Registered Nurse (RN)-Hospice Inpatient, PT, Nights

Prisma Health•Seneca, SC

About The Position

Utilizes the nursing process to provide hospice and palliative care to terminally ill patients of any age and supportive care to their families in the Hospice House. The role follows organizational policies and procedures, applicable regulatory requirements, and the scope of the South Carolina Nursing Practice Act. It is a non-management position that reports to a supervisor, manager, director, or executive. The position is part-time and works nights at Hospice Of The Foothills.

Requirements

Associate degree in Nursing.
Current RN compact/multistate license recognized by the NCSBN Compact State, or an RN license to practice in the state where the team member works.

Nice To Haves

Two years of acute care nursing experience preferred.
Experience in hospice or other home care services preferred.
BSN preferred.

Responsibilities

Assess patients' physiological, psychosocial, developmental, and environmental needs, as well as family needs for supportive care, considering physical, emotional, and spiritual factors.
Assess pain and other symptoms; document assessments and provide assessment findings to physicians.
Contribute to interdisciplinary plans of care and develop individualized nursing and CNA plans of care with input from patients and families.
Monitor and update plans of care as patient status or family needs change.
Assess patient and family education needs and provide education; monitor for additional service needs and refer to hospice team members.
Develop a plan of care for the time of death that reflects the express wishes of the patient and family.
Perform nursing interventions and document them thoroughly and promptly; use standing orders and medical authorization guidelines.
Report changes and assessment findings to physicians and make recommendations.
Recognize the family's decision-making role and the patient's right to self-determination.
Oversee CNA performance of the plan of care.
Evaluate intervention effectiveness and progress toward goals, including patient and family responses, disease progression, outcomes, teaching, caregiver coping, and cultural or developmental needs.
Support families through bereavement follow-up, the bereavement plan of care, and participation in funeral, visitation, memorial, or bereavement program events whenever possible.
Apply knowledge of grief and loss and provide appropriate supportive interventions.
Coordinate continuity of care through accurate and timely information exchange with team members and other agencies.
Communicate regularly with staff and volunteers about patient status and coordinate care with physicians and others.
Participate in team meetings, briefings, and related activities; maintain ongoing communication with hospice team members.
Communicate with pharmacies, durable medical equipment vendors, materials management, and insurance companies to help control agency costs.
Document clinical findings, interventions, physician orders, plan-of-care changes, telephone calls, team conferences, and referrals.
Initiate the plan of care at the time of death and notify appropriate people and agencies.
Complete discharge paperwork.
Perform admission and evaluation visits and provide consultative services as requested.
Work on projects and committees as requested.
Educate the public about end-of-life issues.
Assist with orientation and training of students, new employees, and volunteers.
Perform other duties as assigned.
Comply with organizational requirements, including license renewal, assigned training, employee health screenings, time and attendance, dress code, confidentiality, infection control, and medication administration.
Demonstrate knowledge of regulatory agency requirements, including The Joint Commission and DHEC.