RN, WEEKEND-HOSPICE

Description

The RN assesses, plans, implements and evaluates the care for a designated group of patients in their home. The RN coordinates, directs and promotes positive patient outcomes, and contributes to efficient agency operation. In addition, the Hospice RN provides palliative care and support to terminally ill patients and their families.

Essential Job Functions

Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies.

Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system / hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.

Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.

Document patient care services by charting in patient and department records.

Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.

Maintain patient confidence and protects operations by keeping information confidential.

Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.

Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

Promote patient's independence by establishing patient care goals, teaching patient / family to understand condition, medications, and self-care skills, and answering questions.

Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel.

Resolve patient problems and needs by utilizing multidisciplinary team strategies.

Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods.

Contribute to team effort by accomplishing related results as needed.

Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques.

Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results.

Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.

Achieve thoroughness and accuracy when accomplishing an essential or specialty function of the job.

Ability to think and concentrate for an entire shift.

Specialty Job Functions

Assure quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following Home Health & Hospice and nursing division’s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.

Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations.

Document patient care and services by charting in patient and department records.

Maintain continuity among nursing teams b documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.

Maintain nursing supplies inventory by checking stock to determine inventory level; placing, and expediting orders for supplies; verifying receipt of supplies using equipment and supplies as needed to accomplish results.

Work collaboratively with the case manager, and on call RN, and other agency staff in the provision of patient care. Ensure communication of patient care needs to the primary care staff in order to facilitate continuity of care.

Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies.

Maternal / Child Nurse Role : Provide prenatal nursing services, which include instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection and intervention of complications.

Maternal / Child Nurse Role : Instruct and assess the postpartum patient and newborn for early detection and intervention of complications.

Maternal / Child Nurse Role : Instruct and assess the newborn and child’s physical and emotional development, adjustment, and / or abnormalities and reports to the physician.

Other related duties as assigned.

Required Qualifications

Graduate of an accredited Nursing Program required.

Strong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice.

Preferred Qualifications

• One (1) year experience in medical / surgical nursing or other healthcare related field; IV and phlebotomy training’ certification in an applicable area.

License, Certification & Clearances

Current licensure to practice as a Registered Nurse in the State of Pennsylvania required.

Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.

Act 33 with renewal

Act 34 with renewal

Act 73 FBI Clearance

Valid Pennsylvania Driver’s License (if out of state hire current Department of Motor Vehicle record report required and obtain PA Current Driver License within 30 days of hire).

Supervisory Responsibilities

Position Type / Expected Hours of Work

Regular, consistent, on-site and timely attendance.

Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).

Travel may be expected locally between Excela Health locations.

LEAN

AAP / EEO

Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations.

Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

Work Environment

Effective March 2020 or during pandemic : goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.

Essential – Absolute Necessity.

Marginal – Minimal Necessity.

Constantly – 5.5 to 8 hours or more or 200 reps / shift.

Frequently – 2.5 to 5.5 hours or more or 32-200 reps / shift.

Occasionally – 0.25 to 2.5 hours or 2-32 reps / shift.

Rarely – Less than 0.25 hours or less than 2 reps / shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Extreme Heat

Extreme Cold

Heights

Confined Spaces

Extreme Noise(>

85dB)

Mechanical Hazards

Use of Vibrating Tools

Operates Vehicle

Operates Heavy Equipment

Use of Lifting / Transfer Devices

Rotates All Shifts

8 Hours Shifts

10-12 Hours Shifts

On-Call

Overtime (+8 / hr. / shift; 40 / hrs. / wk.)

Travel Between Sites

Direct Patient Care

Respirator Protective Equipment

Eye Protection

Head Protection (hard hat)

Hearing Protection

Hand Protection

Feet, Toe Protection

Body Protection

Latex Exposure

Solvent Exposure

Paint (direct use) Exposure

Dust (sanding) Exposure

Ethylene Oxide Exposure

Cytotoxic (Chemo) Exposure

Blood / Body Fluid Exposure

Chemicals (direct use) Exposure

Mist Exposure

Wax Stripper (direct use)

Non-Ionizing Radiation Exposure

Ionizing Radiation Exposure

Laser Exposure

Physical Demands

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required.

Essential – Absolute Necessity.

Marginal – Minimal Necessity.

Constantly – 5.5 to 8 hours or more or 200 reps / shift.

Frequently – 2.5 to 5.5 hours or more or 32-200 reps / shift.

Occasionally – 0.25 to 2.5 hours or 2-32 reps / shift.

Rarely – Less than 0.25 hours or less than 2 reps / shift.

Physical Condition

Essential

Marginal

Constantly

Frequently

Occasionally

Rarely

Never

Bending (Stooping)

Sitting

Walking

Climbing Stairs

Climbing Ladders

Standing

Kneeling

Squatting (Crouching)

Twisting / Turning

Keyboard / Computer Operation

Gross Grasp

Fine Finger Manipulation

Hand / Arm Coordination

Pushing / Pulling(lbs. of force)

10#

50#

Carry

25#

Transfer / Push / Pull Patients

Seeing Near w / Acuity

Feeling (Sensation)

Color Vision

Hearing Clearly

Pulling / Pushing Objects Overhead

Reaching Above Shoulder Level

Reaching Forward

Lifting Floor to Knuckle

10#

Lifting Seat Pan to Knuckle

50#

Lifting Knuckle to Shoulder

20#

Lifting Shoulder to Overhead

10#

When lift requirement is in excess of 50#, lift assistance (2 person) and / or transfer device is required

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights () notice from the Department of Labor.