Job Type: Part-time
Job Description Summary:
Sign-on Bonus - $3,000.00
The Registered Nurse (RN) is responsible for providing over the phone and direct patient care to terminally ill patients after regular business hours and/or on weekends. Responsibilities include triaging phone calls, making visits to patients and families, assisting with after-hours admissions, following the plan of care, providing treatments, providing on-going support to the patient’s caregivers, and working collaboratively with the members of the team to help meet positive patient care outcomes.
Essential Job Functions/Responsibilities:
8:00 a.m.-8:00 p.m. - Covers Ashland County and Richland County (any other service areas where there is need during shift hours). 24 hours within bi-weekly pay period.
- Answers afterhours phone calls, assesses needs of all agency patients or family by completing a nursing assessment, provides education over the telephone and coordinates on-call staff to provide appropriate care
- Performs a short evaluation of the patient situation to estimate severity of illness and/or injury including learning about chief complaint and obtaining vital sign and mental status information; and determines urgency of seeing the patient based on the assessment and familiarity with patients’ condition and history
- Provides direct patient care as defined in the scope of practice, including specialized duties related to end of life care, by utilizing all elements of the nursing process; provides basic nursing services in accordance with the Interdisciplinary Care Plan; initiates and applies preventative and therapeutic nursing procedures and techniques; fulfills the obligations of case assignments; uses and prepares equipment and supplies effectively, adhering to aseptic technique when indicated
- Responds to patient’s medical or emotional crisis and/or death of patient and makes home visits to provide direct patient care as needed
- Provides accurate medication administration, nursing documentation such as: medical records, authorization forms, laboratory requisitions. Implements pain management assessment and documentation.
- Provides appropriate pain/symptom management, administers medicine within scope of practice and as directed by the RN Case Manager; evaluates patient’s response to treatment/medications, and communicates with RN Case Manager as appropriate
- Reports to the Case Manager/RN services rendered and contact made after completion of visit; communicates anticipated needs, changing and/or unmet needs of patient and/or caregivers; observes the patient for changes in condition and reports changes to RN Case Manager
- Assists the patient with activities of daily living and facilitates the patient’s efforts towards self-sufficiency and optimal comfort care
- Contacts interdisciplinary team as necessary to report any identified needs
- Reports, documents and communicates patient observations in EMR system; provides accurate and timely documentation of patient contact and services to reflect the Plan of Care
- Receives report from the Clinical Manager or designee at designated time
- Provides a safe environment for the patient, ensuring all needs can be met appropriately
- Provides continuous care, as needed
- Adheres to HNCO payroll, billing and documentation policies and procedures
- Assumes responsibility for on-call duty as scheduled (including holiday rotation) and consistent with HNCO policies and procedures
- Participates in HNCO quality assessment performance improvement initiatives and activities
- Participates in personal and professional development
- Attends HNCO meetings, trainings, seminars and HNCO sponsored events.
- Performs all other duties as assigned
Requirements
Position Qualifications:
Experience and Education:
- Graduate of an accredited school of nursing (BSN preferred)
- One to two years recent acute care, home care, and/or hospice care experience, preferred
- One to two years of telephone triage experience, preferred
Required Certification/Licensure:
- Current RN licensure in the state of Ohio
- CHPN certification, preferred
- Current CPR certification
- Valid Ohio driver’s license with current automobile insurance
- Reliable transportation accessible for travel while on HNCO business
Management Experience:
Knowledge/Skills/Abilities:
- Current nursing practices, principles, methods and procedures used to provide end of life care
- Nursing assessment skills with/without visual inspection utilizing basic nursing theory
- Good math skills; ability to complete dosage calculations accurately
- Excellent written, verbal, and interpersonal communication skills
- Good computer skills; EMR experience preferred
- Excellent observation, critical thinking and problem solving skills
- Good judgment and decision making based on hospice guidelines
- Decisive judgement
- Assess data reflecting the patient’s status and interpret appropriate information
- Define problems, collect data, establish facts, and draw valid conclusions
- Good organizational skills and ability to prioritize work
- Assess and respond to the needs of patient and families in varied settings
- Deal with people in crisis effectively
- Work in a stressful environment and take appropriate action
- Demonstrate sensitivity to issues of grief and loss; cope with family emotional stress and individual life styles
- Empathize with the needs of ill, injured, frail and the impaired
- Work independently and in a collaborative team environment
- Maintain confidentiality of protected health information and general hospice information in accordance with applicable laws and HNCO policy
- Demonstrate ethical behavior and HNCO core values
- Basic elements of body functioning and proper procedures for lifting and moving patients
Physical Requirements:
- Requires full range of motion, manual and finger dexterity and eye-hand coordination
- Direct contact with patients, which may require moving patients, lifting, stretching, reaching, stooping, bending, kneeling and/or crouching
- Prolonged or considerable walking or standing
- Must be able to lift position and/or transfer patients, supplies and equipment
- Visual acuity and hearing to perform required nursing skills
Continuing Education Requirements:
Organization personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, organization personnel are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. All personnel must attend mandatory educational programs.
Environmental and Working Condition
Environmental Conditions:
May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions on roads in varying degrees of repair.
Working Conditions:
May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required.
OSHA exposure category:
Category I ? Position includes tasks that involve exposure to blood, body fluids, tissues.
Required Personal Protective Equipment:
mask, gloves, gowns, goggles (follows standard precautions using personal protective equipment as required for procedures)