Hospice Weekend Registered Nurse

PRIMARY JOB DUTIES

1. Assesses, interprets, plans, implements and evaluates patients according to the patient’s age, diagnosis, and prognosis.

2. Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team, and performs follow up visits when necessary.

3. Appropriately communicates with the physician (Attending and Hospice) regarding the patient’s needs, response to treatment, and changes in the patient’s condition; obtain / receive physician orders as required.

4. Work closely with other members of the IDG, and in cooperation with family / caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.

5. Organizes and performs work effectively and efficiently.

6. Maintains and adjusts schedule to enhance agency performance.

7. Demonstrates a daily commitment to the values of the agency.

8. Demonstrates positive interpersonal relations in dealing with all

members of the agency.

9. Maintains and promotes customer satisfaction.

10. Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

1.0 40% QUALITY OF WORK :

1.1 15%

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively develop the Plan of Care for each patient as evidenced by :

• Develop nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
• Providing and / or facilitating beginning education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his / her family.
• In collaboration with the patient / family and the physician, performs and documents a thorough, timely initial assessment to determine the eligibility for hospice and to identify needs and problems based on age and prognosis.
• Collaborates with the patient, physician (Attending and Hospice) and other members of the interdisciplinary team in developing an individualized plan of care appropriate to patient’s age and clinical status.
• Implements interventions in a manner consistent with agency policy and discipline standards. Evaluates patient response to interventions according to agency policy.
• Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.

1.2 12%

Effectively and efficiently manages the care of new admissions and coordinates care with interdisciplinary team.

1.3 8%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines as evidenced by :

1.4 5%

Contributes to program effectiveness as evidenced by :

2.0 20% PRODUCTIVITY / USE OF TIME :

2.1 10%

Organizes and performs work effectively and efficiently as evidenced by :

2.2 10%

Maintains and adjusts schedule to enhance team performance as evidenced by :

3.0 20% TEAM WORK :

Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by :

4.0 20% MISSION, VISION, VALUES :

4.1 10%

Maintains and promotes customer satisfaction.

Participates in community outreach activities that promotes goals and objectives of the agency.

4.2 10%

Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by :

Failure to “Meet” an asterisk category will result in a “Does Not Meet” for the standard.

JOB SPECIFICATIONS

1. Education : Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

2. Licensure / Certifications : Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.

3. Experience : Minimum of one years’ clinical experience required; hospice experience preferred.

4. Essential Technical / Motor Skills : Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc.

5. Interpersonal Skills : Ability to work independently as well as effectively as part of an interdisciplinary team.

6. Essential Physical Requirements : Ability to transfer and / or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation.

7. Essential Mental Abilities : Must be able to assess a patient’s condition, formulate a plan of care, select appropriate interventions, evaluate patient’s response to care / treatment, and to explain / teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care.

8. Essential Sensory Requirements : Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care, and effectively communicate with patients, families, physician, and staff.

9. Exposure to Hazards : Noise, exposure to blood borne pathogens and body fluids, infectious diseases, and needle puncture wounds. May be exposed to dangerous animals and traffic hazards while home visiting. May encounter patients and other situations which present a potential threat to personal safety. May encounter temperature changes and weather extremes.

10. Hours of Work : as agreed upon by director, not to exceed 72 hours, with on call responsibilities

11. Population Served : Adults, and geriatrics.

12. Must have a valid driver’s license and an operational vehicle.