Medford Signature Hospice| Part Time RN | Point

JOB SUMMARY

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 individual and families within their homes and communities.

• Completes an 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).
• Provides professional nursing care by utilizing all elements of nursing process.
• Assesses and evaluates patient’s status by writing and initiating plan of care, regularly re-evaluating patient and family/caregiver needs, participating in revising the plan of care as necessary, and using 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 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 optional comfort care.
• Acts as case manager 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 persons 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 concert 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 members to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group (IDG) meetings.

• 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.

• Graduate of National League for Nursing accredited school of nursing.
• Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
• Management experience not required.
• Responsible for supervising hospice aides.
• Registered nurse with current licensure to practice professional nursing in the state.
• Demonstrates excellent observation, problem‑solving, verbal and written communication; nursing skills per competency checklist.
• Shows ability to organize and prioritize workload independently.
• Physical requirements:
  
  prolonged or considerable walking or standing; able to lift, position and/or transfer patients; able to lift supplies and equipment;…