RNII After Hours Nurse NOC Shift Per Diem
About The Position
Hospice of the East Bay is a community-based nonprofit hospice and palliative care organization serving patients and families in homes and at its inpatient hospice facility. The RN provides direct nursing care and coordinates related assistance for patients and families under the direction of the attending physician and Medical Director or Hospice Physician/Nurse Practitioner, in conjunction with the interdisciplinary group. RNs may work in more than one program or department based on patient needs. In the after-hours role, reporting to the Team Manager, the RN makes home visits and identifies and coordinates patient and family care needs during weeknights and weekends. The RN also participates in the Triage Nurse Rotation when the Lead Triage Nurse is absent. The position is per diem and works the 12:00 a.m.–8:30 a.m. NOC shift, with availability for six shifts per month, including two weekend shifts. Hospice nursing care includes assessing pain and creating individualized pain-management plans; anticipating and treating symptoms; addressing comfort-care needs; educating and supporting patients, families, and caregivers; coordinating services and community resources; documenting assessments, goals, interventions, and outcomes; maintaining patient dignity, confidentiality, privacy, and respect for spiritual and cultural beliefs; and providing holistic, family-centered care. The RN collaborates with the interdisciplinary team, presents patient information at team meetings, updates comprehensive assessments and progress at least every 15 days, reassesses responses to care, completes documentation within two hours of the shift, follows applicable regulations and evidence-based standards, and provides caregiver education and training as appropriate. Additional case-management duties include communicating with the Team Manager about acuity, scheduling, workload, and difficult situations; completing records and handoffs; helping educate new staff as assigned; supervising Home Health Aide performance; overseeing volunteers in the home; attending in-services; participating in QAPI activities when requested; and initiating and monitoring medication reconciliation according to Medicare and accreditation standards.
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 complete a 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 respect 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%.
- Demonstrated 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
- Make home visits and identify and coordinate patient and family care needs during weeknights and weekends.
- Participate in the Triage Nurse Rotation when the Lead Triage Nurse is absent.
- Assess patient pain and develop individualized pain-management plans; anticipate, prevent, and treat symptoms; and identify comfort-care needs.
- Support, instruct, and educate patients, families, and caregivers; coordinate patient and family services and community resources.
- Document problems, nursing assessments, goals, care, interventions, and patient and family outcomes; complete patient-related documentation within two hours of the shift worked.
- Maintain the dignity, confidentiality, and privacy of patients, and support their spiritual and cultural beliefs.
- Provide holistic, family-centered care across treatment settings and collaborate with the interdisciplinary team and others involved in care.
- Attend and present appropriate patient 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 and reassess responses to care.
- Comply with state and federal regulations, accreditation standards, and agency-endorsed evidence-based practice standards.
- Provide patient and primary caregiver education and training as appropriate to the plan of care.
- Communicate with the Team Manager regarding patient acuity, scheduling, workload, and difficult situations.
- Complete required records, reports, and documentation on time and follow the agency handoff process.
- Participate in educating new staff members as assigned by the Team Manager.
- Supervise Home Health Aide performance and oversee volunteers in the home.
- Attend appropriate staff in-services and participate in QAPI activities when requested.
- Initiate and monitor medication reconciliation according to Medicare and accreditation standards.
Benefits
- 10% per diem differential every time you work.
- Mileage reimbursement at the IRS rate.
- Pet insurance and employee discount programs.
- Employee Assistance Program (EAP).
- Collaborative, mission-driven team.
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
