Homecare and Hospice Registered Nurse

Hospice Registered NurseAt Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming’s stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital’s mission of excellence!Job Summary: Responsible for planning, coordinating, providing and documenting care for an assigned caseload of patients which may include nursing care to the terminally ill Hospice patient as needed. Provides assistance and understanding to the family in the home care situation, and in time of bereavement. Works as a member of the Hospice team in providing Hospice care. Utilizing physicians’ orders and professional skills, the Home Care/Hospice RN develops and implements Home Care/Hospice plan that meets each patient’s specific needs and is in compliance with JCAHO, federal and state regulations, reimbursement guidelines as well as agency policies and procedures. Participates in performance improvement and quality assurance activities.Essential Duties/Responsibilities:Develops a written plan of care for each patient.Provides skilled nursing care.Assesses patient’s condition, initiates plan of care, re-evaluates and updates as necessary.Ability to adequately assess and reassess pain.Utilizes appropriate pain management techniques.Treats appropriately.Educates the patient and family regarding pain management.Assists in developing pain and symptom management plans.Reassesses the plan to keep the patient as comfortable as possible.Reassess pain and notifies the primary care physician when pain is not manageable on the current medications.Represents the organization in a positive and professional manner.Actively participates in continuous quality improvement and performance improvement activities.Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.Completes assignment accurately and on time.Obtains all necessary physician orders and collaborates with the physician as the patient’s needs dictate.Participates in case conferences to discuss multidisciplinary team responsibilities, patient progress, plans for continued care, new problems, etc.Responds to the physical, mental, social and emotional needs of terminally ill patients and their families.Offers ongoing support and palliative care as appropriate.Plans a patient discharge from the agency.Recommends referrals for an alternative level of care if necessary.Recommends to the Case Manager needed referrals to other disciplines and/or community resources.Demonstrates ability to chart according to professional and department standards.Obtains needed supplies and equipment to provide care.Performs patient care responsibilities considering needs specific to the standard of care for the patient’s age and clinical condition.Plans with the physician to implement changes to improve patient care.Works as part of the interdisciplinary team.Reports changes in the patient’s physical and emotional health to the physician.Assumes role of patient advocate.Maintains a triage list of SN clients to be seen in the event of a winter storm or event that prevents providing nursing service to all scheduled patients.Demonstrates adherence to infection control policies.Uses PPE.Communicates patient’s data and observations verbally and through documentation.All documentation, charting and agency forms are completed in the designated time.Demonstrates knowledge of medications and their correct administration based on age of patient and patient’s clinical status.Follows the five medication rights and reduces the potential for medication errors.Addresses and supports cultural practices as long as these practices do not harm the patient/family or interfere with the planned course of medical treatment.Adheres to all agency, billing and documentation policies and procedures.Teaches, supervises and counsels the patient and family members regarding nursing care needs.Follows up with obtaining lab results and notifies the physician of any significant changes.Regularly assesses and reassesses the nursing needs of the Hospice patient.Provides dietary counseling.Provides Hospice nursing services, treatments and preventive procedures.Initiates nursing procedures appropriate for the patient’s Hospice care and safety.Observes signs and symptoms and reports to the physician and IDG members any unexpected changes in the patient’s physical or emotional condition.Teaches, supervises and counsels the Hospice patient and family members about providing care for the patient.Trains other nursing service personnel.Develops and re-evaluates the patient/family care plan in conjunction with IDG to meet needs and maintain continuity of care.Performs specific nursing procedures as needed (e.g., treatments, management of symptoms) following doctor’s orders.Participates in the on-call system and is responsible for providing on-call coverage when unavailable for assigned duties.Works with an interdisciplinary group concept of patient care.Coordinates the implementation of the plan of care for patients residing in SNF, NF, ICF or MR.Position Requirements:Bachelor’s degree in Nursing from an accredited NLN program preferred. Associated degree in nursing required.Registered Nurse licensed in the state of Wyoming without restrictions.Certification in specialty areas, i.e., Home Care, Hospice, Geriatrics, Wound Care, Pain Control, etc., preferred.Current BLS, required.Two or more years of acute care experience within the last two years preferred.One year Home Care or Hospice experience within the last two years preferred.One year of community health or public health experience within the last two years preferred.Valid state driver’s license, a reliable automobile, current automobile insurance and being willing to operate a personal car are necessitated by the nature of the job.Criminal and Central Registry Background Checks, required.Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.Pre-employment drug and alcohol screening is required.Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status.