Hospice Admission Nurse (RN

Job Title/Position: Admission RN

Reports To: Clinical Director

$5000 Sign-On Bonus

The Admission RN plans, organizes and directs hospice care and is experienced innursing, with emphasis on community health education/experience. The professional nursebuilds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

• 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• 2. Provides professional nursing care by utilizing all elements of the nursing process.
• 3. Assesses and evaluates patient’s status by:
  • A. Writing and initiating plan of care
  • B. Regularly re-evaluating patient and family/caregiver needs
  • C. Participating in revising the plan of care as necessary
• 4. Initiates the plan of care and makes necessary revisions as patient status and needs change.
• 5. Uses health assessment data to determine nursing diagnosis.
• 6. 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.
• 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• 8. Counsels the patient and family in meeting nursing and related needs.
• 9. Provides health care instructions to the patient as appropriate per assessment and plan.
• 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

• 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• 3. Communicates with community health related persons to coordinate the care plan.
• 4. 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.
• 5. Provides and maintains a safe environment for the patient.
• 6. Assists the patient and family/caregiver and other team members in providing continuity of care.

• 1. Ensures that arrangements for equipment and other necessary items and services are available.
• 2. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.
• 3. Fulfills the obligation of requested and/or accepted case assignments.
• 4. Actively participates in quality assessment performance improvement teams and activities.