RN Clinical Nurse PRN ; no ACLS

Work Shift

Various (United States of America)

The RN Clinical Nurse in hospice is a proactive member of an interdisciplinary team of licensed and unlicensed caregivers who ensure that patients, families and significant others receive individualized high-quality, safe patient care at end of life. They provide hands‑on patient care at the bedside, in various clinical environments within the hospice department and the Wellstar hospitals, that are administered by Nurse Managers and other leaders.

The framework for practice is steered by the Well Star Professional Practice Model, 5‑Star Nursing and evidence‑based practice and research. RN competencies are derived from these models and supported by the Well Star Core Competencies. It is expected that all RN Clinical Nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implement the Scope of Nursing and the Code of Ethics Standards put forth by the American Nurses Association.

As a member of the patient services team, the individual upholds the voice of the patient, department and system policies and procedures while supporting service excellence goals.

• Delivers direct nursing services to the terminally ill patient and supportive services to their family members, with compassion and sensitivity to their physical, social, cultural and spiritual needs.
• Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation).
• Provides relationship‑based patient centered care that is consistent with population‑specific characteristics (e.g. age, gender, disease, progression toward terminality, etc..) in a manner that adapts service delivery to reflect an understanding of cultural diversity.
• Always partners with the patient and significant others (as appropriate), keeping the patient, significant others and identified caregivers updated and making the patient’s goals the focus of the plan of care.
• Practices using current clinical practice standards and based upon a holistic approach.
• Documents all care delivered in the EMR with accuracy and according to the timeline demanded by policy and the intervention. (Immediately, within an hour, or within 24 hours.) Performs the initial presentation of hospice services.
• Explains palliative approach to care and assesses the patient’s goals for care, including desire for DNR.
• Discusses hospice benefits provided by payer and the financial responsibility of the patient.
• Obtains all consents, election statements and determines the patient’s choice of attending physician.
• Develops initial Plan of Care and provides ongoing education to patient, caregivers and family members regarding disease progression, signs and symptoms of impending death, considering and respecting their anticipatory grief and related practices.
• Provides emotional and spiritual support for the patient and family.
• Promotes a safe and peaceful environment.
• Supports the patient and family in meeting end‑of‑life goals.
• Follows the patient’s expressed advance directives.
• Facilitates medication management and administration.
• Assesses the patient’s symptoms and response to medications, responding promptly by obtaining orders to promote maximum comfort for the patient.
• Obtains medications from the vendor pharmacy and maintains required records.
• Follows Well Star policies and procedures regarding safe administration, documentation, storage and waste of medications.
• Teamwork and collaboration.
• Coordinates the delivery and documentation of safe, quality patient care that promotes the professional care delivery model. This includes, but is not limited to, diverse and inclusive interdisciplinary communication methods (interdisciplinary team meetings, rounds, case review, etc.); completion of timely documentation and promotion of a respectful, inclusive clinical environment.
• Develops the Personal Care Plan and supervises the work of the C.N.A.
• Demonstrates teamwork and collaboration by practicing in a manner that is fiscally responsible and promotes the recruitment and retention of all healthcare team…