Hospice RN - Per Diem

Advance Specialty Care North•Temecula, CA

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 individuals and families in their homes and communities. The role includes assessing patients and families, planning and providing palliative nursing care, coordinating care, communicating with physicians and the hospice interdisciplinary group, and supporting patients and caregivers.

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 and in accordance with the state Nurse Practice Act.
Assess and evaluate patient status, initiate and revise plans of care, and regularly reassess patient and caregiver needs.
Use assessment data to determine nursing diagnoses and develop care plans with goals 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 on nursing and related needs and provide health care instructions appropriate to assessments and plans of care.
Assist patients with activities of daily living and support self-sufficiency and comfort.
Act as Case Manager when assigned by the Clinical Supervisor and coordinate care for an assigned caseload.
Maintain and submit accurate, relevant clinical notes, including documentation of 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 care plans with community health-related persons and work with the interdisciplinary group.
Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions.
Maintain a safe environment and support continuity of care with patients, caregivers, and team members.
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.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain professional growth 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.