Per Diem- RN Hospice House (7p-7a)

Chapters Health System•Sun City Center, FL

12d

About The Position

The Per Diem RN assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to patients and families. The role provides and manages direct patient care, coordinates individualized plans as needs evolve, educates patients, families, caregivers, and health professionals, reports changes in condition, and contributes to IDG evaluations and care planning. Depending on assignment and location, the nurse may complete clinical admissions for Company services, obtain physician orders and medical records, complete documentation and consents, initiate nursing interventions, coordinate safe discharges, communicate with Admissions and after-hours staff, and represent the Company at assigned facilities. The nurse may also provide care for general inpatient (GIP) patients in hospitals, including daily visits, professional management, documentation, and discharge coordination. The position includes supervising care provided by other nursing team members, attending patient deaths, preparing bodies for transport, overseeing medication disposal, and providing bereavement support in coordination with psychosocial staff. The nurse is expected to communicate effectively with patients, families, physicians, colleagues, and supervisors; participate in quality improvement and professional development activities; comply with applicable regulations and Company policies; protect confidentiality; and represent the Company professionally. During emergencies, the Triage RN may be required to report to a designated location ahead of schedule and stay overnight as needed to maintain continuity of services.

Requirements

Current RN license in the state where the employee will work.
Active BLS certification for healthcare professionals from the American Heart Association or Red Cross.
Previous experience using an EMR/EHR system.
Valid driver’s license and automobile insurance in accordance with Company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Flexible schedule to meet the needs of Hospice House patients.
Ability to manage the emotional stress of working with and caring for terminally ill patients and their families.
Ability to physically access patient rooms and other areas of the Hospice House, hospital, assisted living facility, or homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.
Ability to perform essential job functions and physical requirements, including lifting patients or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
Satisfactorily complete competency requirements for the position.
For employees working at PACE: certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.

Nice To Haves

At least one year of nursing experience in hospice or a hospital; this experience is preferred.

Responsibilities

Assess and identify patient and family needs using the nursing process and provide palliative and supportive care.
Coordinate and maintain an individualized Plan of Care with the Interdisciplinary Group (IDG), reflecting the patient’s evolving needs.
Provide and manage direct care to patients and families, incorporating psychosocial, spiritual, cultural, physical, and biological considerations and appropriate nursing interventions and follow-up.
Educate patients, families, caregivers, and health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members and other health professionals.
Participate with the IDG in evaluating hospice referrals and admissions for level-of-care appropriateness.
Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
Provide appropriate bereavement interventions to families and caregivers in conjunction with psychosocial staff.
Present concise and pertinent oral and written reports to the IDG and encourage input from all disciplines.
Communicate accurately and completely with physicians, staff, patients, families, and supervisors, using positive approaches when working with others.
Supervise patient care delivered by LPNs, Hospice Aides, and contract nurses.
Complete clinical admissions for Company services, including explaining services, addressing concerns and barriers, educating patients and families on admission requirements, completing informed consents and initial assessments, and initiating plans of care and skilled nursing interventions.
Obtain physician orders and complete documentation in accordance with Company policy.
Represent the Company at assigned facilities and facilitate referrals to service lines while working with referring hospitals, physicians, facilities, patients, families, and the public.
Communicate frequently with Admissions, provide timely clinical updates using SBAR, notify Admissions when assignments are complete, prepare for subsequent assignments, and discuss potential needs with after-hours staff.
Obtain consents and medical-record information and arrange safe, efficient discharges for referred and eligible patients while meeting productivity expectations.
Develop relationships with facility case managers and physicians and work with Professional Relations Representatives to provide education about available services.
Provide care to hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
Represent the Company professionally; comply with regulations and Company policies; observe health, safety, and security practices; maintain confidentiality; and use resources responsibly.
Participate in community and professional organizations, performance improvement, professional learning, electronic media skill development, Company research and education, and Quality Assessment and Performance Improvement activities as appropriate.
During emergencies, report to a Company-designated location as required, potentially ahead of schedule and for overnight stays.
Perform other duties as assigned.