Hospice Admission Nurse

Affinity Hospice Management LLC; Vancouver (WA); On-site; USD 70,000 - 95,000; Full time

Job summary

Affinity Hospice Management LLC is seeking an Admission RN to plan, organize, and direct hospice care in patients\' homes and communities. The role emphasizes community health education and coordinating multidisciplinary care, with responsibilities across assessment, care planning, and patient/family instruction.

The Admission RN will administer medications and treatments as prescribed, counsel families, and ensure safe, continuous care while collaborating with the Clinical Director and

Responsibilities

• Performs initial, comprehensive and ongoing assessments of patient and family to determine hospice needs; conducts full physical assessment and health history.
• Provides professional nursing care using all elements of the nursing process.
• Assesses and evaluates patient status by writing and initiating plan of care; regularly reevaluates patient and family needs; revises plan as necessary.
• Initiates the plan of care and revises it as patient status changes.
• Uses health data to determine nursing diagnoses.
• Develops a care plan with goals based on nursing diagnosis, involving patient and family.
• Initiates preventive and rehabilitative nursing procedures and administers prescribed medications and treatments.
• Counsels patient and family in meeting nursing and related needs.
• Provides health care instructions to patient as appropriate.
• Assists patient with activities of daily living and supports self-sufficiency and comfort care.
• Acts as Case Manager when assigned and coordinates patient care for caseload.
• Completes, maintains and submits accurate clinical notes regarding patient condition and care; records pain/symptom changes.
• Communicates with physician regarding patient needs and changes in condition; obtains orders.
• Coordinates care with community health personnel to implement the plan.
• Educates patient and family in self-care techniques and health counseling; collaborates with inter-disciplinary team.
• Maintains a safe environment for the patient and supports continuity of care.

Job description

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.

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:
   1. Writing and initiating plan of care
   2. Regularly re-evaluating patient and family/caregiver needs
   3. 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.