Registered Nurse; RN-Hospice Outpatient, Hospice Homecare

Job Summary

Inspire health. Serve with compassion. Be the difference.

Utilizes the nursing process to provide hospice and palliative care to the terminally ill patient, regardless of age, and supportive care to the patient's family. Adheres to all compliance and policy and procedure requirements of the organization including, but not limited to: licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, and medication administration.

Demonstrates knowledge of regulatory agency requirements (The Joint Commission, DHEC). Provides care within the scope of the SC Nursing Practice Act.

• All team members are expected to be knowledgeable and compliant with Prisma Health's values:
  Inspire health. Serve with compassion. Be the difference.

• Assess patient physiological, psychosocial, developmental, environmental needs, and the families' need for supportive care; and based upon that assessment will offer input into the interdisciplinary Plan of Care.

• Demonstrate the ability to perform a physical assessment based on the patient's age and developmental level.

• Performs a thorough pain and other symptom assessment and utilizes the symptom management medical authorization guidelines to guide care plan and interventions.

• Considers the physical, emotional and spiritual aspects of the patient/family when assessing client's needs.

• Documents assessment appropriately in the medical record in a clear and concise manner.

• Provides accurate assessment to physician in a timely manner.

• Develops a nursing plan of care and a CNA plan of care, as needed, that are individualized, seeking input from the patient and family.

• Monitors and updates the nursing and CNA plans of care based on changing patient status and changing family needs.

• Monitors the patient's/family's need for additional services and refers appropriately to other members of the hospice team.

• Assesses for and provides education to patient/family using verbal and written information.

• Develops a plan of care for the time of death that meets the express wishes of the patient/family.

• Competently performs appropriate nursing interventions with thorough and timely documentation in the patient's chart.

• Demonstrates clinical competency and is knowledgeable regarding the agency's clinical procedures.

• Reports assessment findings and changes in the patient's condition to the physician resulting in successful management of the patient's symptoms, and makes recommendations based upon sound nursing judgment.

• Utilizes standing orders and medical authorization guidelines to appropriately guide practice.

• Recognizes the family decision-making role and the patient's right to self-determination.

• Demonstrates time management and organizational skills with the ability to prioritize multiple tasks.

• Utilizes appropriately the other members of the interdisciplinary team both as resources and as consultants.

• Oversees the CNA's performance of the interventions in the Plan of Care according to requirements 100% of the time.

• Documentation reflects timeliness, completeness, clarity and accuracy. All documentation is complete by the workday.

• Demonstrates safe and effective nursing care, as defined by the facility's policies and procedures.

• Initiates bereavement follow-up with the patient's family, supporting the bereavement POC.

• Attends funeral, visitations or memorial services whenever possible.

• Attends scheduled bereavement program events, supporting those families served.

• Participates in review of quality data and makes recommendations for improvement.

• Performs admission, evaluation visits and consultative services as requested.

• Works on various projects and committees as requested.

• Educates the public regarding end-of-life issues.

• Assists with the orientation and training of students/new employees/volunteers.

• Evaluates the effectiveness of specific interventions and the resulting movement toward goals.

• Evaluates patient's response to any treatment and/or medication administered.

• Evaluates patient's disease progression and family's response to change.

• Evaluates patient's progress toward goals and achieved outcomes.

• Evaluates patient/family response to teaching.

• Evaluates family caregiver's potential and current ability to cope with the physical and emotional demands of their role in the patient's care.

• Evaluates need for team conference or consultation.

• Provides consultation and discussion of the case at IDG Care Meeting.

• Evaluates cultural needs and/or developmental needs when evaluating the response to Plan of Care.

• Facilitates continuity of care with other team members and other agencies through accurate and timely exchange of information.

• Communicates on a regular basis with all staff/volunteers regarding patient status.

• Communicates with physicians and others, as needed, to coordinate and ensure quality care.

• Attends and participates in team meetings, briefings and other related activities.

• Provides ongoing communication with…