Hospice RN- PT or FT

Heartland Home Health & Hospice LLC.; South Dakota; On-site; USD 52,000 - 62,000; Full time

Benefits offered by this job

401(k) Plan

Dental insurance

Vision Insurance

Flexible schedule

Paid time off

Job summary

Heartland Home Health & Hospice LLC seeks an experienced Registered Nurse to plan, organize, and direct home-based hospice care with a palliative focus. The role emphasizes community health education and collaboration with families to meet needs in home settings.

The RN will perform comprehensive assessments, develop and revise care plans, administer medications, teach patients and families, and coordinate with the interdisciplinary team to ensure continuity of care.

Qualifications

• Graduate of an accredited school of nursing; 1–2 years acute care in an institutional setting and 1–2 years in home care.
• Current licensure in State and CPR certification.
• Must be a licensed driver with insured vehicle in good working order.
• Bachelor’s degree with 1 year hospice care experience preferred.
• Management experience not required; may supervise hospice aides.
• Strong observation, verbal and written communication, problem solving and math skills; nursing skills per competency checklist.
• Prolonged walking/standing; ability to lift and transfer patients and lift supplies; visual/hearing acuity for nursing skills.

Responsibilities

• Completes initial, comprehensive, and ongoing assessments of patient and family; develops plan of care.
• Provides professional nursing care using the nursing process as defined by state act.
• Regularly re-evaluates patient and family needs; revises the plan of care as necessary.
• Initiates and revises the plan of care as patient status changes.
• Uses health data to determine nursing diagnosis and establishes goals with patient/family.
• Administers medications/treatments per physician’s plan and counsels patient/family.
• Teaches self-care techniques; ensures safe environment and continuity of care.
• Acts as Case Manager; coordinates care for assigned caseload.
• Completes clinical notes and communicates with hospice/IDT; coordinates with community health professionals.

Skills

Nursing competencies

Communication skills

Observation skills

Problem solving

Math skills

Education

Bachelor's degree in Nursing

Job description

JOB DESCRIPTION SUMMARY

The registered nurse plans, organizes and directs 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. The registered nurse within a hospice program understands the palliative approach and hospice philosophy.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

• Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
• Assesses and evaluates patient’s status by:
  • Writing and initiating plan of care
  • Regularly re-evaluating patient and family/caregiver needs
  • 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 preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician 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 optional comfort care.
• Acts as Case Manager when assigned and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the hospice interdisciplinary team regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related persons 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. Works in concert with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• 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.
• Attends interdisciplinary group meetings.

Additional Duties

• 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.
• Supervises ancillary personnel and delegates responsibilities when required.
• 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.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATIONS

• Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care.
• Current licensure in State and CPR certification.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
• Bachelor’s degree, with one (1) year of hospice care experience preferred.
• Management experience not required. Responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

Pay:

• Determined upon experience, skills, education, and training.
• Typically, between $38-$45 per hour

Benefits:

• 401(k) Plan
• Dental insurance
• Vision Insurance
• Flexible schedule
• Paid time off

Weekly schedule:

• PRN
• Weekends/On-Call, as needed

Experience:

• Acute care: 2 years (Required)

License/Certification:

• BLS Certification (Preferred)
• Valid RN License (Required)