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Registered Nurse (Kindred Hospice) - PRN - (DE26840)

POSITION SUMMARY
Provide skilled professional nursing care to patient/family/caregivers as prescribed by the physician and in compliance with regulations by the State Board of Registered Nursing, the patient and Company policies. Oversee and provide primary care, including all clinical care, palliative care, and symptom control and identify other physical, psychological, social and spiritual needs for assigned patients. Regularly assess the patient for nursing needs. Implement the Plan of Care Provisions to meet their needs, initiate appropriate intervention and support for the patient and family upon admission and re-evaluate the patient's nursing needs to provide appropriate, comprehensive and responsive care plan interventions. Work closely with other members of the interdisciplinary team to ensure all patient and family care needs are being met. Adhere to Company policies and procedures and regulatory compliance requirements and directives. Manage related expenditures in a fiscally responsible manner in accordance with the Company's budget. Travel as necessary.
A Registered professional nurse with advanced skills, employed by the Hospice for the purpose of enhancing the quality of care for a select group of terminally ill patients. Work in collaboration with the Patient Care Manager and the Interdisciplinary Team in the planning, implementation, and evaluation of medical and nursing care. Act as a role model providing leadership and support to the hospice staff. Adhere to Company policies and procedures and regulatory compliance requirements and directives. Manage related expenditures in a fiscally responsible manner in accordance with the Company's budgets. Travel as necessary.
ATTRIBUTES / QUALIFICATIONS
Ability to work within an interdisciplinary setting. Understanding of Hospice philosophy, principles of death/dying. Compliance with accepted professional standards and practices. Demonstrate excellent observation, assessment, nursing judgment and communication skills. Ability to provide accurate written documentation in a timely manner. Self-directed with the ability to work with little supervision. Flexible and cooperative in fulfilling all obligations.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
REQUIRED EDUCATION / EXPERIENCE
Registered Nurse licensed in the state program is located. Bachelor's degree and C.H.P.N. (Certified Hospice and Palliative Nurse) certification preferred. Minimum of one year general nursing preferred with current Hospice, home health, medical, surgical or critical care experience. Experience with pain and symptom management interventions preferred.
PRIMARY RESPONSIBILITIES
I. Nursing Process
As a member of the Interdisciplinary team, the Registered Nurse utilizes the nursing process to contribute to each patient's total plan of care.
A. Assessing and Planning
1. Seek and obtain sufficient information necessary to function effectively in the Hospice setting where the patient/family/caregiver are requiring care.
2. Conduct initial nursing assessment, including physical and psychosocial aspects, of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion.
3. Utilize own special body of knowledge to provide leadership and guidance to the Interdisciplinary Team in formulating and individualizing interdisciplinary plan of care to include problem identification, interventions and goals to address palliative comfort measures for the terminally ill patient/family/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 comprehensive interdisciplinary plan of care with the IDG Team. Communicate in writing in the chart and verbally with the IDG to coordinate interventions and ensure continuity of care.
7. Facilitate and participate in the IDG care conference and contribute to patient care planning.
B. Implementing and Evaluating
1. Facilitate the implementation of nursing interventions and appropriate preventative and therapeutic nursing procedures. Provide direct patient care as necessary.
2. Collaborate with Interdisciplinary Team members to provide continuous assessment of assigned patients, interprets finding, initiates appropriate therapeutic actions, and evaluates the results of these actions.
3. 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.
4. Work in cooperation with family/caregiver and interdisciplinary team members to meet the emotional needs of the patient/family/caregiver.
5. Provides appropriate information and explanation to the patient's families. Facilitates patient and family education, to promote continuity of care and optimal patient/family outcome for a quality death as defined by the patient/family/caregiver.
6. Demonstrates expertise in the utilization of all Interdisciplinary Team members, including volunteers and community resources.
7. Assists in the investigation and resolution of quality issues in conjunction with the Continuous Quality Improvement Committee.
8. Fulfill productivity requirements on an average daily census basis as determined by acuity level and Patient Care Manager.
9. Complete and maintain all patient records at patient's residence, maintain chart and submit accurate and relevant clinical notes regarding patient's condition and care given.
II. Education
The Registered Nurse is a mentor who demonstrates an ability in providing educational experiences and communicating knowledge of patient care to members of the Interdisciplinary Team including, but not limited to: volunteers, patient and families/caregivers, health care professionals, and the general community.
A. Act as a mentor who facilitates individual staff development from novice to expert. Participate in the orientation of new personnel and assists with field training as needed.
B. Identify the learning needs of the Hospice staff and other health care professionals, and facilitates formal and informal in-services, and patient care conferences to promote professional growth of all Interdisciplinary team members.
C. Teach patient/family/caregiver disease process and self-care techniques as appropriate. Provide medication, diet and other instructions as ordered by physician and recognize and utilize opportunities for health counseling with patients/families/caregivers.
D. Facilitate the development of teaching aids to promote patient/family/caregiver learning.
E. Evaluate effectiveness of educational experiences in order to promote ongoing professional development of hospice staff and quality patient/family/caregiver outcomes.
III. Management
The Registered Nurse provides leadership and support to encourage optimum development and performance of each hospice staff member and provides an atmosphere that is compatible with team building. Collaborates with the Patient Care Manager and General Manager to implement manpower and operational budgets, supervision, evaluation and counseling of hospice staff, development and implementation of the company's goals and objectives.
A. Manpower
1. Coordinates staffing assignments and scheduling of visits.
2. Visit frequencies are according to individual patient needs and acuity.
3. Visit frequencies are reviewed weekly and altered to meet patient needs and acuity.
4. Patient care visit frequencies are developed with the purpose of providing continuity of care through use of the Interdisciplinary Hospice Team.
5. Patient Care visits will be coordinated with all Interdisciplinary Team members in order to utilize manpower resources and provide optimal patient care.
6. Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
7. Regular attendance is to be maintained.
B. Operational
1. Ensures adequate and appropriate inventory of supplies and equipment for the provision of patient services and that equipment and supplies are used efficiently.
2. Collaborates with Patient Care Manager and General Manager in the development of operational budget.
C. Personnel
1. Assist in development of individualized plans, which address performance deficiencies.
2. Provides timely supervision and counseling of staff, which is constructive and encourages growth.
3. Strengthens problem solving ability of staff through periodic review of patient outcomes and facilitates implementation of peer review.
4. Maintains confidentiality in matters relating to co-workers.
D. Leadership
1. Demonstrates behavior appropriate to role model and leader. Adherence to a code of conduct conducive with Odyssey HealthCare policy is expected.
2. Demonstrates creativity and critical thinking ability in the development of patient care plans, or projects.
3. Assumes leadership role to facilitate interdisciplinary coordination and collaboration.
4. Functions without supervision, utilizing time constructively and organizing assignments for maximum productivity.
5. Functions as a change agent, facilitating change by utilizing a constructive approach.
6. Collaborates with the Interdisciplinary Team and Patient Care Manager and General Manager to develop agency goals and objectives.
7. Participates in agency planning activities.
E. Communication
1. Identifies 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 Interdisciplinary Team by:
a. Defending and supporting peer/team decisions and actions.
b. Asserting self with tact.
c. Supporting collaboration.
d. Maintaining open communication.
e. Offering suggestions and criticisms constructively.
f. Asking questions and sharing information during Interdisciplinary team conferences and nursing facility care conferences.
g. Maintain confidentiality in all areas.
4. Relates complete and pertinent information in verbal and written communication. Maintains clinical records, statistics, reports as prescribed and in compliance with local, state and federal laws
5. Initiates and maintains open and effective communication with Patient Care Manager and General Manager as well as members of the Interdisciplinary Team as evidenced by improved patient outcomes.
Quality Improvement
1. Facilitates the quality improvement process.
2. Facilitates active, ongoing problem solving, which reflects Interdisciplinary Team participation.
3. Pursues problems to resolution, and /or refers them through the appropriate chain of command.
4. Assumes responsibility for personal growth and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
5. Assures for compliance with local, state, and federal laws, Medicare regulation, and established personnel policies and procedures.
6. Maintains all appropriate state nursing licensing requirements.
Abides by and demonstrates the company Mission - Vision - Values through both behavior and job performance on a day-to-day basis.
Adheres to and participates in Company's mandatory HIPAA privacy program / practices, Business Ethics and Compliance programs / practices, and all Company policies and procedures.
Participates in special projects and performs other duties as assigned.
Kindred is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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