Rn Jobs in Los Angeles, TX

About The Position

Requirements

• Registered Nurse with current licensure to practice professional nursing in the state of Indiana.
• Must possess current CPR certification.
• Minimum with two (2) years’ clinical experience.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
• Driving is required throughout hours worked.
• Demonstrates excellent observation, verbal and written communication skills, problem solving skills, and basic math skills and/or nursing skills per competency checklist.
• Prolonged or considerable walking or standing.
• Able to lift, position and/or transfer patients.
• Able to lift supplies and equipment.
• Considerable reaching, stooping, bending, kneeling and/or crouching.
• Visual acuity and hearing to perform required nursing skills.
• Complies with accepted professional standards and practice.
• Shows ability to organize and prioritize independently, make judgements based on assessments and data available, and act accordingly.
• Must be flexible, innovative, and possess good interpersonal skills.
• Must be able to cope with mental and emotional stress and demonstrate emotional stability.
• Be able to tolerate exposure to various elements including, but not limited to: odors, blood, body fluids and excrement, adverse environmental conditions and hazardous materials.
• Ability to work as a member of the interdisciplinary group.
• Ability to accept different lifestyles, cultures, beliefs, and values.
• Knowledge of commitment to hospice philosophy of care.

Nice To Haves

• Hospice care experience preferred but not required.

Responsibilities

• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs.
• Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
• Assesses and evaluates patient’s status by writing and initiating plan of care, regularly re-evaluating patient and family/caregiver needs, and participating in revising the plan of care as necessary.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions.
• Includes the patient and the family in the planning process.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed by the physician outlined in the physician’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optimal comfort care.
• Acts as Case Manager when assigned by Clinical Director and assumes responsibility to coordinate patient care for assigned caseload.
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given.
• Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related staff to coordinate the care plan.
• Teaches the patient and family/caregiver self-care techniques as appropriate.
• Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
• Works in conjunction with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group meetings as requested.
• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.