families, and serves as case manager for an assigned caseload. The role also includes clinical documentation, communication and coordination with physicians and community health partners, collaboration with the hospice interdisciplinary group, participation in on-call duties, supervision of hospice aides, and involvement in quality improvement activities. Full-time and part-time options are available, including one full-time position and one PRN/on-call position that requires one weeknight per week and one weekend per month of on-call availability. New registered nurses are welcome to apply.

Requirements

  • Graduate of a National League for Nursing-accredited school of nursing.
  • Current registered nurse licensure to practice professional nursing in the state.
  • Current CPR certification.
  • Demonstrated observation, problem-solving, verbal communication, and written communication abilities, and nursing skills as defined by the competency checklist.
  • Ability to organize and prioritize workload independently.
  • Self-directed and able to work with minimal supervision.
  • Ability to drive or access transportation for agency-related travel; must have and maintain a valid driver’s license, automobile insurance coverage, and access to an automobile.
  • Ability to perform considerable walking or standing; lift, position, and transfer patients; lift supplies and equipment; and reach, stoop, bend, kneel, and crouch as needed.
  • Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

  • Minimum two years of experience, including at least one year in public health, home care, or hospice nursing, is preferred.

Responsibilities

  • Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs, including physical assessments and illness histories.
  • Provide professional nursing care using all elements of the nursing process.
  • Assess and evaluate patient status, initiate and write plans of care, regularly reassess patient and caregiver needs, and participate in care-plan revisions.
  • Use health assessment data to determine nursing diagnoses.
  • Develop care plans with goals based on nursing diagnoses and palliative nursing actions, including patients and families in the planning process.
  • Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed by the physician.
  • Counsel patients and families regarding nursing and related needs and provide health care instructions as appropriate.
  • Assist patients with activities of daily living and support self-sufficiency and comfort care.
  • Act as case manager and coordinate care for an assigned caseload.
  • Complete, maintain, and submit accurate clinical notes, documenting patient conditions, care provided, and pain or symptom management changes and outcomes.
  • Communicate patient needs and changes in condition to physicians and obtain or receive physician orders as required.
  • Coordinate care plans with community health-related persons.
  • Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; use opportunities for health counseling.
  • Provide and maintain a safe patient environment.
  • Support continuity of care with patients, caregivers, and other team members.
  • Work with families, caregivers, and hospice interdisciplinary group members to meet patients’ and families’ emotional needs.
  • Attend interdisciplinary group meetings.
  • Participate in on-call duties as defined by the on-call policy.
  • Ensure arrangements for equipment, necessary items, and services are available.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Maintain professional knowledge and skills through continuing education and in-service classes.
  • Fulfill requested or accepted case assignments.
  • Participate in quality assessment and performance improvement teams and activities.
  • Perform other job-related tasks as requested.
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