Registered Nurse (RN)

Hospice Buffalo•Town of Cheektowaga, NY
•$41 - $52

About The Position

The Community Admissions Registered Nurse presents Hospice services to clients referred for all levels of care, including general inpatient, home care, and nursing home care. The nurse reviews patient and family goals of care, identifies the appropriate level of care, and facilitates and completes the admission process. The role initiates an individual professional interdisciplinary team (IDT) plan of care and collaborates with the IDT, physicians, and facility staff to determine start-of-care orders. The nurse also provides in-services for hospital staff and the community. This position is scheduled for four 10-hour shifts, 9 a.m. to 7 p.m., with holiday and weekend rotation.

Requirements

  • Graduate of an accredited school of nursing.
  • Current Registered Nurse licensure in New York.
  • Valid driver's license with no serious violations.
  • Vehicle required for use while on duty or on-call.

Nice To Haves

  • Certification in Hospice and Palliative Care Nursing preferred.
  • Two years of professional Registered Nurse practice preferred.

Responsibilities

  • Present Hospice services to patients and families in an individualized and sensitive manner, accounting for their fears, needs, and goals and identifying hospice eligibility and the appropriate level of care.
  • Assess physical, psychosocial, environmental, safety, emotional, and spiritual needs related to terminal illness, and document findings in the EMR.
  • Perform pain assessments, follow pain protocols, apply knowledge of equi-analgesic dosing, and support optimal pain relief through interdisciplinary coordination and timely interventions.
  • Articulate clinical courses and disease progression for cancer, lung disease, heart disease, liver disease, dementia, and neurologic disease states.
  • Explain causes of symptoms related to disease processes, including nausea, vomiting, anorexia, fluid and electrolyte imbalance, diarrhea, constipation, mucositis, weakness or fatigue, dysphasia, edema, dyspnea, cognitive impairment, urinary retention, depression, and delirium.
  • Initiate the plan of care promptly and appropriately, anticipating problems that may threaten patient safety or symptom control.
  • Apply knowledge of the usage, indications, adverse side effects, contraindications, and interactions of commonly used medications, including steroids, NSAIDs, benzodiazepines, antidepressants, anticonvulsants, narcotics, antifungals, and diuretics.
  • Organize work to meet productivity standards, document in the computer during patient visits, and complete documentation within required time parameters.
  • Teach patients, families, and caregivers in all situations.
  • Build and maintain positive working relationships with access and hospice clinical staff, hospice support staff, hospital staff, and the medical community.
  • Participate in the weekend and holiday schedule.
  • Collaborate with the IDT, physician, and facility staff to determine start-of-care orders.
  • Provide in-services for hospital staff and the community.

Benefits

  • Employer 401(k) contribution regardless of employee participation, with an additional matching contribution when the employee participates.
  • Health insurance with a vision component copayment plan or a high-deductible plan for full-time employees.
  • Employer HSA contribution twice annually for employees with a high-deductible health plan (full-time status).
  • Dental insurance for full-time employees.
  • Flexible Spending Account for full-time employees.
  • Paid Time Off and New York State Sick Leave.
  • Tuition Assistance Program.
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