Hospice Admissions RN

Job Title/Position: Admission RN

Reports To: Clinical Director

JOB DESCRIPTION SUMMARY

The Admission RN plans, organizes and directs hospice care and is experienced innursing, with emphasis on community health education/experience. The professional nursebuilds from the resources of the community to plan and direct services to meet the needs ofindividuals and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient

   and family to determine hospice needs. Provides a complete physical assessment andhistory of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of the nursing process.

3. Assesses and evaluates patient’s status by:

   • A. Writing and initiating plan of care
   • B. Regularly re-evaluating patient and family/caregiver needs
   • C. Participating in revising the plan of care as necessary

4. Initiates the plan of care and makes necessary revisions as patient status and needschange.

5. Uses health assessment data to determine nursing diagnosis.

6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporatespalliative nursing actions. Includes the patient and the family in the planning process.

7. Initiates appropriate preventive and rehabilitative nursing procedures. Administersmedications and treatments as prescribed by the physician in the physician’s plan ofcare.

8. Counsels the patient and family in meeting nursing and related needs.

9. Provides health care instructions to the patient as appropriate per assessment and plan.

10. Assists the patient with the activities of daily living and facilitates the patient’s efforts towardself-sufficiency and optional comfort care.

11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility tocoordinate patient care for assignedcaseload.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’scondition and care given. Records pain/symptom management changes/outcomes asappropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in thepatient’s condition; obtains/receives physicians’ orders asrequired.

3. Communicates with community health related persons to coordinate the care plan.

4. Teaches the patient and family/caregiver self-care techniques as appropriate. Providesmedication, diet and other instructions as ordered by the physician and recognizes andutilizes opportunities for health counseling with patients and families/caregivers. Works inconcert with the interdisciplinary group.

5. Provides and maintains a safe environment for the patient.

6. Assists the patient and family/caregiver and other team members in providing continuity ofcare.

Additional Duties

1. Ensures that arrangements for equipment and other necessary items and servicesare available.

2. Assumes responsibility for personal growth and development and maintains and upgradesprofessional knowledge and practice skills through attendance and participationin continuing education and inservice classes.

3. Fulfills the obligation of requested and/or accepted case assignments.

4. Actively participates in quality assessment performance improvement teams and activities.