RN - Hospice - Full Time Days

Riverside Hospital•Newport News, VA

About The Position

The Hospice Registered Nurse works under the supervision of the Nurse Manager and Director and provides total nursing care to assigned patients through intermittent visits, typically in a home-care setting. The RN assesses, plans, implements, and evaluates care based on each patient’s physiological, psychosocial, and cultural needs, while supporting the hospice philosophy and standards of Riverside Health System. The RN works with a multidisciplinary team and supervises and delegates to nonprofessional personnel involved in patient care. The role includes hospice and palliative care, symptom relief, patient and family education, coordination of services, and ongoing assessment of patient and caregiver needs. The RN must demonstrate competence in addressing age-related needs of the patient populations served.

Requirements

  • Registered Nurse qualification.
  • Virginia Registered Nurse license from the Virginia Department of Health Professions.
  • CPR/BLS certification from the American Heart Association, American Red Cross, or American Safety and Health Institute within 30 days.
  • Valid driver’s license.
  • Drive a personal vehicle for Riverside Health System business 25% or more of the time to perform essential job functions.

Nice To Haves

  • Bachelor’s degree in Nursing.
  • Acute care experience.

Responsibilities

  • Assess, plan, implement, and evaluate total nursing care for assigned patients on an intermittent visiting basis.
  • Develop initial and ongoing comprehensive assessments of client needs, including the effects of terminal illness on physical, functional, psychological, and environmental needs and activities of daily living.
  • Assess risk for pathological grief, cultural and spiritual implications, communication patterns, and caregiver ability to meet patient needs.
  • Determine the scope and frequency of services based on patient acuity and patient and family needs.
  • Complete required clinical documentation, patient notes, verbal orders, certifications, and recertifications according to Riverside Health System standards and deadlines.
  • Apply hospice admission and recertification criteria to determine appropriate levels of care and patient eligibility.
  • Implement individualized plans of care and recommend revisions when needed.
  • Manage discomfort and provide symptom relief and specialized palliative and end-of-life nursing care.
  • Consult with, counsel, and educate patients and families about nursing needs, disease processes, self-care, end-of-life care, and ethical concerns.
  • Use a case-management approach and refer patients to other services as needed.
  • Coordinate patient and family services and prioritize needs with the interdisciplinary team.
  • Evaluate patient and family responses to care and inform the physician and interdisciplinary team of changes in needs or the plan of care.
  • Initiate preventive and rehabilitative nursing procedures and provide treatments that support patient physiological and psychosocial outcomes and stability.
  • Prepare clinical and progress notes that demonstrate progress toward established goals.
  • Supervise LPN/LVNs and Home Health Aides in providing services according to regulatory guidelines.
  • Provide specialized hospice training to staff, family members, and informal caregivers.
  • Participate in training and supporting team members, volunteers, and students as needed.
  • Delegate and prioritize tasks to support quality care and meet patient needs.
  • Recognize and respond to emergency situations.
  • Evaluate personal support needs and use available systems and resources.
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