RN - Hospice (per diem)
Job Description
Shares in implementing patient/caregiver plan of care during evening/night hours.
Accesses all pertinent information from the Hospice EMR.
Triages all calls, makes pro-active visits, makes visits to attain symptom management in response to all patient/family calls.
Maintains the same level of service to patients and families during the night shift as is expected during routine business hours.
Arranges equipment and medication procurement as needed.
Collaborates with patient’s primary MD and/or the Hospice Medical Director as needed.
Understands the requirements and limitations of providing hospice care in skilled nursing facilities, assisted living facilities and group homes.
Is able to access relevant psychosocial information about home situations that may impact care delivery.
Communicates with the Administrator On-Call to report potential problems or request additional resources.
Communicates with social work and chaplain as needed, initiates request for Vigil Volunteer as needed.
Performs RN Pronouncement, in all settings except acute care hospitals.
Provides support to families at the time of death in all settings.
Makes pro-active visits to patients who are at high risk, are new to hospice, or are on GIP level of care in hospitals or skilled nursing facilities.
Maintains regular and timely communication to other team members, by phone and through timely documentation in the Hospice EMR (PTCT).
Provides RN visits to patients during regular business hours on a rotating basis to improve continuity in patient care and to increase team collaboration.
Completes Admissions to hospice as needed.
Provides coverage for Intake/Referral as needed.
Completes supervision of Hospice Aides in Skilled Nursing Facilities between the hours of 7AM and 8AM when assigned.
Assists in preparing the visit schedule for the next business day.
Completes chart audits, quality data extraction, medication reconciliation and patient data input and completes documentation of those activities per shift.
Other duties as assigned by the Clinical Director.
Education/Experience Required
Knowledge of pain and symptom management at end-of-life
Demonstrated ability to manage all aspects of terminal care/expertise in hospice philosophy
Demonstrated ability to assess and respond to the needs of patients and families in a variety of settings
Ability to provide won transportation evenings and nights
Demonstrated to manage multiple crisis situations simultaneously with limited resources
Strong organizational and communication skills
Ability to function independently and triage care
Ability to read, write and speak English
BS Degree or matriculation towards a BSN recommended
Hospice and/or home care experience preferred
Registration/Certification
Current Massachusetts professional RN license
CHPN preferred