Registered Nurse (Home Health and Hospice)-Sweetwater County

Symbii Home Health and Hospice-Layton•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. The nurse uses community resources to plan and direct services that meet the needs of patients and families in their homes and communities. The role includes assessing patients and families, developing and implementing plans of care, providing nursing treatments and education, coordinating care, and working with the hospice interdisciplinary group. The nurse also participates in on-call duties, supervises hospice aides, and contributes to quality improvement and professional development.

Requirements

  • Graduate of a National League for Nursing-accredited school of nursing.
  • Current licensure to practice professional nursing in the state.
  • Current CPR certification.
  • Demonstrated observation, problem-solving, verbal communication, and written communication skills, and nursing skills as assessed by a competency checklist.
  • Ability to organize and prioritize workload independently.
  • Ability to work independently with minimal supervision.
  • Ability to drive or access transportation for agency-related travel; must maintain a valid driver's license and automobile insurance and have access to an automobile.
  • Ability to perform prolonged or considerable walking or standing; lift, position, or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing are required to perform nursing skills.

Nice To Haves

  • At least two years of experience, including at least one year in public health, home care, or hospice nursing; this experience 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 the nursing process.
  • Write and initiate plans of care, regularly reassess patient and caregiver needs, and participate in revising plans as necessary.
  • Use health assessment data to determine nursing diagnoses.
  • Develop care plans with goals based on nursing diagnoses and palliative nursing actions, involving patients and families in planning.
  • Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed by the physician.
  • Counsel patients and families regarding nursing and related needs.
  • Provide health care instructions according to assessment and plan.
  • Assist patients with activities of daily living and support self-sufficiency and comfort care.
  • Act as case manager and coordinate care for assigned patients.
  • Complete, maintain, and submit accurate clinical notes about patient condition and care, including pain and symptom management changes and outcomes.
  • Communicate patient needs and condition changes to physicians and obtain or receive orders as required.
  • Communicate with community health-related professionals to coordinate care plans.
  • Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions.
  • Work with the interdisciplinary group and use opportunities for health counseling with patients and caregivers.
  • Provide and maintain a safe environment for patients.
  • Help patients, caregivers, and team members maintain continuity of care.
  • Work with caregivers and hospice interdisciplinary group members to address patients' and families' emotional needs.
  • Attend interdisciplinary group meetings.
  • Participate in on-call duties as defined by policy.
  • Ensure equipment and other necessary items and services are arranged and 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 or accepted case assignments.
  • Participate in quality assessment and performance improvement teams and activities.
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