Registered Nurse - Hospice

### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call offs or additional RTO on unit, could possibly turn into a Cancel and DNR ### ***LOCALS APPROVED AT TRAVEL RATE*** ***This position is for the Rowan/Salisbury Region*** REQUIRED SKILLS / CERTS / EXP: Minimum Years of Experience: 2 Years Minimum Experience REQUIRED Traveler Experience: Unit WILL ACCEPT 1st Time Travelers Locals Accepted / Rate Difference: Accepted at same rate for this need. *Work Setting Skills REQUIRED: Home Health/Hospice and Skilled Nursing *End Of Life Care Skills REQUIRED: After treatment (survivorship) & Cultural awareness *Medication administration/ Pain management Skills REQUIRED: (WHO) Analgesic Ladder, Adjuvant therapy, Breakthrough dosing, Calculation of Pediatric Dosages, Medication tolerance, Pain assessment, Pharmacologic/non-pharmacological pain interventions, Proper disposal of medications, Types of pain (somatic, visceral, neuropathic) and treatment & Utilization of pain scales (verbal, nonverbal) *Professional Knowledge & Skills REQUIRED: Goal setting with patient/family, Intake assessment/interview, Medicare state regulations, Patient/Family education and support & Positioning/preventive shearing and pressure ulcers *Symptom Assessment/Management Skills REQUIRED: Altered mental status, Anorexia and Cachexia, Aphasia, Constipation/diarrhea, Nausea/vomiting & Pressure ulcer staging *Certs: BLS PREFERRED SKILLS / CERTS / EXP: -End of Life Care Skills: Death pronouncement, Death/dying counseling, Identify Spiritual needs, Perideath care of family & Postmortem Care -Ethical and Legal Issues Skills: Advanced directives, Medical futility, Medical abandonment, Organ donation, Palliative sedation & Withholding/withdrawing treatment -Medication administration/ Pain management Skills: Equianalgesic dosing of opioids & PCA pump management -Phlebotomy/IV Management Skills: Phlebotomy skills, Starting and maintaining IVs & Care and management of peripheral IVs/ central lines/ports -Professional Knowledge & Skills: DME authorization of necessity -Symptom Assessment/Management Skills: Ascites JOB DETAILS: ***LOCALS APPROVED AT TRAVEL RATE*** ***This position is for the Rowan/Salisbury Region*** -Avg. Daily Census: 63; 5 Visits/Day. -SHIFT: *40 Hours Can Be Offered -Will Accept 13 Weeks. -8-HOUR DAYS; 0800 - 17:00 -Call requirements are Friday, Saturday, Sunday 8pm - 8 am call rotations along with the other RNs in the department. We have a designated RN who covers weeknight call Monday-Thursday however we do take volunteers to cover when she is off for PTO. -Float Requirement: NONE. -Weekend Requirement: On Call Rotation; See Call Requirement above. More Info: The outpatient nurses rotate 2 evening shifts on call 8p-8a Saturday and Sunday every 4-5 weeks to cover patient PRN, Death visit needs. We engage a nurse triage service who screen incoming calls according to our protocols and will contact our nurse if a visit is needed. Mileage paid at IRS standard. PATIENT DIAGNOSES: patients with 6 months or less to live. Primarily geriatric. UNIT SYSTEMS: EPIC Remote Client, SBAR SCHEDULING TYPE: Per Unit Needs UNIT ORIENTATION: 40 Hours in addition to Novant Health Hospital Orientation SCRUBS: Not Provided. RNs wear all navy blue INTERVIEW AVAILABILITY: *****Please provide your candidate's interview availability for the next 72 hours while submitting candidates to avoid holding up the approval process. Manager WANTS A ZOOM INTERVIEW WITH ANY & ALL CANDIDATES. THEY WILL NOT OFFER without speaking to/interviewing the candidate first*****