Hospice Weeknight Registered Nurse

Hospice Second Shift RN

The hospice Second Shift RN uses the nursing process (assesses, plans, implements, evaluates) to provide patient care in the home setting. Provides individualized patient care for patients in the terminal phase of their lives according to established policies, procedures, guidelines and nursing standards of care. This position is responsible for the initial, comprehensive, and ongoing assessments of the patient's needs and ensuring interdisciplinary collaboration in the development of a patient specific plan of care based on identified needs. Will perform admissions and non-start-of-care visits as necessary to ensure physician orders are being followed and patients receive quality care. Will take on-call duties during the night and respond to patients needs including medication concerns, symptom management, urgent care concerns, and provide in person visits as needed.

Hours of Work: Monday - Thursday, 5pm - 8am

Primary Job Duties

• Assess, interpret, plan, implement and evaluate patients according to the patient's age, diagnosis, and prognosis.
• Effectively and efficiently manages the assessment of new patients and coordinates care with an interdisciplinary team and performs follow up visits when necessary.
• Appropriately communicates with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required.
• Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
• Respond promptly to on-call patient needs, including questions, concerns, symptoms, and requests for visits and death visits.
• Organizes and performs work effectively and efficiently.
• Maintains and adjusts schedule to enhance agency performance.
• Demonstrates a daily commitment to the values of the agency.
• Demonstrates positive interpersonal relations in dealing with all members of the agency.
• Maintains and promotes customer satisfaction.
• Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

Job Specifications

• Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.
• Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.
• Experience: Minimum of one years' clinical experience required; hospice experience preferred.
• Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc.
• Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team.
• Essential Physical Requirements: Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care. Requires frequent pushing, moving, lifting of patients. Positioning of patients, giving patients baths and ambulating patients expending much physical effort. Occasionally requires reaching overhead, stair climbing and fine motor manipulation.
• Essential Mental Abilities: Must be able to assess a patient's condition, formulate a plan of care, select appropriate interventions, evaluate patient's response to care/treatment, and to explain/teach patients about their disease progression and end of life care. Requires higher level of mental faculties accompanied by short-and long-term memory. Able to prioritize duties, learn new skills and techniques in patient care.
• Essential Sensory Requirements: Ability to visually assess patients and to utilize sight and hearing to implement and evaluate plan of care, and effectively communicate with patients, families, physician, and staff.
• Exposure to Hazards: Noise, exposure to blood borne pathogens and body fluids, infectious diseases, and needle puncture wounds. May be exposed to dangerous animals and traffic hazards while home visiting. May encounter patients and other situations which present a potential threat to personal safety. May encounter temperature changes and weather extremes.
• Hours of Work: as agreed upon by director, not to exceed 72 hours, with on call responsibilities