Registered Nurse (RN)- Hospice
Company: Swan Hospice
Location: Toms River
Posted on: May 16, 2022
Job Description:
Swan Hospice is actively seeking Registered Nurses (RN) to join
our team in Central New Jersey.We provide quality hospice care to
patients in skilled nursing facilities, assisted living facilities
and in private homes.Job DescriptionA. -BASIC PURPOSEOversees
primary caseload of Hospice patients and provides skilled
professional nursing care to them, their families and caregivers as
prescribed by the physician and in compliance with the Hospice
Medicare Conditions of Participation, New Jersey Hospice licensure
laws, accrediting body standards and agency policies and
procedures. Provides the initial assessment and comprehensive
nursing assessment and identification of problems of each patient;
reassessment of nursing needs and collaborates to develop the
Hospice Interdisciplinary Team (IDT) plan of care. Implements the
plan of care and reevaluates and revises the plan of care relative
to the patient's nursing needs to provide appropriate,
comprehensive and responsive goals and interventions. Teaches,
supervises, and counsels the patient, family members, and staff
regarding nursing care and the patient's needs, including other
related problems of the patient at home Works closely with other
members of the IDT to ensure all patient and family care needs are
being met. Provides supervision to Hospice Aides/Homemakers.In the
temporary absence or vacancy of the Nursing Supervisor, the
RN/Alternate Nursing Supervisor is authorized per the Managing
Member to assume the role of the Nursing Supervisor and is
responsible to perform the duties as outlined in the -Nursing
Supervisor's Job Description(copy attached).B. -PRIMARY
RESPONSIBILITIESNursing ProcessAs a member of the IDT, the
Registered Nurse (RN) utilizes the nursing process to contribute to
each patient's total plan of care.Assessing and Planning1. Seek and
obtain sufficient information necessary to function effectively in
the Hospice setting where the patient/family/caregiver is receiving
care.2. Conduct initial assessment, including physical, emotional
and psychosocial aspects, of patient/family/caregiver in a
thorough, accurate, compassionate and timely fashion.3. Utilize the
nursing body of knowledge to provide leadership and guidance to the
IDT in formulating and individualizing the interdisciplinary plan
of care to include problem identification, interventions and goals
to address palliative comfort measures for the terminally ill
patient, family and caregiver.4. Contribute to identifying both
active and potential needs of the patient and his/her family, which
may affect the plan of care.5. Consistently collaborate with the
physician to plan and implement the medical and nursing plan of
care.6. Review the nursing component of the comprehensive
interdisciplinary plan of care with the IDT. Communicate in writing
in the clinical record and verbally with the IDT to coordinate
interventions and ensure continuity of care.7. Facilitate and
participate in the IDT care conference and contribute to patient
care planning.Implementing and Evaluating
- Provide nursing interventions and appropriate preventative and
therapeutic nursing procedures.
- Nursing staff shall administer medications in accordance with
all Federal and State laws and rules.
- Collaborates with IDT members to provide continuous assessment
of assigned patients, interprets findings, initiates appropriate
therapeutic actions and evaluates the results of these
actions.
- Accepts responsibility of assignment to perform a specialized
procedure only when qualified with specialty training, proven
competency, clinical background and expertise in the specialty
area.
- Works in cooperation with family/caregiver and IDT members to
meet the physical and emotional needs of the
patient/family/caregiver.
- Provides appropriate information and explanation to the patient
and patient's family.
- Facilitates patient and family education to promote continuity
of care and optimal patient/family outcomes for quality of life as
defined by the patient/family/caregiver.
- Demonstrates expertise in the utilization of all IDT members
including volunteers and community resources.
- Fulfills productivity requirements on an average daily census
basis as determined by acuity level and Administrator.
- Documents accurate, complete and relevant clinical notes
regarding patient's condition and care given. Maintains
documentation a on a timely basis.
- Assesses the dietary/nutritional needs of Hospice patient and
provides appropriate interventions relative to nutritional intake
as the patient's condition progresses.EducationThe RN is a mentor
who is able to provide educational experiences and communicate
knowledge of patient care to members of the IDT including, but not
limited to, volunteers, hospice aide/homemaker, patient and
family/caregivers, health care professionals and the general
community.
- Acts as a mentor to other personnel by participating in
orientation and assisting with field training and in-service
education to contractors and referral sources, as needed.
- Participates in formal and informal in-services, and patient
care conferences to promote professional growth of all
interdisciplinary team members.
- Teaches the patient, family and/or caregiver regarding the
progression of the disease process and self-care techniques as
appropriate, which includes providing medication,
dietary/nutritional counseling support and other instructions as
ordered by physician, recognizing and utilizing opportunities for
health counseling.
- Supervises Hospice Aides/Homemakers every fourteen (14) days
per Medicare Conditions of Participation.
- Evaluates effectiveness of educational experiences and teaching
methods in order to promote ongoing professional development of
Hospice staff and quality patient outcomes for patients, families
and caregivers.Case ManagementThe RN is responsible for managing
all patients assigned to his/her primary caseload by utilizing the
following methods:Efficiency1. Manages daily visits and assignments
for maximum efficiency.2. Visit frequencies are according to
individual patient needs and acuity.3. Visit frequencies are
reviewed at least weekly and altered to meet patient needs and
acuity.4. Patient care visits are coordinated with all IDT members
in order to utilize manpower resources and provide optimal patient
care.Operations1. Ensures adequate and appropriate inventory of
supplies and equipment for the provision of patient services and
promotes the efficient use of equipment and supplies.2. Maintains
confidentiality in patient related matters.Leadership1.
Demonstrates behavior appropriate as a role model and leader
including adhering to the agency code of conduct.2. Demonstrates
creativity and critical thinking ability when participating in IDT
conferences, developing patient care plans or completing assigned
projects.3. Assumes leadership role to facilitate interdisciplinary
care coordination and collaboration.4. Functions without
supervision, utilizing time constructively and organizing
assignments for maximum productivity.Communication1. Introduces
self and clarifies role to patient/family/caregiver, physicians,
nursing facility staff and other referral sources.2. Recognizes and
responds appropriately to verbal and non-verbal cues.3.
Communicates effectively with all members of the IDT by:i.
Defending and supporting peer/team decisions and actions.ii.
Asserting self with tact.iii. Supporting collaboration and team
decisions/plans.iv. Maintaining open communication.v. Offering
suggestions and criticisms constructively.vi. Asking questions and
sharing information during IDT conferences and nursing facility
care conferences.4. Relates complete and pertinent information in
verbal and written communication. Maintains clinical records,
statistics, and reports as prescribed and in compliance with local,
state and federal laws.5. Initiates and maintains open and
effective communication with supervisor as well as members of the
IDT as evidenced by improved patient outcomes.Resource
Utilization
- Coordinates travel time for visits and manages a caseload to
deliver care in a cost-effective manner that demonstrates an
understanding of Hospice reimbursement methodologies.
- Assures proper maintenance of records per agency
guidelines.
- Participates in evening/weekend on-call as required, conducting
on-call services in a clinically competent and responsive
manner.
- Functions independently, but seeks and accepts guidance from
other members of the IDT and members of the community, as deemed
necessary and appropriate.
- Complies with local, state and federal laws, Medicare Hospice
Conditions of Participation and agency policies and
procedures.
- Conducts all business activities in a professional and ethical
manner.Customer Service
- Demonstrates the highest degree of customer awareness by
seeking out opportunities to identify and meet the needs of
internal and external customers.
- Is receptive to questions and criticism, and willing to offer
assistance.
- Maintains accountability for patient satisfaction throughout
the episode of care.Quality Assessment/Performance Improvement
(QAPI)
- Participates in the QAPI process by finding opportunities for
continuous monitoring and identification of patient outcomes,
intra/interdepartmental and environmental concerns.
- Displays a willingness to utilize problem solving techniques to
insure appropriate interventions and resolutions.
- Participates in clinical record review.
- Assists and serves on committees and projects as
requested.Secondary Duties1. Participates in staff meetings,
department meetings, Hospice IDT meetings, in-services, committees
and other related activities as required.2. Completes a minimum of
twelve (12) hours of in-services per year.3. Performs other duties
as assigned.C. -HUMAN RELATIONS1. Must maintain a professional
attitude and demeanor and is be able to communicate effectively and
relate courteously and cooperatively with patients, caregivers,
colleagues, supervisors, co-workers and all others.2. Must be able
to demonstrate optimism, enthusiasm and willingness to work
constructively with other health care team members and reflect
concern for the well being of patients and employees.3. Interacts
with all staff in a positive fashion supporting the mission and
vision of the organization.D. -PHYSICAL REQUIPMENTS -(See Attached
Physical Requirements Form.)1. Visual/hearing ability must be
sufficient to comprehend written/verbal communication.2. Excellent
verbal communication skills are needed.3. Able to effectively
manage stress.4. Manual dexterity sufficient for writing,
keyboarding and telephone operation.5. Able to work in a variety of
settings and conditions in patient's homes and facilities.E.
-EDUCATION AND EXPERIENCE1. -Educationa. Graduate of an accredited
registered nursing program.b. Bachelor's degree in Nursing
preferred.c. Certified Hospice and Palliative Nurse (CHPN)
certification preferred.2. -Experiencea. Has minimum of one (1)
year general nursing preferred with current hospice, home health,
medical, surgical or critical care experience.b. Experience with
pain and symptom management interventions preferred.c. Ability to
work within an interdisciplinary setting.d. Understanding of
Hospice philosophy, principles of death/dying.3. -Licensure,
Registration, and/or Certificationa. Registered Nurse licensed by
the New Jersey State Board of Nursing in accordance with N.J.S.A.
45:11-23 et seq. and N.J.A.C 13:37.b. Valid driver's license and
reliable transportation that is insured in accordance with New
Jersey state requirements.c. Satisfactory references from employers
and/or professional peers.d. Satisfactory criminal background
check.
Keywords: Swan Hospice, Brick , Registered Nurse (RN)- Hospice, Healthcare , Toms River, New Jersey
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