Hospice RN - Per Diem

Advance Specialty Care North•Anza, CA

17h

About The Position

The Registered Nurse plans, organizes, and directs hospice care, drawing on nursing experience with an emphasis on community health education and experience. The nurse uses community resources to plan and direct services that meet the needs of patients and families in their homes and communities. The position includes patient assessment and care planning, nursing treatment and education, communication and coordination with physicians and the hospice interdisciplinary group, and related duties. This role is per diem.

Requirements

Nursing experience, with emphasis on community health education and experience.
Professional nursing care consistent with the state Nurse Practice Act.
Ability to perform patient assessments and develop and implement hospice plans of care.
Ability to administer physician-prescribed medications and treatments.
Ability to communicate and coordinate care with physicians, patients, families, caregivers, community health-related persons, and the hospice interdisciplinary group.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and families, including physical assessments and histories of current and previous illnesses.
Provide professional nursing care using the nursing process and in accordance with the state Nurse Practice Act.
Assess and evaluate patient status; write and initiate plans of care, regularly reevaluate patient and caregiver needs, and participate in revising care plans.
Use assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, including patients and families in the planning process.
Initiate appropriate preventive and rehabilitative nursing procedures and administer medications and treatments as prescribed by the physician.
Counsel patients and families regarding nursing and related needs, and provide health care instructions as appropriate to the assessment and plan.
Assist patients with activities of daily living and support self-sufficiency and comfort care.
Act as Case Manager when assigned by the Clinical Supervisor and coordinate care for an assigned caseload.
Complete, maintain, and submit accurate, relevant clinical notes about patient condition and care, including pain and symptom management changes and outcomes.
Communicate patient needs and changes in condition to physicians and obtain or receive physician orders as required.
Coordinate the care plan with community health-related persons and work in concert with the hospice interdisciplinary group.
Teach patients and families or caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; recognize opportunities for health counseling.
Provide and maintain a safe environment for patients and assist patients, caregivers, and team members in maintaining continuity of care.
Work with families, caregivers, and the hospice interdisciplinary group to address 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 and other necessary items and services are available.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain and develop professional knowledge and practice skills through continuing education and in-service classes.
Fulfill requested and/or accepted case assignments.
Participate in quality assessment performance improvement teams and activities.