Summary of Responsibilities
The registered nurse plans, organizes, and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
1. Completes initial, comprehensive, and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of the nursing process.
3. Assesses and evaluates patient's status by:
A. Writing and initiating plan of care
B. Regularly re-evaluating patient and family/caregiver needs
C. Participating in revising the plan of care as necessary
4. Uses health assessment data to determine nursing diagnosis.
5. 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.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan.
9. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.
10. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
1. Completes, maintains, and submits accurate and relevant clinical notes regarding the patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
3. Communicates with community health related persons to coordinate the care plan.
4. 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 concert with the interdisciplinary group.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient and family/caregiver and other team members in providing continuity of care.
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
8. Attends interdisciplinary group meetings.
1. Ensures that arrangements for equipment and other necessary items and services
2. Supervises ancillary personnel and delegates responsibilities when required.
3. 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.
4. Fulfills the obligation of requested and/or accepted case assignments.
5. Actively participates in quality assessment performance improvement teams and activities.
This position has no direct supervisory responsibilities.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
This position requires 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. While performing the duties of this position, the employee travels by automobile and is exposed to changing weather conditions. The employee will be required to drive daily for meetings and/or visits to residential homes or residential settings. The employee will work in varied residential environments based on assigned caseload.
Travel is primarily local during the business day, although some out-of-the-area travel may be expected.
Required Education and Experience
1. Registered nurse with current licensure to practice professional nursing in the state.
2. Graduate of National League for the Nursing accredited school of nursing.
3. Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
4. Minimum of two years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
5. Self-directed and able to work with minimal supervision.
6. Management experience not required. Responsible for supervising hospice aides.
7. Demonstrates excellent observation, problem-solving, verbal and written communications; nursing skills per competency checklist.
8. Shows the ability to organize and prioritize workload independently.
Queen City Hospice, LLC is an Equal Opportunity/Affirmative Action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.