Northwell Health Registered Nurse (RN) - Inpatient Days Hospice Inn - Hospice Care Network in Melville, New York
Req Number 003BQL
1. Implement nursing portion of care plan in coordination with other team members based on physician's orders.
A. Obtain permission for delivery of care. Verifies consents and authorizations in clinical record.
B. Performs physical, psychosocial, and spiritual assessment on all hospice patients.
C. Develops a written/computerized plan of care for each patient.
D. Provides skilled nursing care.
E. Responds to the physical, mental, social, and emotional needs of terminally ill patients and their families. Offers ongoing support and palliative care.
F. Reassesses patient's condition and plan of care and re-evaluates and updates as necessary.
G. Obtains needed supplies and equipment to provide care.
H. Review and instruct regarding purpose, dosage, route, frequency and side effects of medication with patient and family.
I. Follows up with obtaining lab results and notifying physician of any significant results.
J. Initiates needed referrals to other disciplines and/or community resources.
K. Show respect for the dignity of the individual patient/family/caregiver.
L. Provide care for 6 or more patients daily.
2. Assesses patient for pain and symptom management and treats appropriately.
A. Assists in developing a pain management and symptom management plan to keep the patient as comfortable as possible. Reassess pain and notifies the primary care physician when pain is not manageable.
B. Demonstrates knowledge of non-pharmacological pain and symptom management and intervenes appropriately.
C. Demonstrates knowledge of medications and their correct administration. Provides appropriate instruction for maximum effectiveness.
3. Actively participates in interdisciplinary group meetings to prepare, evaluate, and modify care plans for patient/family/caregiver.
A. Collaborates with IDG by sharing information and problem solving.
B. Updates and signs care plans.
4. Participate and collaborate with Team Manager in delivery of care and meeting organization's goals.
A. Communicates patient information verbally and by maintaining up to date paperwork/computer data.
B. Seeks guidance for problem areas.
5. Obtain all necessary physicians orders and collaborates with physician as patient's needs dictate.
A. Attempts to contact primary physician.
B. Obtains orders from Hospice Medical Director when appropriate. Follows up with Primary Physician and documents contact. Ensures that all written orders are signed before transcribing and all verbal orders are signed within 24 hrs of receipt.
C. Orders are written for changes in medications, supplemental orders are updated and signed, and visit frequency.
6. Educates patient/family/caregiver.
A. Teach, supervise and counsel patient/family/caregiver regarding physical care and other problems related to the patient's terminal condition, including death procedure.
B. Explains procedures and interventions.
C. Establishes patient education goals and assesses effectiveness of teaching by feedback and /or return demonstration by patient/family/caregiver.
D. Utilizes resources and teaches techniques consistent with patient's ability and comprehension.
E. Demonstrates understanding and respect for cultural practices.
F. Promotes an attitude conducive to learning, independence and self-care.
7. Supervise Home Health Aides (HHA).
A. Establishes and updates, as required, comprehensive plan of care for HHA to reflect physician's orders.
B. In supervising HHAs, meets with HHAs covering assigned patients on a regular basis but at least every two weeks.
C. Assigns tasks and directs the work of HHAs covering assigned patients.
D. Monitors HHA compliance with HCN personnel policies and procedures and completes initial and annual OBRA competency and ongoing supervisory visits.
E. For HHA evaluation provide information regarding HHA performance to Director of Inn.
F. Takes responsibility for reporting HHA performance problems. Work-related issues and complaints and participates/assists in resolving these matters.
8. Accurately document all care in an appropriate and timely manner on computer and written forms in accordance with HCN policies and procedures as well as state and federal regulations and JCAHO standards.
A. Daily patient care flow sheet and/or progress notes.
B. Interdisciplinary plan of care.
C. HHA plan of care, activity sheet, supervision, and orientation.
D. Submits documentation within agency guidelines (by end of shift).
E. Documentation is accurate, complete and legible.
F. Chart review scores 85% or more.
9. Supervise Licensed Practical Nurses (LPNs).
A. Provides verbal, written and computerized information to LPNs.
B. Assigns tasks to and directs the work of LPNs including holding case conferences in order to monitor performance on assigned patients. Provide feedback to LPN(s) and accept report(s) on patient(s) from LPN during and at the end of shift.
C. Monitors LPN compliance with HCN personnel policies and procedures and completes, as requested, initial and annual LPN competency for LPN(s) covering assigned patients.
D. For LPN evaluation provide information regarding LPN performance to appropriate Team Manager.
E. Takes responsibility for reporting LPN performance problems, work-related issues and complaints and participates/assigns in resolving these matters.
10. Support and implement Hospice policies regarding patient/family care.
A. Explains HCN policies and applies to individual patient needs.
B. Maintains communication by being accessible to the patient/primary caregiver and IDG team.
C. Submits relevant documentation.
D. Makes frequent, regular rounds to the patients' rooms.
11. Notifies Director of the Inn/Team Manager of patients who need frequent monitoring.
A. Provides accurate information.
B. Provides information in a timely manner.
12. Functions as an integral part of the Interdisciplinary Team by expanding theoretical knowledge base, improving clinical techniques and enhancing interpersonal relations.
A. Demonstrates current and in-depth knowledge of clinical practice and available community resources.
B. Utilizes sound nursing judgment when carrying out patient's treatment plan in accordance with standards of nursing practice.
C. Establishes and maintains effective working relationship with interdisciplinary team and office staff.
D. Seeks out information and knowledge to enhance level of expertise.
E. Shares information and knowledge learned with peers.
13. Performs job functions in a fiscally responsible manner consistent with agency's mission and vision.
A. Utilizes sound time management skills in planning day-to-day activities and fulfilling job responsibilities.
B. Demonstrates appropriate and efficient use of supplies and equipment.
C. Consistently meets the productivity standard established by the agency.
14. Demonstrates and promotes respect for patient's rights.
A. Demonstrates awareness of and compliance with the Patients Bill of Rights and the Patient Self Determination Act.
B. Maintains patient confidentiality.
C. Assists in making reasonable accommodations for special groups, i.e., hearing, visually, physically and mentally impaired.
15. Incorporate HCN's commitment to customer service and continuous quality improvement into daily work habits.
A. Courteous and considerate in person and on the telephone
B. Promotes positive co-worker relationships, teamwork and cooperation, both within the department and across the departmental lines.
C. Participates in performance improvement data collection and Continuous Quality Improvement projects, as assigned, and takes individual responsibility.
16. Adheres to general policies and procedures of the organization/department including:
A. Corporate Compliance, Code of Ethical Conduct.
B. Emergency /disaster preparedness protocols.
C. Fire/Safety prevention protocols.
D. Departmental in-service education program requirements.
E. Policies and procedures (attendance, punctuality, appearance, professional attitude, etc.)
F. Quality improvement activities.
G. Job related self-development education activities.
H. Infection control practices and procedures.
I. Joint Commission and other regulatory requirements.
Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred.
Licensed to practice as a Registered Professional Nurse in New York State.
Minimum of two (2) years of hands-on experience as a RN, including medical/surgical, required.
Hospice, or Oncology, preferred.
Flexibility to work evenings, holidays and/or weekends and hours/days.
Current and Valid Driver's License, required.
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