Staff Nurse-PRN-Nights

HOSPICE OF EL PASOJOB DESCRIPTIONPOSITION: IN-PATIENT UNIT STAFF NURSE - PRN - NIGHTSREPORTS TO: IN-PATIENT DIRECTOR OF CLINICAL OPERATIONSSUPERVISES: CERTIFIED NURSE AIDESPURPOSE OF POSITIONTo serve as a member of the team to provide appropriate and adequate professional nursing care as prescribed by the physician in compliance with applicable RN licensure and agency policies and procedures to those patients who are admitted to Hospice El Paso's Center for Compassion Care.ESSENTIAL DUTIES AND RESPONSIBILITIESListed below is an outline of the essential duties and responsibilities that will be required. Administrative authority, responsibility, and accountability necessary to perform the assigned duties under the supervision of the In-Patient Director of Clinical Operations are delegated to the Staff Nurse.Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.DUTIES AND RESPONSIBILITIESSkilled Nursing ServicesAssessing, planning, implementing and evaluation individual care from admission to discharge or death.Performs physical, psycho-social, and spiritual assessment at start of care and establishes plan of treatment in cooperation with remainder of IDT members. Performs intermittent skilled nursing evaluation on assigned patients.Assess and documents current pain level and intervention outcomes with every contact and PRN.Instructs patients to overcome identified knowledge deficits and documents all instructions given.Reports changes in patient's condition to Team Leader and physician as appropriate.Obtains physician orders and implements interventions and changes in treatment as appropriate. Documents all phone contact by the end of shift.Monitors medication levels at each shift, ensuring the patient always has enough, but adjusts levels to coordinate with patient's declining status.Maintains accuracy in recording, maintenance, and administration of medications in accordance with policy.Initiate prescribed treatment and evaluate medication effectiveness as designated in the POT within 1hour of intervention.Makes appropriate referrals to other disciplines as needed for family/caregiver support.At time of death pronounces as authorized by the attending physician.Works with and communicates with IDT members for admissions and live discharges.AdministrationProvides appropriate documentation for admission.Revises POT PRN with changes in level of care, medication, treatment, and informs all members of IDT of all changes. Ensures care plan matches contact notes.Provides appropriate and accurate documentation of all skilled nursing assessments and interventions prior to the end of the assigned shift.Provides instruction, leadership, and direction to LVNs as needed.Provides instruction, leadership, and direction to HCAs as well as supervisory performance evaluations.Clear all chart deficiencies every week with HIMS.Transcribes orders from physicians and updates medications and records by the end of assigned shift. Informing all necessary team members. Documenting all communication.Prepare weekly patient care reports. Has a report available 1 day prior to care conference.Complies with agency policies and procedures, mission, and values statement.Provides accurate report to oncoming staff of patient's condition and changes in the plan of care. Revises CNA care plan PRN.Provides leadership and supervision to personnel when assigned.Covers extra shifts as needed.Responds to patient call bells in a timely manner.GeneralShall know and conform to the Texas Nursing Practice Act as delineated in Title 3, Subtitle E, Chapter 301 of the Texas Occupations Code, the Board of Nurse Examiner's standards, rules and regulations as delineated in Title 22, Part 11 of the Texas Administrative Code, as well as all federal, state, or local laws, rules or regulations affecting the nurse's current area of nursing practice.Maintains Licensure as required by Title 3, Subtitle E, Chapter 301 of the Texas Occupations Code and Title 22, Part 11 of the Texas Administrative Code.Notifies Hospice immediately of any pending action against the license or pending suspension or any suspension or action taken against the license.Has knowledge of and follows Hospice policies and procedures.Maintains a professional appearance.Displays a consistent positive attitude.Adheres to Hospice of El Paso Mission and Value Statement.Performs other duties as assigned.COMMUNICATIONEstablishes and maintains effective communication and a cooperative manner with patients, members, physicians, hospital, nursing home and foster care personnel.Establishes and maintains effective communication and a cooperative manner with Hospice administration, volunteer and patient care departments, all members of the team, and all employees of Hospice of El Paso.Listens and responds to the patient/ family needs in a sensitive and timely manner keeping all parties (IDG) appraised of developments.Comply with HIPAA standard by abiding with the minimum necessary Protected Health Information to perform job function.Professional DevelopmentAttends and participates in weekly IDT meetings and bereavement conferences.Attends and participates in in-services, education classes and on-the-job-training programs as required to maintain competency levels.Participates in initial competencies upon hire and annually thereafter.Attend workshops and seminars as approved.Participates in orientation of employees, volunteers, and students as assigned.Involved in community/civic health matters/projects.Attends ethics and compliance training and maintains compliance with the CCP.WORKING CONDITIONSSubject to frequent interruptions.Involved with physicians, patients, family members, personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.Subject to hostile and emotionally upset patients, family members, etc.Willingness to work beyond normal working hours, and in other positions temporarily, when necessary.Subject to falls, burns from equipment, infectious disease, odors, etc., throughout the workday.Exposure Level - Category I. Direct contact with blood, other bodily fluids, and potentially infectious materials to which standard precautions apply. Personal protective equipment is made available and must be worn.QUALIFICATIONSEducation and ExperienceCurrent licensure as a Registered Nurse in the State of Texas.Two years' clinical experience. Background in oncology, discharge planning, care of terminal patients or community nursing health preferred.Working knowledge of nursing process.OtherAbility to work independently and with flexibility.Valid driver's license and auto insurance as required by the state of Texas.Must be able to read, write, and speak English at a level which will permit the employee to accurately understand and communicate information as necessary to safely and efficiently perform job duties.PHYSICAL REQUIREMENTSSits, bends, lifts, and walks intermittently during working hours. Is able to sit for prolonged periods.Is able to reposition up to 50 pounds of weight.Possesses sight/hearing senses or uses prosthetics that enable these senses to function adequately, so that the requirements of this position can be fully met