Hybrid HH & Hospice Nurse, RN (PRN)

3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards.

Requirements

• Registered Nurse currently licensed to practice nursing in the state of North Carolina
• Minimum of one-year experience as a professional nurse in an acute care setting
• Previous experience working with terminally ill patients preferred
• Maintain current CPR certification (BCLS)
• Basic computer skills/knowledge and experience in electronic medical records
• Ability to understand and communicate well with patients, family, staff, physicians and the public
• Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
• Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care
• Possess valid Driver's License and reliable transportation

Responsibilities

• Abides by and supports 3HC's Compliance Program and Code of Ethics
• Creates positive experiences for internal and external customers that will meet their expectations
• Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors
• For Home Health Patients:
  • Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget
  • Provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing
  • Observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention
  • Ensures on-going evaluation of patient/family needs and response to care
  • Refers to other services as needed
  • Initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety
  • Educates, supervises, consults, and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern
  • Assures the development and implementation of the patient individualized plan of care and updates as needed
  • Conducts a complete assessment of the patient to identify appropriate care needs, including OASIS when needed
  • Completes OASIS at specific points in time, such as admission, resumption of care, recertification, etc.
• For Hospice Patients:
  • Provides comfort to patient/family to facilitate quality of life and death with dignity
  • Provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing
  • Responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit
  • Plans, coordinates, provides and directs the delivery of compassionate, quality patient care
  • Actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice
  • Provides continuity of care to all hospice patients
  • Assists the interdisciplinary team in the development and implementation of the patient/family care plan
  • Refers hospice patients to other services as needed
  • Provides end-of-life care as outlined in plan of care and policy and procedures
  • Provides ongoing assessment of medicinal, DME needs
  • Participates in QAPI and QI projects as requested
  • Assists the Social Workers with bereavement counseling as requested
• Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need
• Notifies attending physicians, staff members, and family members of patient deaths when they occur
• Collaborates with PBM regarding medication changes, administration, and recommendations
• Documents in the medical record electronically and downloads daily, including time and travel documentation
• Responds within 48 hours to requests for documentation correction/completion
• Ensures that the physician is involved ongoing with the patient's care
• Verifies that physician listed on order/plan of treatment will sign orders
• Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines
• Ensures tasks assigned to the LPN are within the Nurse Practice Act and supervises LPN on every patient at least every 30 days
• Ensures that care is provided by the nursing assistant, including providing a telephonic plan of care and specific duties to be performed, supervising and evaluating care at least every two weeks
• Collaborates with supervisor to meet assigned productivity of 100%
• Rotates weekday, weekend, and holiday "on-call" and "back-up-call"
• Maintains regular communication with supervisor and communicates problems of the patient(s) on a timely basis following chain of command
• Ensures that 3HC can bill for services appropriately, including completing certifications and re-certifications within designated timeframes
• Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice
• Stays abreast of overall patient care and improves nursing care skills through participation in meetings, in-services, continuing education, and professional organizations
• Demonstrates an interest in personal and professional growth for self and staff
• Demonstrates a willingness to be cost-effective in the use of agency resources
• Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor