Registered Nurse, RN - Hospice

Saint Francis Health System

About The Position

The Registered Nurse assesses, plans, directs, and initiates nursing care; coordinates therapy referrals; and communicates with physicians’ offices, staff, patients, and caregivers regarding medical orders. The role assesses patients’ eligibility and needs for home health services, develops and revises patient-centered plans of care, delivers nursing care, coordinates referrals and interdisciplinary care, and supports patient and family education and discharge planning. The nurse also reviews medications, maintains accurate documentation in the electronic medical record, completes supervisory visits for Home Health Aides, and follows agency quality-assurance and infection-control processes. This is a full-time, daytime role based in Tulsa, Oklahoma, with a Monday–Friday schedule of 8:00 AM–4:30 PM that can be flexible and minimal call.

Requirements

Completion of the basic professional curriculum of a school of nursing approved and verified by a state board of nursing, with a diploma or degree (or eligibility to hold one).
Valid multistate or Oklahoma Registered Nurse license.
Valid driver’s license and a Motor Vehicle Report meeting SFHS guidelines.
Good interpersonal and communication skills.
Basic computer skills.
Reliable automobile and transportation for home visits as needed.

Nice To Haves

At least one year of related experience is preferred.

Responsibilities

Assess patients to determine eligibility and needs for home health services.
Develop and revise patient-centered plans of care based on patient strengths, goals, and preferences.
Deliver nursing care while considering patients’ cultural, psychological, functional, cognitive, and social needs.
Include patients and families in care planning.
Organize and prioritize case-management responsibilities, including complex tasks.
Use professional judgment in response to changes in patient status and agency constraints.
Complete assigned work within allotted time and productivity standards.
Identify ongoing patient needs, initiate timely referrals, and coordinate care with the healthcare team.
Complete daily laptop communications and download updates promptly.
Review medications for potential adverse effects, reactions, ineffective therapy, side effects, interactions, duplicate therapy, and non-compliance.
Communicate medication issues to the healthcare team, maintain an updated medication list in the home, and help establish an effective medication system.
Document care, data, coordination, and progress toward goals and outcomes accurately in the EMR using appropriate terminology and abbreviations.
Develop and revise the Home Health Aide plan according to the agency’s ability to safely meet the patient’s ADL and IADL needs.
Conduct and document Home Health Aide supervisory visits at least every 14 days.
Perform nursing skills according to assessed needs and physician orders, and anticipate and deliver care in accordance with agency processes and policies.
Instruct patients and families in emergency procedures, safety, and home management of illness.
Provide ongoing patient and caregiver education and training regarding care and services in the plan of care.
Communicate discharge-plan revisions to patients, representatives, caregivers, physicians, and the healthcare team responsible for post-discharge care.
Support agency hospital goals through SHP analysis, PDGM and individual case conferencing, quality assurance, educational standards, and QAPI; make QA/SHP changes accurately and promptly.
Modify behavior or performance to comply with standards and meet thresholds.
Assist with orientation as directed and support an interdisciplinary team approach.
Comply with the Home Health Infection Control Plan and agency infection-control policies and practices.