Under the direction of the Clinical Manager, provides comprehensive health care services to patients and their families through direct care and supervision. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Performs comprehensive initial and ongoing assessments of patients/families. May participate in development of initial plan and ongoing plan of care in collaboration with IDT Team. Revises the plan of care as needed. Informs the patient upon admission to Hospice of the mechanism for receiving, reviewing and resolving patient complaints. Uses assessment skills to determine patients’ physical and mental status and status of environment and social support. Identifies patients’/families’ health and social issues and potential problem areas. Initiates referrals to other services/community resources as indicated. Develops measurable patient-centered goals in collaboration with the patient and family. Implements services in accordance with the established care plan, standards of nursing Hospice policies, procedures, protocols and all federal, state and local laws/ regulations, and accreditation standards. Prepares, administers and documents medications and treatments as prescribed in the Physician’s Plan of Care. Verifies current medications with medication profile. Reports pertinent clinical findings to patient’s Case Management nurse, physician/Clinical Manager. Reports pertinent clinical findings to patient’s Case Management nurse, physician/Clinical Manager. Evaluates the patient/family response to the Plan of Care against established goals. Provides, establishes, and revises the Home Health Assistant Plan of Care to Home Health Assistants as assigned. Provides supervision to Home Health Aides and coordinates/assists ancillary services as assigned.
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Job Type
Full-time
Education Level
No Education Listed