RN Inpatient Unit; Hospice - Per Diem

RN – IPU

The RN – IPU provides direct inpatient care in a clinical setting for terminally ill patients and their families while functioning within a medically approved plan of care. The RN will deliver services under the direction of the interdisciplinary team and be supervised by the IPU Manager.

Accountability:
Reports to the Director of Education and Inpatient Services

FLSA Status:
Hourly/Non-Exempt

This is a per diem role for day and night shifts. Candidates must not be working for another hospice when employed with Pro Care.

Requirements Specific to the Position:

• Fosters and maintains an effective working relationship between co-workers, patients, and other professional members of the community
• Follows an individualized Plan of Care established by the interdisciplinary team for each patient
• Manages overall care to assigned patients encompassing coordination of all hospice disciplines
• Assists the hospice interdisciplinary team in establishing and maintaining the individualized plan of care and treatment goals for each assigned patient
• Gathers, reports, and analyzes patient care data and implements care accordingly
• Capable of giving an adequate report on patient's condition to the Hospice Medical Director, members of the interdisciplinary team, other nurses, and supervisors, as needed
• Immediately reports any changes to the Hospice Medical Director and interdisciplinary team
• Reports unusual conditions, observations and pertinent information to the physician or Director of Nursing or RN Clinical Coordinator
• Understands/provides principles of palliative care/pain management within the scope of practice
• Complies with all documentation policies and procedures legibly and in a timely manner
• Supervises and delegates duties to CNAs and LPNs
• Participates in Interdisciplinary Team Meetings and other Performance Improvement Activities
• With previously established physician orders, the RN may pronounce death
• Calls coroner and/or patient's mortuary of choice and completes process related to removal of body from location of death
• Provides intervention and support as needed related to terminal illness and loss
• Provides emotional and spiritual support and makes appropriate referrals to other team members
• Assesses and addresses depression and fear associated with terminal illness
• Facilitates communication among patient, family, and hospice team
• Identifies caregiver strain which may necessitate respite care relief, and or support
• Educates and assists the patient and family to complete Advance Directives upon patient/family request
• Provides personal care as assigned by the Interdisciplinary Team, Hospice Physician, Director of Nursing and RN Clinical Coordinator which may consist of, but is not limited to:

• Nursing Assessment/reassessment
• Medication management, administration, and teaching
• Providing comfort measures
• Insertion/maintenance/removal of foley catheters
• Insertion/maintenance/removal of various IV catheters for pain control/comfort
• Application/adjustment of oxygen, IV, NG, G-Tube and other invasive lines as ordered by the physician
• Vital signs (B/P, T, P, R)
• Assisting with ambulation/transfers
• Follows the State of Nevada Nurse Practice Act during all patient care activities
• Follows policy and Lippincott Manual of Nursing Practice for clinical care

Other duties as assigned

General:

• Adheres to patient rights, abuse reporting and confidentiality policies
• Attends scheduled staff meetings and or in-service training
• Adheres to departmental dress code requirements related to uniform, personal grooming, and other attire
• Demonstrates reliability by making every attempt to report to work on time, providing proper notification for absence or tardiness and participating in required meetings
• Demonstrates ability to problem-solve and make decisions by assessing situations and considering alternatives, seeking guidance and direction as necessary, and utilizing proper chain of command
• Demonstrates effective time management skills by coordinating activities to achieve maximum productivity and efficiency, willingness to adjust or revise work schedules as requested
• Assumes responsibility for on-going personal development and continuing education
• Stays current…