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Admission Nurse Full-time

at Kare-In-Home Mississippi in Mississippi (Published at 04-11-2021)

$2,000 SIGNING BONUS for all full time Registered Nurses. Come be a part of the Kare-In-Home family!

SUMMARY OF ROLE:

Nursing services will be provided in accordance with accepted standards of practice by or under the supervision of a registered nurse.

The hospice nurse (registered nurse or licensed practical/vocational nurse) will be a member of the interdisciplinary group.

The hospice nurse will play a key role in easing physical and psychosocial symptoms and initiating communication with the interdisciplinary group to establish the plan of care.

A hospice registered nurse will be assigned as the Case Manager for each patient and family/caregiver, and his/her duties will be enumerated in a job description.

Duties will include the responsibility for coordination of care and fostering communication between the patient and the interdisciplinary group.

The Case Manager will assure that components of the plan of care are established and implemented by the interdisciplinary group.

The Case Manager will determine the scope and frequency of services needed based on acuity and patient and family/caregiver needs.

COMPETENCIES/RESPONSIBILITIES/ESSENTIAL JOB FUNCTIONS

1. The hospice registered nurse performs the initial assessment and participates in the comprehensive assessment and ongoing updates of the comprehensive assessments to assess the impact of the terminal diagnosis on the patient?s physical, functional, psychosocial and environmental needs and activities of daily living.

2. The hospice nurse will participate in developing and implementing the plan of care and will report the condition of patient and family/caregiver to the attending physician, Medical Director and interdisciplinary group on a regular basis, as well as changes in the plan of care.

3. The hospice nurse will:

A. Manage discomfort and provide symptom relief.

B. Incorporate specialized nursing skills related to palliative and end-of-life care into all clinical care provided.

C. Provide patient and family/caregiver education regarding the disease process, self-care techniques, end-of-life care, and processes for addressing ethical issues.

D. Provide emotional support to the patient and family.

E. Assess for risks of pathological grief, cultural and spiritual implications and verbal and nonverbal communication patterns exacerbated by the terminal diagnosis.

F. Initiate appropriate preventive and rehabilitative nursing procedures.

G. Prepare clinical and progress notes that demonstrate progress toward established goals.

H. Coordinate all patient and family/caregiver services and prioritization of needs with the interdisciplinary group.

I. Use a case management approach and make referrals to other services as needed.

J. Provide specialized hospice training to other staff, family/caregivers to insure adequate care.

K. Provide an ongoing evaluation of the patient and family/caregiver response to care.

L. Assess the ability of the caregiver to meet the patient?s immediate needs up admission and throughout care.

M. Apply specific criteria for admission and recertification to hospice care to establish appropriate levels of care and the patient?s eligibility.

N. Facilitate the implementation of another level of hospice care when necessary.

O. Assure communication between the hospice and other health care providers involved in the patient?s care.

P. Participate in quality assessment performance improvement teams and activities. The hospice registered nurse will supervise licensed practical/vocational nurses, hospice aides, homemakers and volunteers in the home, and follow the family/caregiver into the bereavement period, per organizational policy

4. A hospice nurse will be available on a 24-hour basis to meet the physical, psychosocial, spiritual, and practical needs of patients and families/caregivers admitted to the hospice program. Direct provision of nursing care will be based on hospice nursing standards and clearly defined treatment protocols.

5. Patient and family/caregiver education and training activities will be initiated and continued throughout the course of care.

6. The hospice nurse will: A. Participate in in-service programs. B. Evaluate his/her own needs for support and utilize available systems to meet these needs.

7. Licensed practical/vocational nurses will supplement in the nursing care needs of the patient as provided by the registered nurse; this may include:

A. Providing services in accordance with organizational policies and procedures.

B. Preparing clinical and progress notes documenting outcomes of interventions.

C. Assisting the registered nurse or physician in performing specialized duties related to end-of-life care.

D. Assisting the registered nurse in carrying out the plan of care.

E. Preparing equipment and materials for treatment adhering to aseptic technique as required.

F. Assisting the patient in learning appropriate self-care techniques.

G. Assessing patient and family/caregiver response to care.

H. Insuring communication of information to appropriate team members.

Education:

Required to be a Registered Nurse (RN) as an MSN, BSN or AND Licensed in the state of operations where assigned branch is located.

Minimum of one year of general nursing required.

Prefer a minimum of six months to one year of experience in hospice or pain and symptom management interventions preferred.

Knowledge/Experience:

Be coachable with a goal to grow personally and professionally.

Embrace the hospice philosophy and the principles of death or dying.

Excellent communication skills. Preferred is (3) three to (5) years of experience.

Has a working knowledge of hospice care and the different aspects that are involved in supporting both the field staff and leadership of the program.

Physical Requirements:

The incumbent must be able to move, stand and bend as necessary, to provide direct Care at least 80-100% of the time.

Able to operate a variety of office equipment as needed.

Able to position, move and lift medical supplies up to 50lbs.

Must be able to communicate with referral sources and all outside entities telephonically.

Ability to operate a variety of electronic devices and participate in webinars and conference calls.

Mental Requirements:

Provide clinical, psychological support for patients and caregivers as it relates to urgent patient related matters that can create stressful situations.

Need to be able to focus for long periods of time.

Ability to cope with death and dying and the psychological effects.

Environmental Requirements:

Ability to work variety of settings 90%-100% of the time including but not limited to a patient?s residence, where ever that may be, including but not limited to a nursing home, assisted living center or a private residence.

Occasionally meet with patients and families in their place of residence if needed.

Travel:

Will require some local day and/or overnight travel, approximately 90-100% of the time within the Hospice Division Service area.

Demonstrates an ability to work in a team setting as a professional. Has an ability to deal tactfully with the community. Understands hospice care and the services provided to patient and family/caregiver through an interdisciplinary group. A working knowledge of Medicare Hospice Certification and their own certification and licensure requirements based on the hospice regulations and state licensure requirements including continuing education.



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