RN, Hospice- PRN

Hospice Brazos Valley•La Grange, TX

4d•Onsite

About The Position

This position involves providing comprehensive nursing care to hospice patients, ensuring their physical, psychosocial, and spiritual needs are met. The role requires administering medications and treatments, developing and implementing care plans, educating patients and families, and coordinating services. The RN will also supervise LPNs and aides, document patient progress, and serve as a primary case manager and patient advocate. This is a PRN (as needed) position.

Requirements

RN license in state of Texas
2 years of clinical experience
Home Health or Hospice preferred
Valid driver’s license
Auto insurance
Reliable transportation

Nice To Haves

BSN or MSN preferred

Responsibilities

Administer prescribed medications and treatments according to law and within the scope of the individual’s license.
Perform nursing care according to the needs of the patient and as indicated in the written plan of care.
Inform the physician and other personnel of changes in the patient’s condition and needs.
Prepare clinical and/or progress notes, for each visit or contact, and incorporate them into the clinical record.
Teach, supervise, and counsel the patient and family members regarding the nursing care needs and other related problems of the patient at home.
Initiate and update the plan of treatment as established by the physician.
Participate in in-service programs.
Make the initial nursing evaluation visit to assess the nursing needs of the patient including all physical, functional, ADL, psychosocial, spiritual, communication, risk for pathological grief, cultural and environmental needs upon admission related to the terminal illness.
Re-evaluate nursing needs based on the patient’s status and condition.
Develop, implement, and update the plan of care as needed.
Provide specialized nursing services, which may include treatments, diagnostic and preventive procedures.
Initiate appropriate preventative and rehabilitative nursing procedures for the patient’s care and safety.
Make staff assignments based on specific patient needs, family capabilities, staff training and experience, and degree of supervision needed.
Assist in coordinating all services provided.
Prepare termination of services statements.
Supervise and consult with licensed practical nurses as necessary.
Provide written instructions for personal care aides and home health aides to ensure provision of required services written in the plan of care.
Supervise aides in the patient’s home as necessary, and be readily available for consultation by telephone.
Conduct on-site supervision of patient care provided by the home health aide at least every 14 days to assess relationships and determine whether goals are being met, as defined in policy for Supervision (policy #275).
Observe signs and symptoms and promptly report to the physician reactions to treatments and drugs and changes in the patient’s physical or emotional condition.
Communicate with the Director of Nurses the need for a continuation or discontinuation of nursing services for the patient.
Conducts supervisory evaluations of patient care provided by the licensed practical nurse on-site at least every 30 days and documents such supervision.
Orient and provide on-the-job training to other nursing service personnel.
Certify in writing for the physician and payer that the patient meets criteria for hospice services.
Serve as primary case manager to coordinate services for each patient assigned to case load.
Function as patient advocate in all decisions affecting patient.
Take clinical call as needed.