RN Skilled Nursing- Hospice GIP Shift Lead

RN

The Bartlett Skilled Nursing and Assisted Living is seeking a dedicated and compassionate RN to join our team. As a RN, you will provide high-quality nursing care to our residents in a setting that values compassion, dignity, and respect. If you are passionate about delivering exceptional patient care and are committed to making a positive impact, we encourage you to apply for this exciting opportunity.

Responsibilities:

• Provide nursing care within the scope of licensure for assigned patients according to established nursing standards and hospital policies and procedures
• Administer medication, perform treatments, and patient care responsibilities as prescribed
• Consult with and keep MD/NP informed of activities, symptoms, reactions, and changes in the patient condition
• Provide appropriate pain management techniques and educate patients and families regarding pain management
• Administer medication following the 10 rights of medication administration within scope of practice
• Assist with the rehabilitation and treatment of patients in accordance with the medical plan of care
• Update and revise plan of care under the supervision of MD/NP
• Assist physicians with examinations, treatments, and special procedures
• Perform services requiring technical and manual skills as directed by MD/NP
• Treat patients and their families with respect and dignity
• Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families
• Interact professionally with patient/family and involve patient/family in the formation of the plan of care
• Assist with admitting, discharging, and transferring of patients
• Identify and address psychosocial needs of patients and family; communicate with Social Services/Discharge Planner regarding both in-hospital and post-discharge needs
• Medication Administration & Management
• Administer medications per physician/NP orders
• Manage IV, SQ, SL, rectal, transdermal, and other hospice-related medication routes
• Titrate comfort medications within ordered parameters
• Monitor for side effects, adverse reactions, and effectiveness
• Ensure timely availability of emergency comfort medications
• Coordinate pharmacy needs with hospice provider
• Coordination with Hospice Interdisciplinary Team (IDT)
• Communicate patient status changes to hospice physician/medical director
• Collaborate with:
• Hospice aides
• Social workers
• Chaplains
• Nurse practitioners
• Facility nursing staff
• Participate in hospice IDT discussions and care planning
• Coordinate transfers, discharge planning, or level-of-care changes if symptoms stabilize
• Documentation & Regulatory Compliance
• Document assessments, interventions, and patient response thoroughly
• Support documentation demonstrating:
• Need for continued GIP level of care
• Uncontrolled symptom burden
• Frequent nursing interventions
• Complete required hospice and SNF documentation timely
• Ensure compliance with:
• CMS hospice regulations
• State nursing regulations
• Facility policies
• Hospice Conditions of Participation
• Family & Patient Support
• Educate family regarding:
• Disease progression
• Dying process
• Medication purpose/effects
• Comfort-focused goals
• Provide emotional support during crisis situations
• Assist with difficult decision-making discussions
• Support cultural and spiritual preferences
• Offer bereavement-related support and referrals
• Skilled Nursing Interventions
• Frequent reassessment and bedside monitoring
• Wound and skin care as appropriate
• Foley catheter management
• Oxygen therapy management
• Suctioning and secretion management
• Fall prevention and safety monitoring
• Positioning and pressure injury prevention
• Infection prevention practices

Requirements:

• RN
• Ability to work varying shifts, including days, nights, and weekends

Work Environment:

The Bartlett Skilled Nursing and Assisted Living is a locally owned and operated organization that values its commitment to quality care and community involvement. Our team is dedicated to providing a positive and supportive work environment that fosters growth and development.