Registered Nurse - Home Hospice Nurse

We need to output HTML fragment with sections: headings using

for each section heading: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes Position Summary (maybe About the role). Essential Job Functions (Responsibilities). Professional Qualifications (Qualifications). Physical Qualifications (maybe Skills? Actually physical qualifications could be part of Requirements). There's no explicit Benefits, Pay, Schedule. So we should not include those sections. Also we should not repeat job title as heading. No Job ID etc. Remove boilerplate. We need to preserve all substantive info. Use

for prose,

• for lists. We need to decide sections: About the role (position summary). Responsibilities (essential job functions). Requirements (maybe professional qualifications + physical qualifications? Could separate into Qualifications and Skills? The instruction says use headings for section headings e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can include Requirements and Qualifications separately if content fits. Professional Qualifications could go under Qualifications. Physical Qualifications could go under Requirements or Skills? Physical abilities maybe under Requirements. Let's map: - About the role: Position Summary paragraph. - Responsibilities: Essential Job Functions list (many bullet points). We'll put each as
• . - Requirements: Must hold current RN license in KY, minimum 2 years clinical experience, familiarity with computers, commitment to mission, meet legal/regulatory requirements. Also physical qualifications: ability to operate motor vehicle, remain stationary, move throughout home, communicate verbally, lift weights, etc. Could be under Requirements as well. - Qualifications: maybe we could separate professional vs physical but instruction only gives those headings; we can put professional qualifications under Qualifications and physical under Requirements. Or we could combine. But we need to avoid thin sections. Let's create:

  About the role

  with position summary paragraph.

  Responsibilities

  with ul of essential job functions.

  Requirements

  with ul of professional qualifications (license, experience, computer familiarity, commitment, regulatory compliance) plus physical qualifications (driving, stationary, moving, communication, lifting, PPE, equipment use). Could be separate lists but we can combine. We should not include Benefits, Pay, Schedule as no info. We must not include filler like "commensurate with experience". Not present. We need to ensure we preserve all substantive info: include details like Medicare guidelines, hospice-level nursing care, weekly routine visits, face-to-face prn visit, pain/symptom management, specific tasks (vital signs, catheter care, wound staging, respiratory care, enteral feedings, IVs, central venous access devices, PCA-CADD pump, INR monitoring), medication administration, tracking effectiveness, documentation upon death/discharge, completing clinical documentation, obtaining physician orders, instructing patient/caregiver, communicating effectively, participating in IDT meetings, providing leadership to LPNs and HCAs, checking emails, adhering to dress code, conduct, confidentiality, essential team values, on-call rotation, other duties as assigned. Also professional qualifications: current RN license KY, minimum 2 years clinical nursing experience preferably hospice, med/surg, hospital, oncology, geriatric, computer familiarity, commitment to mission, meet legal/regulatory requirements including Medicare Hospice Conditions of Participation and JCAHO. Physical qualifications: operate motor vehicle, remain stationary for documentation, frequently move throughout home, communicate verbally/email/writing, lift 50 lbs push/pull 50 lbs 7-10 times per day (nursing home) OR lift 65 lbs push/pull 75 lbs 7-10 times per day (home care). Must be able to frequently move patients of varying sizes independently or with assistance. Must wear appropriate PPE when risk for exposure. Must be able to use appropriate medical equipment/devices. Must be able to operate computer and basic office equipment. We need to capture both nursing home and home care physical qualifications; we can note both. Now format. We'll output:

  About the role

  Provides and oversees mission-centered nursing care to patients in homes or contracted long term care facilities by planning, coordinating and documenting individualized care from the day of admission to the day of discharge. Utilizing physicians’ orders and professional skills, the RN provides for the personal, physical, emotional and social needs of the patient and caregiver within the interdisciplinary team in accordance with State and Federal Regulations and St. Anthony’s philosophy, standards and policies.

  Responsibilities

  • Accurately performs and documents patient assessments as required by Medicare guidelines and St. Anthony’s policies and procedures.
  • Provides hospice-level nursing care following individualized plans of care in conjunction with Medicare Conditions of Participation and hospice regulations and standards.
  • Responds to the physical, mental, social and emotional needs of terminally ill patients and their caregivers.
  • Assists in creating and maintaining an environment that promotes a sense of well being for the patient/caregiver and hospice staff.
  • At a minimum, makes weekly routine visits with patients (and caregivers, if available) to assess status, identify new physical/psychosocial needs and update the Plan of Care to reflect any changes.
  • Makes a face-to-face prn visit when the patient’s condition or caregiver’s request warrants it rather than handling the condition or request by phone.
  • Assesses/reassesses pain/other symptoms, utilizes pain/symptom management techniques and carries out the pain/symptom management plan to keep the patient as comfortable as possible.
  • Provides appropriate, timely and accurate examinations, care and treatments including, but not limited to, measuring vital signs; catheter and colostomy care; staging and treatment of wounds, pressure sores and stasis ulcers; respiratory care; enteral feedings; care of IVs, central venous access devices and PCA-CADD pump; and monitoring of INR levels.
  • Accurately administers medications as ordered by a physician based on the patient’s age and clinical presentation, including injectibles and IV solutions.
  • Tracks effectiveness of medications and treatments toward patient’s comfort and safety goals, reporting findings to the physician as appropriate.
  • Completes procedures and documentation upon the death or discharge of a patient, including post mortem care.
  • Accurately completes clinical documentation in a timely and acceptable manner that supports daily tasks and the patient’s individualized Plan of Care.
  • Obtains and documents physician orders for medications, supplies, equipment, etc, collaborating with the Attending Physician and/or Medical Director as patients’ needs dictate.
  • Thoroughly and clearly instructs the patient/caregiver in patient safety; explains medications, treatments, and procedures; provides information regarding the disease process, including signs of impending death and the dying process.
  • Communicates effectively with patients, caregivers, physicians and team members to share and elicit information related to the patient’s care and treatment.
  • Participates constructively as a part of the interdisciplinary team during IDT meetings, in-services and other special meetings as assigned by the Coordinator or Director of Home Care Nursing.
  • Provides appropriate leadership and direction to LPNs and HCAs to ensure patient care is maximized.
  • Checks and responds to emails during each scheduled shift.
  • Adheres to St. Anthony’s Hospice policies pertaining to dress code, conduct and confidentiality.
  • Complies with St. Anthony’s Essential Team Values.
  • If assigned, takes part in the on-call rotation. Additional on-call needs could be required during periods of high census or unexpected absences.
  • Completes other duties as assigned that may be deemed appropriate.

  Requirements

  • Must hold a current license as a Registered Nurse in the State of Kentucky.
  • Must have a minimum of two (2) years of clinical nursing experience, preferably in hospice, a medical/surgical setting, a hospital, an oncology unit or a geriatric facility.
  • Must be familiar with the use of computers including internet navigation and email use.
  • Must demonstrate commitment to the St. Anthony’s mission-centered concept of care.
  • Must meet all legal and regulatory requirements of both Federal and State governments as well as Medicare Hospice Conditions of Participation and JCAHO.
  • Must be able to operate a motor vehicle to drive to and from patient homes or other assigned St. Anthony’s worksites.
  • Must be able to remain in a stationary position to complete patient documentation.
  • Must be able to frequently move throughout the patient’s home to attend to the needs of the patient and caregiver.
  • Must be able to communicate verbally, via email or in writing with patients, caregivers, visitors, coworkers and physicians.
  • If working in the Nursing Home setting: must be able to lift 50 pounds and push/pull 50 pounds, 7‑10 times per day to perform essential job functions of bathing, transferring and providing general patient care.
  • If working in the Home Care setting: must be able to lift 65 pounds and push/pull 75 pounds, 7‑10 times per day to perform essential job functions of bathing, transferring and providing general patient care.
  • Must be able to frequently move patients of varying sizes independently or with assistance.
  • Must wear appropriate Personal Protective Equipment when there is a risk for exposure to blood, body fluids, cleaning chemicals and other potentially harmful substances while caring for patients or completing housekeeping duties.
  • Must be able to use appropriate medical equipment and devices needed to care for and treat patients.
  • Must be able to operate a computer and basic office equipment.
  We have not included Qualifications separate; but we could rename Requirements to Qualifications? The instruction list includes both Requirements and Qualifications. We could put professional qualifications under Qualifications and physical under Requirements. But we already put all under Requirements. Might be okay as long as we have a section with real content. However we should follow the instruction: "Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't say we must use all; we can choose which to include. It's okay to have only Requirements and not Qualifications. But we might want to split to have both sections with content. Let's try: Qualifications: professional qualifications (license, experience, computer familiarity, commitment, regulatory compliance). Requirements: physical qualifications (driving, stationary, moving, communication, lifting, PPE, equipment use). That seems logical. Thus:

  Qualifications

  ... professional qualifications ...

  Requirements

  ... physical qualifications ...
  We'll keep Responsibilities and About the role. Now ensure we don't duplicate content. Let's extract professional qualifications: - Must hold a current license as a Registered Nurse in the State of Kentucky. - Must have a minimum of two (2) years of clinical nursing experience, preferably in hospice, a medical/surgical setting, a hospital, an oncology unit or a geriatric facility. - Must be familiar with the use of computers including internet navigation and email use. - Must demonstrate commitment to the St. Anthony’s mission-centered concept of care. - Must meet all legal and regulatory requirements of both Federal and State governments as well as Medicare Hospice Conditions of Participation and JCAHO. Physical qualifications: - Must be able to operate a motor vehicle to drive to and from patient homes or other assigned St. Anthony’s worksites. - Must be able to remain in a stationary position to complete patient documentation. - Must be able to frequently move throughout the patient’s home to attend to the needs of the patient and caregiver. - Must be able to communicate verbally, via email or in writing with patients, caregivers, visitors,