Hospice RN, Pediatric and Adult

JOB DESCRIPTION SUMMARY

Monday - Friday, 8:00 AM - 5:00 PM; On-Call as needed

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.

Benefits:

• Medical/Dental/Vision Insurance
• Paid time off (PTO) and Paid Holidays
• 401(k) matching
• Life insurance
• Flexible Spending Account (FSA)
• Supplemental Insurance (Aflac)

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).
• 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.
• Assesses for and coordinating the delivery of specialized medical equipment and other necessary devices, while providing patient and family education on proper use and maintenance of the equipment to meet the patient’s unique needs and comfort level.
• Counsels the patient and family with focus on the family as a whole, to improve quality of life and meet 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.

POSITION QUALIFICATIONS

• Graduate of an accredited school of nursing.
• Two (2) years of recent pediatric hospice registered nurse experience with:
• one (1) year of recent RN experience in an acute care institutional setting, and
• one (1) year of recent RN experience in a home care setting.
• Certification in hospice and palliative care (CHPN). Certified pediatric hematology and oncology nurse may be considered in lieu of CHPN.
• Current licensure in State and CPR certification. Current Pediatrics Advanced Life Support (PALS) or Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) CPR cards.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
• 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 patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

Work Location:

• Multiple locations

Job Type: Full-time

Pay: $40.00 - $50.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical Specialty:

• Home Health
• Hospice & Palliative Medicine

Education:

• Bachelor's (Preferred)

Experience:

• hospice care: 1 year (Preferred)
• recent pediatric hospice RN: 2 years (Required)
• acute care in institutional setting: 1 year (Required)
• home care: 1 year (Required)

License/Certification:

• BLS Certification (Required)
• Driver's License (Required)
• PALS Certification or PEARS CPR (Required)
• CHPN (Required)

Ability to Commute:

• Oahu Island, HI (Required)

Work Location: On the road

Salary : $40 - $50