Hospice Nurse RN - Woodland Hospice House

Staff Registered Nurse

The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient population for this position are those located in the hospice house. Activities of this position are patient focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures.

(20%)* Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.

(20%)* Initiates plan of care for assigned patients and revises and adapts as necessary.

(20%)* Provides nursing care (or arranges for services through specialized staff) through ongoing visits to a group of patients, sharing the patient caseload.

(15%)* Coordinates patient care by evaluating outcomes and providing on-going feedback to others involved in care relative to patient status and changes needed on patient care plan.

(15%)* Coordinates care provided by LPNs and Home Health Aides and supervises LPN as needed.

(10%)* Notifies physician of changes in patient condition and care needs and obtains new orders as needed.

Other duties and responsibilities:

• Function as case manager for assigned case load if assigned.
• Coordinates care provided by LPN's and Home Health Aides and supervises LPN as needed.
• Implements preventative and rehabilitative nursing procedures and utilizes community and agency resources for optimum patient care.
• Utilizes Agency documentation system to record services provided according to agency, professional, and program standards. Assists in maintenance of patient records.
• Provides patients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence.
• Participates in the clinical team in providing patients/caregivers with information required by regulatory agencies.
• Establishes a Home Health Aide care plan and supervises the Home Health Aide according to Agency guidelines.
• May make joint visits with other disciplines to assure consistency of care.
• Functions as part of multi-disciplinary team in coordinating care including planning for discharge.
• Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned.
• Participates in Agency, community and/or home health organization activities as assigned appropriate.
• Participates in staff meetings, in-service education programs, and other opportunities for learning.
• Complies with documentation requirements for employee personnel and activity records as defined in Agency policy.
• Carries out work according to Agency policies and procedures in such a manner as to appropriately reflect Agency standards for timeliness, accuracy, and productivity.
• Maintains confidentiality of client and Agency information.
• Adheres to the Agency standards related to personal appearance and behavior.
• Participates in weekend and holiday rotations and on-call duties as identified in personnel policies.
• Participates in Agency performance improvement process.
• Assists in Agency community education activities as requested.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Other duties as assigned.

Certifications and Licensures

Credential: RN: Registered Nurse Equivalent Experience:

Qualification Source:

Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Credential: FINGERPRIN: Fingerprinting Equivalent Experience:

Qualification Source:

Required Education

Education: Associates Degree Equivalent Experience:

Education Specialization: NRG

Other Information

EXPERIENCE, TRAINING AND SKILLS:

• Complete Food Safety training provided by facility coordinator.
• One year of direct patient care nursing experience prefer med/ surg experience, preferred.
• Access to reliable transportation. Able to function as part of a team.
• Successful completion of Agency orientation and competency programs.
• Ability to communicate effectively, verbally and in writing.
• Ability to speak, write and understand the English language.
• Ability to adapt to frequent changes.
• Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships. Ability to work independently, demonstrating problem solving and organizational skills.
• Ability to drive under hazardous road conditions.
• Ability to work where employee may be exposed to communicable diseases in unpredictable home situations.
• Ability to use personal protective equipment correctly. Ability to perform essential job functions with reasonable accommodation. Must possess a valid driver's license and auto insurance.
• One year acute care experience preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

• Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.