RN PRN C - Hospice

Augusta Health Careers•Fishersville, VA

About The Position

The Hospice PRN Registered Nurse provides skilled nursing care hospice following physicians’ orders and the established Plan of Care. This position participates in the supervision of Home Health Aides and LPN's. Coordinates and collaborates with the interdisciplinary team ensuring the enactment of the Plan of Care. Reports to the Clinical Nurse Manager. Works and schedules a minimum of assigned shifts and call shifts according to PRN contract commitment. This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.

Requirements

Education: Nursing Diploma and/or Associate Degree in Nursing
Licensure/Certification: Current and valid Registered Nurse license in the Commonwealth of Virginia or from a state that is part of a Compact Agreement with Virginia
CPR-Basic Life Support Healthcare Provider certification (BLS-HCP)
Experience: Requires one year of recent Medical/Surgical Experience
Driver's License: Yes
To drive an Augusta Health Vehicle, must also be 21 years old and Motor Vehicle Record (MVR) must be approved by Risk Management.
Eligibility to work in the United States and meet Virginia state employment requirements
Physical assessments, IV therapy, wound care, communication, organization, and documentation.
Clinical competence in all aspects of the department
Completion of annual education requirements and department competencies.
Demonstrates good leadership and communication skills.
Demonstrates job related computer competence as seen in patient documentation and information retrieval.
Practices within scope of Nurse Practice Act.
Familiar with current Standards of Nursing Practice.
Familiar with accreditation standards applicable to daily work practices.
Practices Medicare Regulatory guidelines when providing care to home care patients.

Nice To Haves

Education: BSN, MSN
Licensure/Certification: Certified Hospice and Palliative Nurse certification (CHPN) preferred.
Experience: Hospice experience
Prior experience in a hospital, healthcare system, or related service-oriented environment
Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

Responsibilities

Medications Completes 5 Rights with 100% compliance.
Knowledge of medications used.
Knowledge and use of high-risk medications.
Ability to perform calculations for mixtures/solutions.
Reconciles patient medications and performs DRR.
Evaluation - Evaluate patient outcome: Implements/develops/documents the plan of care to ensure quality and continuity of care and recommend revisions to the plan, as necessary.
Updates plan of care based on continuing assessment of patient outcomes.
Documentation reflects nursing interventions, patient responses, as well as follow through with patient outcomes.
Consults with and educates the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition, and dietary needs.
Prioritize any needs with the members of the IDT.
Provide training to other staff as needed.
Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patients and family, and return demonstration if appropriate.
Prepares clinical and progress notes that demonstrate progress toward established goals.
Clinical focus on improving patient outcomes and comfort at end-of-life.
Responsible for fiscal utilization of services/supplies per patient.
Assess/Plan - Assess and develop individualized needs and plan of care: Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Assessments are complete and appropriate for patient’s age, special care needs, and patient's knowledge level, psychosocial, emotional, physical, and spiritual status.
Informs physician/provider and other team members of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care.
All documentation is submitted in a timely manner and per documentation policy.
Communicates patient information as necessary to the interdisciplinary team and other nurses as required.
Appropriate referrals are made with evidence of follow-up documentation in the medical record.
Personal Growth Assumes responsibility for own personal education and developmental needs.
Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education.
Displays positive attitude and flexibility toward work unit.
Cooperates with interdisciplinary team members to meet the needs of the patient.
No complaints from patients/family, other units, physicians or staff.
Attends 50% of staff meetings.
Attends in-services as required or requested by clinical manager.
Maintains clinical competency.
Abides by AH service standards.
Participate in quality improvement processes
Participates in department projects/audits as assigned.
Knowledge of department PI projects.
Provides suggestions for cost containment.
Stays competent in accreditation standards and remains ever ready for inspection.
Awareness of patient satisfaction goals to meet individual patient needs on a daily basis.
Leadership - Demonstrates effective skills to be a leader within the department.
Able to function as a team leader ensuring optimal patient care while supervising the work of other supportive nursing staff.
Provides clinical directions to the Hospice Aide and LPN to ensure quality and continuity of service provided.
Completes Hospice Aide and LPN supervisory visits as required.
Provides mentoring to orientees and student nurses as assigned.
Minimizes absences and reports to work in a dependable manner.
Communicates effectively with physicians utilizing SBAR approach.
Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations.
Maintains responsible attitude towards management and cost containment.
Serves on organizational committees as requested by Clinical Manager.
Implement Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines
Anticipate patient’s potential complications and need for appropriate preventive measures.
Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction.
Demonstrates proficiency in nursing procedures and follows policy.
Maintains patient safety.
Maintains patient confidentiality.
Provides patient education appropriate to age, knowledge level and learning style of the patient.
Demonstrates proficiency in computer applications necessary to perform the job and documents at the point of care.
Demonstrate efficiency in documentation by completing at least 75% at point of care.
Coordinates care through use of interdisciplinary services as needed.
Maintains equipment as assigned.
Reports damages/problems to manager, quality controls are done per department policy when indicated.
Personal Safety Follows department’s infection control policies.
Consistently uses Personal Protective Equipment including eye protection when appropriate.
Maintains organization and safety in the physical environment of care.
Demonstrates knowledge of proper body mechanics.
Disposes of sharps, medication, and infectious waste appropriately per policy.
Maintains calm and safe approach with those patients that display violent or aggressive behavior.
Practices safe driving.
Patient Safety Demonstrates knowledge of patient two unique identifiers.
Utilizes SBAR approach to patient hand off communication.
Follows policy and procedure in the administration of medication and medication reconciliation.
Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease.
Abides by policies/procedures for Isolation.
Consistently follows CDC guidelines for hand hygiene.
Knowledgeable of their role in department emergency preparedness plan.
Documents appropriately by not using an abbreviation from standard ".......Do Not Use Abbreviation List..."
Implements fall preventions.
Involve family/caregivers in fall prevention measures and home safety.
Assures patient information is up to date.
Labels all specimens appropriately in home

Benefits

Comprehensive insurance package including medical, dental, and vision coverage
Retirement savings plans and financial wellness support programs
Generous paid time off and flexible scheduling to promote work-life balance
Career development programs including clinical ladders, shared governance, and advancement opportunities
Personalized onboarding with dedicated preceptors and ongoing educational support
Tuition reimbursement and access to onsite childcare
Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
Competitive pay with shift/weekend differentials
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

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