Registered Nurse | Full-Time | Hospice & Home Health

All County Home Health and Hospice•San Antonio, TX

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 builds on community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. The role provides hospice and home health care throughout the Greater San Antonio area and includes patient assessment, care planning, treatment, education, care coordination, and participation in interdisciplinary and quality-improvement activities.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs.
Conduct physical assessments and obtain histories of current and previous illnesses.
Provide professional nursing care using all elements of the nursing process.
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, involving patients and families in planning.
Initiate preventive and rehabilitative nursing procedures.
Administer medications and treatments prescribed by physicians in the plan of care.
Counsel patients and families about nursing and related needs and provide health care instructions as appropriate.
Assist patients with activities of daily living and support self-sufficiency and comfort.
Serve as Case Manager when assigned by the Clinical Supervisor and coordinate care for the assigned caseload.
Complete, 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 in concert with the interdisciplinary group.
Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions.
Maintain a safe patient environment and help provide continuity of care with patients, families, caregivers, and team members.
Work with families, 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 the on-call policy.
Ensure arrangements for equipment and other necessary items and services.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain and develop professional knowledge 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.