Nurse, Variable Staff - Per Diem

Job SummaryThe Variable Staffing Nurse [VSN] is a member of the Variable Staffing Team and, as such, participates in providing after hours staffing coverage including, but not limited to; Weekend Day Coverage, Evening/Night Shift coverage, Holiday' and PTO coverage for Case Managers, Visit Support Nurses, and Admission Nurses as needed.The Variable Staffing Nurse [VSN] is responsible for providing after hours support to patient/families admitted to hospice service. Working in collaboration with Triage, Patient Care Managers and the Scheduling Coordinator, the VSN responds to patient/family calls and intervenes appropriately, providing phone instruction/support or visit as assessed. Care provided is based on an the individualized Plan of Care developed by the IDT that reflects patient/family goals related of Safe & Comfortable Dying, Self-Determined Life Closure and Effective Bereavement. The VSN demonstrates: sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness, death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services. Essential ResponsibilitiesPatient/family CareRecognizes the patient and family as the "unit of care" and IDT membersRespects patient right to self-determination and acts as advocate within the context of the values and ethical standards of HSCCDemonstrates ability to meet patient/family where they areOffers/makes visits per agency policyOffers home visit at time of deathUtilizes nursing process in providing primary care to patient/families, and professional patient management to facility staffDocuments all care and care planning per agency policyProvides nursing interventions for patient/family as ordered by the physician or Nurse Practitioner and in accordance with the Plan of Care (POC), safe nursing practice and the policies and procedures of HSCCMonitors management of pain and symptoms in collaboration with patient/family, facility staff, IDT and physician to achieve maximum comfortAdministers medications and treatments as orderedInstructs and supports patient/family unit and facility staff re: symptom management, patient care, disease process & death/dyingOn CallWorks cooperatively with Variable Staffing Team members to provide after- hours/weekends and holiday coverage for HSCC patient/families and staff of our facility partners.Participates in providing extra coverage for planned and unplanned absences Secures current information on each patient prior to making callsAssesses patient status via telephone responseFollows agency policy in determining whether to make/offer visit or use telehealth for patient/family Assists, supports & educates patient and family through physical and emotional crisis utilizing all Variable Staffing Team after hours resources available; Social Workers, Spiritual Care Counselors, Hospice Aides, Administrator On Call.Assesses for and promotes caregiver confidence via telephone teaching, onsite visits or telehealth visits.Obtains medications, medical supplies and equipment per pt need/physician order and HSCC policies and procedures when neededDemonstrates understanding of pharmacy-related policies & proceduresDisposes or instructs re: disposal of Schedule II medications at time of death per agency policyOpens, closes and revises POC per HSCC guidelinesDocuments all contacts, instructions and interventions in the electronic medical record per HSCC policies & proceduresDocuments all contacts, instructions and interventions provided per HSCC policies & proceduresSubmits completed paperwork & time logs within the time frames per HSCC policies & proceduresCreates individualized POC based on the assessment of pt/family needs and goalsPOC addresses patient/family physical, psychosocial and spiritual needs a written POC that includes identified goals, interventions and outcomes and documentsSecondary ResponsibilitiesIDT ParticipationFunctions as a member of the HSCC IDT maintaining open & organized communication with hospice staff, volunteers and supervisorWorks collaboratively with IDT to develop common goals to meet the needs of the patient/familyParticipates in IDT meeting, when appropriate, per protocol to promote care planning, problem solving and educationCompletes and submits all documentation in accordance with policies and proceduresQuality ImprovementMeets all standards and requirement as indicated by licensing and accrediting agenciesCompletes and submits all documentation in accordance with policies and proceduresSubmits verification of current employment related documents per HSCC policies, procedures and licensing agenciesParticipates in activities that affirm, enhance and develop the highest quality standards for HSCCParticipates in developing standards for quality patient care within HSCCParticipates in Quality Assessment & Improvement activities as requestedSpecial ProjectsParticipates in special projects as requestedPerforms other related job duties as assigned by SupervisorComplianceEnsures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, and all other regulatory/compliance requirements are understood and followedSubmits verification of current RN licenseKeeps drivers license current and maintains a good driving recordEnsures TB checks are completed in a timely manner; at least annuallyRequirementsRequire current California RN licenseValid state driver's license and liability auto insuranceAvailable to work 4 weekend days/nights/evenings per month and alternates Christmas/Christmas Eve and Thanksgiving annuallyRequired to attend regular meetings and in-servicesSkills RequiredCritical thinking and ability to function both independently and as a member of the Variable Staffing Team after hours support.Familiarity with electronic charting programs and/or demonstrated keyboard and computer skills sufficient to utilize electronic medical record charting.Education/ExperienceDegree in Nursing from an accredited college2-5 years RN experience in hospice, oncology, med-surg, ICU, ER, skilled nursing facilities or homecareAcute care experience preferredHospice and/or home health experience preferredEnd-of-life and pain management experience preferredCertifications, Licenses, RegistrationsCalifornia State issued RN licenseCurrent BLSPass OIG/GSA review and all required background checksSkills DesiredBilingual in English/Spanish highly encouraged but not required.Previous experience working with end of life is desirable.Physical DemandsSufficient dexterity to utilize electronic record keeping systems, computers/keyboards and or laptops and other related equipmentAbility to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilitiesVision ability to read manual and electronic documentation, medications, charts, office related equipment, and instructionsHearing ability within normal range to elicit and detect pertinent information while communicating with patients and health teamSpeech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care teamWork Environment/Environmental ConditionPerforms services in private homes and care facilities and will experience a variety of settings and situations Office work is performed in combination of private homes, care facilities and office environment.

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