RN III - Per Diem - Home Program

Hospice of the East Bay•Pleasant Hill, CA

22d•$61 - $64•Onsite

About The Position

Hospice of the East Bay is a community-based hospice and palliative care program serving terminally ill patients and those needing palliative care in their homes and at its six-bed hospice facility. Care is provided by an interdisciplinary group, with bereavement support available to families for at least one year after a death. A sponsored care program provides services regardless of a patient’s ability to pay. Under the direction of the attending physician and Medical Director, Hospice Physician, or Nurse Practitioner, and in conjunction with the interdisciplinary group, the RN provides direct nursing care and coordinates related assistance for patients and families. Although the RN reports to a primary manager, the role may involve work in more than one program or department based on patient needs. The per diem RN reports to the Team Manager and makes home visits to identify and coordinate patient and family care needs. Coverage areas include Vallejo, Hercules, Richmond, Oakland, Castro Valley, Walnut Creek, Pleasanton, Antioch, Brentwood, and surrounding cities. The schedule requires availability for six shifts per month, including two weekend shifts. Shifts run from 8:00 a.m. to 4:30 p.m.

Requirements

Current California Registered Nurse license.
At least one year of experience working as a professional nurse in an acute clinical setting.
Current CPR certification.
Current California driver’s license and a car in good working condition.
Ability to perform a complete nursing physical assessment, develop a comprehensive care plan, and respond to patient and family needs in home settings, including SNF and RCFE/Board & Care.
Ability to cope with patient and family emotional stress and remain tolerant of individual lifestyles without judgment.
Ability to establish professional boundaries and maintain cooperative relationships with professionals.
Excellent interpersonal communication and customer service skills, initiative, dependability, and good judgment.
Ability to work collaboratively on an interdisciplinary team and independently, and to problem-solve in crisis situations.
Must take and pass an annual medication calculation competency exam with a score of at least 85%.
Demonstrated clinical competency as observed during a supervisory visit.
Availability for six shifts per month, including two weekend shifts; shifts are 8:00 a.m.–4:30 p.m.

Nice To Haves

Prior hospice and/or home care experience preferred.
Hospice and Palliative Care Nurse Certification highly desirable.
IV knowledge and expertise desirable.

Responsibilities

Assess all aspects of patients’ pain and develop individualized pain management plans.
Anticipate, prevent, and treat undesirable symptoms and secondary symptoms.
Identify and address comfort-care needs.
Support, instruct, and educate patients, families, and caregivers; coordinate patient and family services and community resources as needed.
Document problems, nursing assessments, goals, care, interventions, and patient and family outcomes.
Maintain the dignity, confidentiality, and privacy of dying patients.
Support patients’ spiritual and cultural beliefs.
Provide holistic, family-centered care across treatment settings to improve quality of life.
Consult and collaborate with the interdisciplinary team and others involved in patient care.
Attend and present appropriate patient-related information at Interdisciplinary Team Meetings, focusing on open care-plan problems.
Update comprehensive assessments and patient progress toward desired outcomes at least every 15 days.
Reassess patients’ responses to care.
Complete patient-related documentation within two hours of the shift worked.
Comply with state and federal regulations and accreditation standards.
Provide patient and primary caregiver education and training as appropriate to the plan of care.
Follow evidence-based standards of practice endorsed by the agency.
Communicate with the Team Manager as appropriate about patient acuity, scheduling, workload, and difficult situations.
Complete required records, reports, and documentation in a timely manner according to agency requirements.
Follow the agency’s process for effective hand-off communication.
Participate in educating new staff members as assigned by the Team Manager.
Supervise Home Health Aide performance.
Attend appropriate staff in-services.
Participate in QAPI activities as requested.
Initiate and monitor medication reconciliation processes according to Medicare and accreditation standards.
Make home visits and identify and coordinate patient and family care needs.