Registered Nurse - FT Nights - Hospice Gen In Patient

DHR Health - US:TX:Edinburg - NightsSummary:FLSA STATUS: ☐ Exempt ☒ Non-ExemptMISSION STATEMENT:Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.VISION:Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.POSITION SUMMARY:Responsible for providing nursing services to terminally ill patients in their home setting and supportive services to family members in compliance with all applicable federal, state and local health and safety codes including LSC, laws and regulations, and all applicable policies and procedures of hospicePOSITION EDUCATION/ QUALIFICATIONS:Graduate of accredited school of nursing required. BSN preferred.Current registered nurse's license in the State of TexasDocumentation of at least one (1) year or equivalent of nursing experience in an acute care setting.Current CPR Certification required.Valid and current Driver's License requiredValid and current proof of Auto Insurance required.Hospice or home health experience preferred.Knowledge of local, state, and federal laws for delivery of hospice services preferred.Demonstrate ability to relate effectively with physicians, health care professionals, the community, patients/families, and members of the hospice interdisciplinary team.JOB KNOWLEDGE/EXPERIENCE:Three to five (3-5) years' experience is required,Must demonstrate an understanding of community health, welfare, and social agencies.Working knowledge of Medicare, Medicaid and third party payers preferred.Hospital or acute care setting experience is strongly preferred.Responsibilities:POSITION RESPONSIBILITIES:Supplement the nursing care needs of the patient as provided by the RN and as specified by the patient's plan of care.Assist the RN in carrying out the patient's plan of care.Participate in gathering assessment data.Ensure services are provided in accordance with organizational policies and procedures and in accordance with the LVN scope of practice.Assist in the formulation of goals/outcomes and a plan of care in collaboration with the RN, patient, family and IDT members.Assist the RN and physician in performing specialized duties related to end of life care.Prepare clinical and progress notes that demonstrate progress toward established goals according to policy and procedure guidelines and as defined by the plan of care.Prepare equipment and materials for treatment adhering to aseptic technique as required.Assess patient/family response to care.Assist the patient in learning appropriate self-care techniques.Maintain awareness of verbal and non-verbal patterns of communication of patients/families.Support the management of discomfort and symptom relief utilizing specialized nursing skills related to palliative and end of life care.Educate the patient and family regarding the disease process, self-care techniques, and issues related to end of life care.Demonstrate knowledge of medication administration, interactions and side-effects.Demonstrate knowledge and competence in pain and symptom control concepts, interventions.Communicate information using current processes and technology available.Ensure Medical Director, attending physician, and other personnel providing care are informed of changes in the patients' condition as appropriate.Evaluate own needs for support and identify systems to meet the needs.Act as physician agent when calling in prescriptions for patients by following agency protocols.Participate in the QA/PI process.Participate in clinical call as scheduled.Monitor staff and patient safety.Participate in IDT/IDG staff meeting.Participate in orientation of new staff and volunteers as requested.Participate in in-service programs.Maintain current level of skills and evidence of competency.Adhere to all Confidentiality policies and procedures and maintain confidentiality of administrative information.Provides services in accordance with organizational policies and procedures and regulations that define scope of practice.Prepares clinical and progress notes documenting outcomes of interventions.Assists the patient in learning appropriate self-care techniques.Documenting and reporting patient/family response to care.Ensures communication of information to appropriate team members.Perform other reasonable duties as assigned.LINES OF REPSONSIBILITIES:(Chain-of-command)1. Administrator and Director of Nursing → 2. EVPOther information:CUSTOMER SERVICE:Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.AGE SPECIFIC:Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.AMERICANS WITH DISABILITIES ACT: (ADA):A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.The following table provides physical requirements that will be associated with, but not limited to, this position:Light/moderate lifting up to 20 lbs, from the floor to shoulder height.YesKneelingYesMust be able to assist other employees with lifting more than 20 lbs.YesWalkingYesLight/moderate carrying up to 20 lbs.YesStanding/SquattingYesStraight pullingYesSittingYesPulling hand over handYesPushingYesRepeated bendingYesStooping/BendingYesReaching above shoulderYesClimbing StairsYesSimple graspingYesClimbing LaddersNoDual simultaneous graspingYesDepth Perceptions neededYesAbility to seeYesIdentify ColorsYesOperating office equipmentYesTwistingYesOperating mechanical equipmentYesCrawlingNoAbility to read and writeYesAbility to CountYesAbility to hear verbal communication without aidYesOperating Personal VehicleYesAbility to comprehend written/verbal communicationYesOther: Ability to deal with stressYesOSHA CategoryIIIB. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.D. Aptitudes: HIGH 1 2 3 4 5 6 LOWIntelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3Numerical: Ability to perform arithmetic operations quickly and accurately. 2Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.Employee Signature: Date: