PRN WEEKEND RN - HOSPICE

Apreva Hospice

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Saturday & Sunday 7:45am - 4:15pm

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)
• Provides professional nursing care by utilizing all elements of nursing process
• Assesses and evaluates patient's status by:
  • Writing and initiating plan of care
  • Regularly re-evaluating patient and family/caregiver needs
  • Participating in revising the plan of care as necessary
• Initiates the plan of care and makes necessary revisions as patient status and needs change
• Uses health assessment data to determine nursing diagnosis
• 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
• Initiates appropriate preventive and rehabilitative nursing procedures
• Administers medications and treatments as prescribed by the physician in the physician's plan of care
• Counsels the patient and family in meeting nursing and related needs
• Provides health care instructions to the patient as appropriate per assessment and plan
• Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload

• Completes, maintains and=0 submits accurate and relevant clinical notes regarding patient's condition and care given

• Records pain/symptom management changes/outcomes as appropriate

• Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required

• Communicates with community health related persons to coordinate the care plan

• 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

• Provides and maintains a safe environment for the patient

• Assists the patient and family/caregiver and other team members in providing continuity of care

• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver

• Attends interdisciplinary group meetings

• Participates in on-call duties as defined by the on-call policy

• Ensures that arrangements for equipment and other necessary items and services
  are available

• Supervises ancillary personnel and delegates responsibilities when required

• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes

• Fulfills the obligation of requested and/or accepted case assignments

• Actively participates in quality assessment performance improvement teams and activities

• Graduate of an accredited school of Nursing
• Current Registered Nurse licensure in State and American Heart Association CPR certification required; CPR certification may be offered and completed upon hire
• Bachelor's degree preferred, with one (1) year of hospice experience preferred
• Management experience not required; Responsible for supervising hospice aides
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist