Registered Nurse PRN

Patient Care

• Performs all duties and responsibilities in accordance with the Nurse Practice Act and in accordance with basic principles and guidelines of professional nursing.
• Completes initial and ongoing comprehensive assessment of patient and family to determine hospice needs.
• Provides a complete physical assessment of all current and previous health history.
• Evaluates patient status by: Writing and initiating Plan of Care. Regularly re-evaluating patient and family/caregiver needs. Participating in Plan of Care revision as necessary.
• Uses health assessment data to determine nursing diagnosis. Develops a plan of care that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions. Includes patient and family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed and determined by the physician’s plan of care. Provides health care instructions to the patient as appropriate per assessment and plan.
• Completes, submits, and maintains accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management and changes/outcomes as appropriate. Communicates with the physician regarding patient needs and reports changes in patient condition; obtains/receives physician orders as required.
• Aids the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Maintains a safe environment for the patient. Counsels and works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician.
• Recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with an interdisciplinary care team. Coordinates Plan of Care with relevant community health partners. Ensure arrangements for equipment and other necessary items and services are available.
• Maintains compliance with all HIPAA regulations and requirements. Treats all patient information as confidential and utilizes protected health information on a minimum necessary basis.

Treatment and Administration

• Administers medications and treatments as prescribed and determined by the physician’s plan of care.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Completes, submits, and maintains accurate and relevant clinical notes regarding patient’s condition and care given.
• Records pain/symptom management and changes/outcomes as appropriate.
• Communicates with the physician regarding patient needs and reports changes in patient condition; obtains/receives physician orders as required.
• Aids the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Maintains a safe environment for the patient.
• Counsels and works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Teaches the patient and family/caregiver self-care techniques as appropriate.
• Provides medication, diet and other instructions as ordered by the physician.
• Recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
• Works in concert with an interdisciplinary care team.
• Coordinates Plan of Care with relevant community health partners.
• Ensures arrangements for equipment and other necessary items and services are available.
• Maintains compliance with all HIPAA regulations and requirements.
• Treats all patient information as confidential and utilizes protected health information on a minimum necessary basis.

Additional Duties

• Participate in on-call duties per policy.
• Attend interdisciplinary group meetings.
• Supervise and delegate tasks to ancillary personnel as needed.
• Engage in continuing education and professional development.
• Contribute to quality assessment and performance improvement activities.
• Perform other duties as assigned.

Qualifications

• Graduate of an accredited school of nursing required.
• Associate degree required.
• Must have a current Registered Nurse (RN) license in state(s) of practice.
• Nurses holding a multistate license can practice in other states without obtaining additional licenses while maintaining their Registered Nurse (RN) license in their primary state of residence (PSOR).
• Minnnesota, Michigan, and Illinois are not in the Nursing Licensure Compact.
• Ability to pass background, consumer report and drug test.
• Valid State Driver’s License, access to an automobile in good working order, automobile insurance in accordance with state and organizational requirements, and an acceptable driving record required.
• Preferred 1+ years management experience, preferably in a hospice/home care setting preferred.
• 2+ years' experience in Nursing, preferred.
• Physical Requirements: Pushing/Pulling and Lifting/carrying up to 30 pounds. Occasionally up to 50 pounds. Ability to adapt to a variety of work conditions to ensure the highest quality of patient care in a home setting.