PRN REGISTERED NURSE

Under physician's orders, the Hospice Nurse is responsible for identifying the physical and emotional needs of the patient/family and for coordinating the care necessary to meet these needs in order to maximize patient comfort and to enhance the quality of life for the patient/family. This role is PRN and the hours and schedule vary based on placement and needs of the organization. A minimum number of hours is required to remain active. RNs working in a PRN role must be willing to provide care to patients in various settings, including: our inpatient unit (Hospice House), facilities (hospitals or long-term care environments), and homes in the community.

Job Duties and Responsibilities

• Utilizes a systematic process to assess the physical and emotional needs of the patient to provide the framework from which patient care is planned.
• Completes the Patient Assessment Form/Patient Care Note within established guidelines and document such findings (in the EMR) in a timely manner on a specific device.
• Recognizes, reports and documents significant findings/changes in the patient's condition to the clinical manager and/or physician.
• Assesses the need for medical supplies, equipment and medication on a regular and consistent basis.
• Assesses the need for alternative levels of care options when appropriate.
• .Contributes to the development of an Interdisciplinary Treatment Plan in collaboration with the multidisciplinary team providing a comprehensive plan of care.
• Identifies additional problems/needs and contributes to the initial plan of care started on admission and continues to update the plan of care as necessary and required.
• Identifies patient/family educational needs and develops a teaching plan utilizing resources available.
• Participates in IDG
• Implements and directs plan of care in an organized and efficient manner in accordance with applicable policies and procedures.
• Implements physician directed care in a timely manner.
• Implements nursing interventions and procedures for physical and emotional needs based on the plan of care.
• Plans the administration of and/or administers medication with knowledge of actions, contraindications, side effects and desired outcomes.
• Communicates with other team members and/or outside services and nursing agencies to provide coordination of care.
• Provides information and direction to the HHAs/CNAs, documenting supervision according to policy.
• Completes documentation accurately, concisely and in a timely manner.
• Reports all infections/suspected infections on the appropriate forms.
• Attends/prepares the body after death, providing emotional support to the family and direction for arrangements as needed within established guidelines.
• Continually evaluates the plan of care, the nursing care provided and the patient's response to the care so that adjustments may be made accordingly.
• Evaluates the effectiveness of the nursing interventions in meeting the identified physical and emotional needs, making revisions on the plan of care.
• Communicates with the physician informing him/her of the patient’s status as the condition changes.
• Notifies the physician at the time of death.
• Performs chart reviews as assigned.
• Performs other related work as needed and as directed by the clinical manager and/or director.
• Is available for holiday, on-call, weekend, illness and vacation coverage as needed.
• Follows the Compliance and Ethics Program.
• Other duties as assigned

Core Values:

Innovation:

We embrace change and are always looking at creative ways to solve problems and serve new populations.

Integrity:

We are honest, hardworking, fiscally responsible professionals driven solely by the well-being of our patients, their loved ones, and the communities we serve.

Collaboration:

We know we cannot achieve everything we want without working hand-in-hand with each other, with our healthcare partners, and with the community.

Celebration:

We believe in the importance of celebrating life and relationships.

Education:

We believe it is important not only to serve the community but to educate community members about our services and the role we can play at the end of life.