RN Inpatient Unit - Hospice (Per Diem) - 7am-7pm or 7pm-7am
About The Position
The RN – IPU provides direct inpatient care in a clinical setting to terminally ill patients and their families, following a medically approved plan of care and working under the direction of the interdisciplinary team. The position is supervised by the IPU Manager and reports to the Director of Quality, Compliance & Education, IPU Supervisor, or designee. Candidates cannot work for another hospice. The RN coordinates and delivers patient care, supports patients and families through terminal illness and loss, collaborates with hospice team members, supervises and delegates duties to CNAs and LPNs, and completes required clinical documentation and training. The role follows the State of Nevada Nurse Practice Act and applicable agency policies and clinical guidance. This position requires physical activity including standing, walking, lifting, bending, pushing, and pulling, with lifting demands up to 50 pounds. The employee may drive to meetings and patient homes and is regularly exposed to fumes or airborne particles, work-related stress, and driving hazards. Blood and body-fluid exposure precautions, PPE, and safe use of durable medical equipment are required. Reasonable accommodations will be provided in compliance with the Americans with Disabilities Act.
Requirements
- Current Registered Nurse license issued by the State Board of Nursing in Nevada.
- Ability to read, speak, write, and understand English.
- Current CPR/First Aid certification, maintained throughout employment.
- Successful completion of a background check pursuant to NRS 449.188 and NRS 179A.100, pre-employment drug screen and physical, TB testing, previous employment and reference checks, and an MVR; education verification may also be included.
- Ability to handle frequent interruptions and emotionally charged situations involving patients, families, and caregivers.
- Availability for prescheduled on-call hours, weekends, and holidays.
- Reliable transportation, a valid driver's license, and current auto insurance.
- Ability and endurance to stand, walk, lift, bend, push, and pull consistently, including lifting up to 50 pounds.
- Ability to comply with blood/body-fluid exposure precautions and safely use PPE and durable medical equipment.
- Candidates cannot work for another hospice.
Nice To Haves
- One year of experience as a registered nurse in hospice, home health, or geriatric care.
Responsibilities
- Foster and maintain effective working relationships with coworkers, patients, and other professional community members.
- Follow each patient's individualized Plan of Care and coordinate care across hospice disciplines.
- Assist the interdisciplinary team in establishing and maintaining individualized plans of care and treatment goals.
- Gather, report, and analyze patient-care data and implement care accordingly.
- Provide timely reports on patient condition to the Hospice Medical Director, interdisciplinary team, other nurses, and supervisors.
- Immediately report patient changes and report unusual conditions, observations, and pertinent information to the appropriate physician or hospice personnel.
- Provide palliative care and pain-management services within the scope of practice.
- Complete documentation legibly and in a timely manner in accordance with policies and procedures.
- Supervise and delegate duties to CNAs and LPNs.
- Participate in interdisciplinary team meetings and performance-improvement activities.
- Pronounce death when authorized by previously established physician orders, contact the coroner and/or chosen mortuary, and complete procedures related to removal of the body.
- Provide intervention, emotional and spiritual support, and appropriate referrals related to terminal illness and loss.
- Assess and address depression and fear associated with terminal illness.
- Facilitate communication among patients, families, and the hospice team.
- Identify caregiver strain that may require respite care or other support.
- Educate and assist patients and families with advance directives upon request.
- Provide assigned personal and nursing care, including assessments and reassessments, medication management and teaching, comfort measures, catheter care, IV catheter care, and application or adjustment of ordered oxygen, IV, NG, G-tube, and other invasive lines.
- Measure vital signs and assist patients with ambulation and transfers.
- Follow the State of Nevada Nurse Practice Act, agency policy, and the Lippincott Manual of Nursing Practice.
- Adhere to patient-rights, abuse-reporting, confidentiality, dress-code, and documentation requirements.
- Attend scheduled staff meetings, in-service training, and assigned HR, Quality & Compliance, and regulatory training.
- Maintain reliability and punctuality, provide appropriate notice of absence or tardiness, and attend required meetings.
- Use problem-solving and decision-making skills, seek guidance when needed, and follow the proper chain of command.
- Manage time effectively, adjust or revise work schedules as requested, and complete assigned projects within specified time frames.
- Take responsibility for ongoing personal development and continuing education and remain current with mandatory agency and regulatory requirements.
- Use appropriate durable medical equipment, PPE, and body mechanics; follow emergency and disaster procedures.
- Drive to meetings, healthcare professionals, and patients' homes as required.
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What This Job Offers
Education Level
No Education Listed
