RN Hospice - PT, 8am - 5pm - Full-time / Part-time

Pay Scale: $32.68 - $48.04

Shift: 8am - 5pm, includes every other weekend call

Job Summary:

Under the direction of the Hospice Manager, the Hospice Staff Nurse incorporates a broad spectrum of knowledge in the application of nursing to provide client care in the home, place of residence or appropriate community site.

Hospice nursing practice is episodic and/or continuous and maybe primary, secondary and/or tertiary in nature. It is not limited to a particular age group or diagnosis. Hospice nursing is holistic and is focused on the individual client, integrating family/caregiver, environmental and community resources to promotean optimal level of client and family well-being. The framework of practice is care management with an emphasis on end of life care. The Hospice nurse possesses a broad knowledge base in Hospice and palliative care with expertise in pain and symptom management. Care management includes: use of nursing process to assess, diagnosis, plan and evaluate care. Performing nursing interventions, including teaching, coordinating and using referral and resources, providing and monitoring all levels of technical care, collaborating with other disciplines and providers, identifying clinical problems and using research knowledge, supervising ancillary personnel and advocating for the client's right to self-determination.

Essential Duties:

Assess and develops a plan of care through interviews of patient and primary caregivers/family, performs a physical assessment, integrates physical assessment with previous health and psychosocial history.

Provides case management and documents skilled care, treatments and diagnostic procedures according to the physician's plan of treatment and nursing care standards.

Demonstrates responsibility for primary nursing management of assigned patients' i.e.communicates with intra/interagency personnel to provide continuity of care.

Completes and documents initial evaluation of assigned patients.

Assesses patient status and skilled nursing needs on admission and each subsequent visit.

Maintains complete organized current clinical records on all assigned patients.

Prepares recertification, discharge summaries and all federally required data entry and/or forms for Medicare.

Regularly evaluates the patient's needs and informs physician and the supervisor of change in the patient's condition, and provides necessary revision in the plan of treatment.

Makes referrals as appropriate and authorized by physician.

Coordinates services through consultation and interdisciplinary conferences.

Assess and identifies need for supplies, equipment and teaching materials for current and next visit in computer. Documents and charges appropriate for supplies.

Completes daily time log with supporting documentation in electronic record for each day worked and synchronizes at the beginning and end of each day worked.

Utilizes knowledge of Medicare, Medicaid, JCAHO, OSHA, & NHPCO regulations pertaining to Home Health/Hospice.

Willing to cross train and provide nursing care to Home Health patients upon departmental need.

Demonstrates understanding of Hospice program and philosophy and standards of care.

Sets up weekly schedule for all patients and enters into electronic schedule by 5:00pm Thursday.

Manages assignments with productivity targeted at 5 pt. visits per work day for Hospice, special considerations may be given for geographic areas and patient acuity.

License/Certification:

Current RN license issued by the state of Oregon.

BLS required within 30 days of hire.

Must possess a valid Oregon Driver's License. Must be able to provide own transportation and automobile insurance.

Experience:

Minimum of two (2) years acute care, home health or hospice nursing experience required.

Must have good assessment, communication and documentation skills.

Education:

Graduate of an accredited school of nursing.