Hospice On Call Visiting Nurse; RN, Registered Nurse - HomeCare

Location Detail: 60 Hartland St

E. Hartford (10630)

Shift Detail: 4pm-8am Mon
- Fri, every other week alternating with another clinician

• Assumes responsibility for evening, night, weekend, and holiday on-call duty as scheduled and consistent with Agency policies and procedures
• Assumes primary responsibility for total region census during assigned shift, including assessing, planning, implementing and evaluation phases of the nursing process
• Maintain regular communication with Nurse Supervisors, attending physician, and case manager concerning patient/family care needs and response to interventions
• Respond to medical or emotional crisis and make home visit to provide direct care as appropriate
• Reviews referrals, and initiates contact with client and family
• Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status. Demonstrates clinical expertise in symptom management
• Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilization of appropriate resources. Modifies plan of care as conditions change
• Demonstrates understanding of payer information in order to maximize care planning
• Initiates and maintains a client record utilizing the Agency's standard for documentation
• Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers
• Teaches patients and reinforces client/caregiver teaching and education. Prepares/teaches/supports family regarding signs and symptoms, as appropriate
• Refers, collaborates and coordinates all client care services. Consults with physician regarding client needs and plan of care. Directs LPNs in carrying out the established plan of care
• Directs Home Care Aides and supervises plan of care
• Refers client/family to other community resources as needed
• Attends and participates in in-service education program
• Seeks consultation and guidance from supervisor
• Completes reporting requirements on a timely basis
• Actively participates in the improvement process known as H3W to identify TM service line needs and development
• Performs other duties as assigned
• Provides skilled nursing care to clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost effective care

• Education:
  
  Graduate of an Associate’s or diploma program in nursing Education required. Graduate of NLN approved BSN program preferred
• Experience:
  
  One year nursing experience or one year nursing in a specialty required; medical/surgery or home care
• Licensure, Certification, Registration:
  Registered Nurse with a license to practice in the state of CT required
• Knowledge, Skills and Ability Requirements:
  Computer skills