About The Position

All County Home Health & Hospice is hiring a full-time Registered Nurse to provide hospice care in patients’ homes and communities throughout the Greater San Antonio area. The nurse plans, organizes, and directs hospice care, drawing on nursing experience and community health knowledge to meet the needs of patients and families. The role includes assessment, care planning, treatment, education, communication, coordination, and participation in an interdisciplinary team. The nurse may also act as a case manager when assigned by the Clinical Supervisor and participates in on-call duties as defined by policy. All County is part of The Pennant Group network. The organization describes a culture centered on Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk, Customer Second, and Ownership, and encourages clinicians to exercise creativity, pursue clinical excellence, and develop programs that serve patients’ needs.

Responsibilities

  • Complete initial, comprehensive, and ongoing assessments of patients and families, including physical assessments and illness histories.
  • Provide professional nursing care using the nursing process and use assessment data to determine nursing diagnoses.
  • Write and initiate plans of care, regularly reassess patient and caregiver needs, and participate in revising care plans as needed.
  • Develop goals and palliative nursing actions in care plans, involving patients and families in planning.
  • Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed in the physician’s plan of care.
  • Counsel patients and families about nursing and related needs, provide health care instructions, and assist with activities of daily living and comfort care.
  • Act as case manager when assigned by the Clinical Supervisor and coordinate care for an assigned caseload.
  • Complete, maintain, and submit accurate 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 personnel and work with the interdisciplinary group.
  • Teach patients and families or caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions.
  • Help maintain a safe environment and continuity of care for patients and families or caregivers.
  • 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 are available 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 performance improvement teams and activities.
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