Registered Nurse- Hospice Health

Registered Nurse

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and community-based settings.

Patient Care

Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.

Writing and initiating plan of care

Participating in revising the plan of care as necessary

Initiates the plan of care and makes necessary revisions as patient status and needs change.

Uses health assessment data to determine nursing diagnosis.

Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

Initiates appropriate preentive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician outlined in the physician's plan of care.

Counsels the patient and family in meeting nursing and related needs.

Provides health care instructions to the patient as appropriate per assessment and plan.

Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optimal comfort care.

Acts as Case Manager when assigned by Clinical Director and assumes responsibility to coordinate patient care for assigned caseload.

Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.

Communicates with community health related staff to coordinate the care plan.

Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Assists the patient and family/caregiver and other team members in providing continuity of care.

Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

Participates in on-call duties as defined by the on-call policy.

Ensures that arrangements for equipment and other necessary items and services are available.

Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.

Actively participates in quality assessment performance improvement teams and activities.