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ADMISSIONS RN - HOSPICE

Department:  Nursing
Status:  Per Diem
Shift:  1st

The Hoag at Home, Admissions Nurse (RN) for Hospice 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. 

 

Essential Functions:

Patient Care

  • Review's hospice qualification criteria and provides overview of hospice services to the patient and their family. 
  • Completes the explanation of benefits with the patient and their family. 
  • Completes the hospice consent form. 
  • 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: 
      1. Writing and initiating plan of care 
      2. Regularly re-evaluating patient and family/caregiver needs 
      3. Participating in revising the plan of care as necessary 
  • Orders durable medical equipment to ensure patient safety. 
  • Orders appropriate pharmaceuticals. 
  • Coordinates ambulance transportation services. 
  • Assists with patient placement to skilled nursing facility, board and care facility,  or assisted living facility when the patient is unable to return home. 
  • 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. 
  • 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.

Communication

  • Completes, maintains and 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

Additional Duties 

  • 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 inservice classes. 
  • Fulfills the obligation of requested and/or accepted case assignments. 
  • Actively participates in quality assessment performance improvement teams and activities. 

 

 

Education, Training and Experience

Required:

  • Successful completion of a nursing program,  must have Associate’s Degree in Nursing or higher education, preferred.
  • Registered nurses shall have a minimum of (1) to (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is 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. 
  • Prolonged or considerable walking or standing.  Able to lift, position and/or transfer patients.  Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 
  • Current licensure in state and CPR/BLS certification.
  • All Clinical Nurse I’s must have current licensure as a Registered Nurse in the State of California.
  • Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 


Nearest Major Market: Orange County
Nearest Secondary Market: Los Angeles

Job Segment: Nursing, Medical, Hospice, Palliative, Clinic, Healthcare

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