RN - Hospice Home Care - Full Time

Works under the supervision of the Nurse Manager and the Director and is responsible for the assessment, planning, implementing, and evaluating the total nursing care of assigned patients on an intermittent visiting basis. The RN may work in a variety of settings (typically in a home care type setting) and roles within Riverside Health System. The RN utilizes communication, critical thinking, problem solving, and decision making to create a care plan for each patient based on physiological, psychosocial and cultural diversity. Responsible for supervising and delegating non-professional personnel working directly with him/her to ensure optimum patient care. Must demonstrate competence in dealing with age related needs of specific patient populations served in their assigned area. Works under the direction of leadership and a multi-disciplinary team (physical, speech, or occupational therapy; medical social services, and Home Health Aide services) to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans. Supports the hospice philosophy.
Assesses, plans, implements, and evaluates the total nursing care of assigned patients on caseload on an intermittent visiting basis. functional, psychological, and environmental needs and activities of daily living.
Assesses the patient's risk for pathological grief, cultural and spiritual implications, and verbal/non-verbal communication patterns. Assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care. Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
Implements/initiates an individualized plan of care and recommends revisions to the plan when necessary. Provides services and/or treatments requiring specialized nursing skill related to palliative and end-of-life care. Consults with, councils and educates the patient and family in meeting nursing needs, the disease process, self-care techniques, end of life care and the processes for dealing with issues of ethical concerns.
Uses case management approach and refers patient to other services as needed. Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary teams. Provides on-going evaluation of patient/family response to care. informs the physician and the IDT of changes in the patients needs, and the patient's plan of care. Initiates appropriate preventive and rehabilitative nursing procedures and provides treatments and procedures that contribute to the physiological and psychosocial outcomes and stability of the patient. Supervises LPN/LVN's, and Home Health Aides in providing services to the patient according to regulatory guidelines. Provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care. Participates positively in training and support of all team members, volunteers and students as needed. Delegates and prioritizes tasks appropriately to facilitate quality patient care and ensure patient care needs are met. Recognizes and responds to emergency situations. Registered Nurse (Required)
Bachelors Degree, Nursing (Preferred)
Acute Care (Preferred)

Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required)
CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)
Drives personal vehicle for RHS business 25% or more of the time to perform essential functions of the job
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