Per Diem RN- Float Team

About the Role

The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Responsibilities

• Provides and manages direct care to patients and families as part of the Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical, and biological components, and appropriate nursing intervention and follow-up.
• Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.
• Educates patient, family, caregivers, and other health professionals about disease process and decline, palliative interventions, caregiving, dying process, and safety practices.
• Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.
• Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness.
• Completes clinical admissions for all Company services, including:
  • Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner.
  • Identifies admission objections, concerns, or other entry barriers and provides responses.
  • Educates patient/family on admission requirements and addresses immediate needs.
  • Completes informed consents and initial assessment according to regulations and Company policy.
  • Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs.
  • Initiates skilled nursing interventions to prevent complications, alleviate symptoms, and maximize physical and emotional comfort.
  • Obtains Physician orders.
  • Completes documentation per Company policy.
• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
• Obtains medical record information for the referral.
• Develops strong relationships with case managers, physicians, etc., at facilities.
• Works with Professional Relations Representatives (PRRs) to provide education on all available services.
• Provides care for any GIP patients in a hospital including daily visits, professional management, documentation, and efficient discharge.
• Attends patient deaths; prepares body for transport; oversees disposal of medications.
• Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
• Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.
• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
• Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).
• During times of emergencies (i.e., Hurricanes, etc.), may be required to report to work at a location designated by the company to ensure continuity of services. This may include reporting to work ahead of scheduled date/time due to planned lockdown of unit, and staying overnight(s) based on duration of emergency.
• Performs other duties as assigned.
• Represents the Company professionally at all times through care delivered and/or services provided to all clients.
• Complies with all State, federal, and local government regulations, maintaining a strong position against fraud and abuse.
• Complies with Company policies, procedures, and standard practices.
• Observes the Company's health, safety, and security practices.
• Maintains the confidentiality of patients, families, colleagues, and other sensitive situations within the Company.
• Uses resources in a fiscally responsible manner.
• Promotes the Company through participation in community and professional organizations.
• Participates proactively in improving performance at the organizational, departmental, and individual levels.
• Improves own professional knowledge and skill level.
• Advances electronic media skills.
• Supports Company research and educational activities.
• Shares expertise with co-workers both formally and informally.
• Participates in Quality Assessment and Performance Improvement activities as appropriate for the position.

Requirements

• Current license as RN in the state where the employee will be working.
• Active BLS for healthcare professionals from the American Heart Association or Red Cross.
• Minimum one (1) year nursing experience; hospice or hospital experience preferred.
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system.
• Valid driver’s license and automobile insurance per Company policy.
• Reliable transportation to meet visit schedule.
• Ability to use equipment with visual and auditory mechanisms.
• Ability to effectively communicate in English (verbal and written).
• Flexible schedule to meet the needs of Hospice House patients.
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families.
• Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area.
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation.
• Employees working at PACE: certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs.
• Some locations may require cross-training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing.
• Satisfactorily complete competency requirements for this position.

Physical Demands

While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle, or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.

Pay

Pay Rate: $45.00 per hour.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as ongoing compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made, as well as ongoing eligibility.