Admission​/Visit Registered Nurse; RN

Overview

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect.

Title: After Hours Admission/Visit Registered Nurse (RN)

Office

Location:

Sunnyvale

Patient Territory: All Service Areas

Schedule: Per Diem or Part Time

Required

Shifts:

5pm-1am and 12am-8:30am

Compensation: The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

The Shared Services After Hours Visit RN is responsible for providing skilled nursing visits to patients and their families as requested by Intella Triage. Documents observations and interventions related to the patient’s environment; physical, mental, emotional and social status. Coordinates care with other members of the Interdisciplinary Group (IDG) or team, including the patient’s physician.

• Admits patients to service, assesses the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs. Develops an individualized plan of care based on the assessment.
• Obtains informed consent from patients and families and assists in completing forms required for hospice admission per regulations.
• Assesses patient, provides and documents appropriate skilled nursing care, including teaching, family support and other actions as needed.
• Assesses patient’s environment; physical, mental and social status and eligibility for services in accordance with third party payee regulations.
• Coordinates care with the patient’s case manager, informing him/her of significant changes in the patient’s condition and needs. Documents these communications.
• Contacts patient’s physician when necessary.
• Demonstrates all skills of a registered nurse, including vein puncture and management of high interventions in the home, e.g. IVs.
• Maintains in-dated and adequate stock of medical supplies and agency forms.
• Knowledgeably discusses overall history, philosophy and services of Pathways Home Health and Hospice.
• Admits patients to service, assesses the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs. Develops an individualized plan of care based on the assessment.
• Obtains informed consent from patients and families and assists in completing forms required for Hospice and Home Health admission per regulations.
• Provides patients and their families with guidance regarding health care decision-making and options for making advance directives in coordination with the social worker.
• Assesses all aspects of the patient’s pain and other symptoms and develops an individualized symptom management plan.
• Anticipates, prevents and treats undesirable symptoms or secondary symptoms including use of non-pharmacologic measures.
• Supports, instructs and educates the patient, family, caregivers, and facility staff.
• Documents nursing assessments, problems, appropriate goals, care interventions, patient and family outcomes, and evaluation of these in the electronic record.
• Accesses electronic device during patient visit and documents during or immediately after the visit or per regulation.
• Reports regularly to Shared Services After Hours Triage RN, as appropriate, and RN Case Manager or designee regarding care provided, and when patient condition is found to be unstable and there is a need for changes in current plan of care.
• Attends educational in-service trainings, and other agency meetings as requested by manager.
• Maintains the dignity of the dying patient and supports the patient’s and family’s unique spiritual and cultural beliefs.
• Provides holistic, family-centered care…