Admission Nurse

Shalom Hospice of Washington; Poulsbo (WA); On-site; USD 75,000 - 105,000; Full time

Job summary

Shalom Hospice of Washington is seeking an Admission RN to plan, organize, and direct hospice care in home and community settings. The role emphasizes community health education and collaboration with a clinical team to meet patient needs.

The RN will serve as a PRN visit nurse and cover at least one night of on-call per week, with a Sunday-Thursday day schedule. The position reports to the Clinical Director and requires strong nursing assessment and care coordination skills.

Responsibilities

• Completes initial and ongoing comprehensive assessments of patient and family to determine hospice needs.
• Develops and initiates a care plan based on nursing diagnosis and patient goals.
• Administers medications and treatments as prescribed by the physician.
• Counsels patient and family on nursing and related needs and on self-care techniques.
• Acts as Case Manager coordinating patient care for assigned caseload.
• Maintains accurate clinical notes and communicates changes to the care team.
• Coordinates equipment and services to support patient comfort and safety.
• Participates in continuing education to enhance professional practice.

Job description

Shalom Hospice of Washington -

Job Title/Position: Admission RN

Reports To: Clinical Director

JOB DESCRIPTION SUMMARY

The Admission RN 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 individuals and families within their homes and communities.

This role will also act as a PRN visit nurse and take at least one night of on-call per week.

Schedule will be Sunday - Thursday days.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of the nursing process.

3. Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

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

5. Uses health assessment data to determine nursing diagnosis.

6. 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.

7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

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

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

10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

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

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. 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. Works in concert with the interdisciplinary group.

5. Provides and maintains a safe environment for the patient.

6. Assists the patient and family/caregiver and other team members in providing continuity of care.

Additional Duties

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

2. 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.

3. Fulfills the obligation of requested and/or accepted case assignments.

4. Actively participates in quality assessment performance improvement teams and activities.