Hospice On Call Visiting Nurse (RN, Registered Nurse) - HomeCare

About the role

Assumes responsibility for evening, night, weekend, and holiday on-call duty as scheduled and consistent with Agency policies and procedures.
Assumes primary responsibility for total region census during assigned shift, including assessing, Planning, implementing and evaluation phases of the nursing process.
Maintains regular communication with Nurse Supervisors, attending physician, and case manager concerning patient/family care needs and response to interventions.
Responds to medical or emotional crisis and makes home visit to provide direct care as appropriate.
Reviews referrals, and initiates contact with client and family.

Responsibilities

• Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status.
• Demonstrates clinical expertise in symptom management.
• Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilization of appropriate resources.
• Modifies plan of care as conditions change.
• Demonstrates understanding of payer information in order to maximize care planning.
• Initiates and maintains a client record utilizing the Agency's standard for documentation.
• Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers.
• Teaches patients and reinforces client/caregiver teaching and education.
• Prepares/teaches/supports family regarding signs and symptoms, as appropriate.
• Refers, collaborates and coordinates all client care services.
• Consults with physician regarding client needs and plan of care.
• Directs LPN’s in carrying out the established plan of care.
• Directs Home Care Aides and supervises plan of care.
• Refers client/family to other community resources as needed.
• Attends and participates in in-service education program.
• Sets up and participates in the improvement process known as H3W to identify TM service line needs and development.

Qualifications

• Education: Graduate of an Associate’s or diploma program in nursing Education required. Graduate of NLN approved BSN program preferred.
• Experience: One year nursing experience or one year nursing in a specialty required; medical/surgery or home care.
• Licensure, Certification, Registration: Registered Nurse with a license to practice in the state of CT required.