RNII After Hours Nurse NOC Shift Per Diem

Hospice of the East Bay•Pleasant Hill, CA

About The Position

Hospice of the East Bay is a community-based nonprofit hospice and palliative care organization serving patients and families in their homes and at its inpatient hospice facility. Under the direction of the attending physician and Medical Director or Hospice Physician/Nurse Practitioner, and in conjunction with the interdisciplinary group, the Registered Nurse provides direct nursing care and coordinates related assistance for patients and families. The RN may work in more than one program or department according to patient and organizational needs. The After Hours RN reports to the Team Manager and makes home visits, identifies patient and family care needs, and coordinates care during weeknights and weekends. The position provides holistic, family-centered care across treatment settings, supporting comfort, dignity, privacy, and patients’ spiritual and cultural beliefs. The RN works collaboratively with the interdisciplinary team and others involved in care, while also being able to work independently and respond to crisis situations. This is a per diem NOC-shift position, scheduled from 12:00 a.m. to 8:30 a.m. The RN must be available for six shifts per month, including two weekend shifts.

Requirements

Current California Registered Nurse license.
At least one year of experience working as a licensed nurse.
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 tolerate 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 as part of 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%.
Demonstrate clinical competency as observed during a supervisory visit.
Availability for six shifts per month, including two weekend shifts.

Nice To Haves

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

Responsibilities

Assess all aspects of patients’ pain and develop individualized pain management plans.
Anticipate, prevent, and treat undesirable symptoms or secondary symptoms, and 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 provided, interventions, and patient and family outcomes.
Maintain the dignity, confidentiality, and privacy of dying patients and support their 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 patients’ progress toward desired outcomes at least every 15 days, and 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, and follow agency-endorsed evidence-based standards of practice.
Provide patient and primary caregiver education and training, as appropriate, for care and services identified in the plan of care.
Communicate with the Team Manager as appropriate regarding 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 handoff communication.
Participate in educating new staff members as assigned by the Team Manager.
Supervise the performance of the Home Health Aide.
Attend appropriate staff in-services and participate in QAPI activities as requested.
Initiate and monitor medication reconciliation processes according to Medicare and accreditation standards.
Make home visits and coordinate patient and family care needs during weeknights and weekends.