Per Diem - RN Nights and Weekends

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 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, care giving, 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.
• 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).
• Completes clinical admissions for all Company services including:
  • Explaining services to potential patients/families and addressing questions regarding patient fears, physical limitations, while putting the patient/family at ease; presenting services in an empathetic and compassionate manner
  • Identifying admission objections, concerns or other entry barriers and providing responses
  • Educating patient/family on admission requirements and addressing immediate needs
  • Completing informed consents and initial assessment according to regulations and Company policy
  • Providing information to Physicians and initiating Plan of Care to address patient's immediate needs
  • Initiating skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
  • Obtaining Physician orders
  • Completing 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.
• During times of emergencies (i.e. Hurricanes, etc.), the Triage RN 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 your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.
• Performs other duties as assigned.

Qualifications

• 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 of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
• Mobile Driver - 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
• 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

Pay

Pay Rate $45.00