RN Nights 3 On 4 Off Rotating Shifts 7p-7a New

JOB TITLE: RN

DEPARTMENT: Christopher House Clinical POSITION SUMMARY: Provides and coordinates nursing care in the in-patient facility. WORKING RELATIONSHIPS:

REPORTS TO: Team Lead

SUPERVISES: None

INTERPERSONAL RELATIONSHIPS: All comments, actions and behaviors have a direct effect on the public’s perception of Hospice Austin. Interactions with patients, family members, physicians, referral sources, visitors, co-workers, etc. must be courteous, respectful, cooperative and professional. This behavior should promote an atmosphere of teamwork and positive relations.

Duties And Responsibilities

Provides nursing care-

• Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient's physical, functional, psychosocial, and environmental needs, activities of daily living, risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.
• Performs nursing assessments, i.e. Vital signs, pain assessment, breath sounds, etc.
• Triages patient care problems
• Manages discomfort and provides symptom relief
• Performs specialized nursing skills related to palliative and end-of-life care
• Initiates appropriate preventive and rehabilitative nursing procedures
• Consults with and educates the patient and caregivers (including home health staff) re: disease process, self-care techniques, end of life care, death and dying, comfort measures, medication use and side effects, etc. process for dealing with ethical issues
• Implements the individualized plan of care and recommends revisions to the plan as necessary
• Performs on-going evaluation of patient/family response to care
• Assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care
• Provides psychosocial support to patients and families
  
  

Coordinates nursing, personal and homemaker care-

• Attends IDTs: coordinates care with team members
• Informs the physician and other personnel of changes in the patient's needs and outcomes of intervention
• Determines scope and frequency of services needed based on acuity and patient/family needs
• Coordinates personal care, DME, and obtaining medications and medical supplies
• Coordinates all patient/family services and prioritizes needs with the members of the IDT
• Uses case management approach, referring to other services as needed
• Provides supervision of care provided by CNAs and LVN and paraprofessionals providing services to the patient according to regulatory guidelines
• Documents in a timely manner patient assessments, patient contacts, physician orders and progress notes that demonstrate progress towards established goals.
• Acts as a liaison between patient and physicians, hospital staff, home health staff, and other care team members to facilitate ongoing clinical care.
• Works with Hospice Austin and hospital staff, when applicable, regarding discharge planning, ordering DME, meds, etc.
• Evaluates own needs for support (self-care and using identified system(s) to meet the need
• Recognizes and maintains professional boundaries in relationships with patient/family/caregiver
• Provides preparation and support for patient’s death; pronounces deaths in accordance with state regulation, provides postmortem care, handles body and death event with respect and dignity and in accordance with patient/family/caregiver wishes
• Other duties as assigned.