Hospice RN

Job Description Summary

The registered nurse plans, organizes and directs hospice care and is experienced in nursing,

with emphasis on community health education/experience. The professional nurse builds from

the resources of the community to plan and direct services to meet the needs of individual and

families within their homes and communities.

Essential Job Functions/Responsibilities

Patient Care

• Completes an initial, comprehensive and ongoing comprehensive assessment of patient
  
  
  

and family to determine hospice needs. Provides a complete physical assessment and

history of current and previous illness(es).

• Provides professional nursing care by utilizing all elements of the nursing process.
• Assesses and evaluates patient’s status by:
• Writing and initiating plan of care
• Regularly re-evaluating patient and family/caregiver needs
• Participating in revising the plan of care as necessary
• Initiates the plan of care and makes necessary revisions as patient status and needs
  
  
  

change.

• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan that establishes goals, based on nursing diagnosis and incorporates
  
  
  

palliative nursing actions. Includes the patient and the family in the planning process.

• Initiates appropriate preventive and rehabilitative nursing procedures. Administers
  
  
  

medications and treatments as prescribed by the physician in the physician’s plan of care.

• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward
  
  
  

self-sufficiency and optional comfort care.

• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to
  
  
  

coordinate patient care for assigned caseload.

Communication

• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s
  
  
  

condition and care given. Records pain/symptom management changes/outcomes as

appropriate.

• Communicates with the physician regarding the patient’s needs and reports changes in the
  
  
  

patient’s condition; obtains/receives physicians’ orders as required.

• Communicates with community health related persons to coordinate the care plan.
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides
  
  
  

medication, diet and other instructions as ordered by the physician and recognizes and

utilizes opportunities for health counseling with patients and families/caregivers. Works in

concert with the interdisciplinary group.

• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of
  
  
  

care.

• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet
  
  
  

the emotional needs of the patient and family/caregiver.

• Attends interdisciplinary group meetings.
  
  
  

Additional Duties

• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services
  
  
  

are available.

• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development and maintains and upgrades
  
  
  

professional knowledge and practice skills through attendance and participation in

continuing education and inservice classes.

• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.
  
  
  

Position Qualifications

• Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care
  
  
  

experience in an institutional setting, and one (1) to two (2) years of recent experience in

home care.

• Current licensure in State and CPR certification.
• Bachelor’s degree, with one (1) year of hospice care experience preferred.
• Management experience not required. Responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic
  
  
  

math skills; nursing skills per competency checklist.

• Prolonged or considerable walking or standing. Able to lift, position and/or transfer