Admission​/Visit Registered Nurse; RN

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: Full Time (2 Weekends/Month Required)

Required

Shifts:

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

Sign On Bonus: $9,000.00 (Conditions Apply)

Compensation: $56.95 - $78.30/Hour (approximate range)

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 assessment.
• Obtains informed consent and assists in completing forms required for hospice admission per regulations.
• Assesses patients, provides and documents appropriate skilled nursing care, including teaching, family support and other actions as needed.
• Assesses the 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 them 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 up‑to‑date and adequate stock of medical supplies and agency forms.
• Knowledgeably discusses overall history, philosophy and services of Pathways Home Health and Hospice.
• Provides patients and families with guidance regarding health care decision‑making and options for advance directives in coordination with the social worker.
• Assesses all aspects of the patient’s pain and other symptoms; 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 across the treatment settings to improve the quality of life.
• Knowledgeably discusses and initiates non‑pharmacologic interventions as appropriate to promote comfort, improve quality of life, and help manage emotional, spiritual, and physical distress.
• Participates in the hospice program’s quality assessment performance improvement program and in‑service education related to areas of practice as appropriate.
• Meets productivity standards as established by the manager.
• When in a facility, adheres to “Pathways Standards of Care and Practice in Facilities” or equivalent document.
• Prints out and files visit documentation in facility (RCFE or SNF) binder or chart…