RN Hospice Per Diem

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VNA & Hospice of Cooley Dickinson, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson’s VNA & Hospice is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties.

The Hospice RN Per Diem provides skilled care and case management to clients/families in accordance with the State Nurse Practice Act and accepted professional hospice standards of practice. The Hospice RN Case Manager provides services utilizing nursing theory and processes, communicates/documents observations and assessments, and promotes and maintains quality of life for clients/caregivers through direct care, teaching, and counseling in accordance with the interdisciplinary team care plan.

This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson VNA & Hospice.

This position reports to the Hospice Manager and operates within established organizational and departmental policies and procedures.

Must be able to effectively interact appropriately to an individual's intellectual level and physical ability: pediatric, adult, geriatric.

Does this position require Patient Care? Yes

• Make assigned initial/admission visit to prospective client’s home to:
  • Explain policy, services and limitations to clients/caregivers;
  • Assess needs of client/caregivers to established appropriateness of care;
  • Obtain informed consent signatures of client/caregivers and physician;
  • Explain client’s rights.
• Develop a nursing assessment through collection of client/caregiver data that includes:
  • Client’s physical, emotional, spiritual, social, psychological and cultural status;
  • Coping strategies, support system, and learning needs of client/caregivers;
  • Safety in a hospice setting;
  • Reassessment in a systematic and ongoing manner.
• Analyze the assessment data in determining diagnoses:
  • Identify problems that may be resolved, diminished or prevented through nursing and/or interdisciplinary intervention;
  • Validate diagnoses;
  • Form the initial outline for the interdisciplinary  plan in light of the diagnoses.
• Identify expected outcomes individualized to client/caregivers.
• Implement  Plan that:
  • Provides direct skilled nursing care and emotional support;
  • Maintains accountability for all aspects of client’s care outcomes, including supervision of HHA’s;
  • Communicates to other  members so care reflects hospice’s interdisciplinary practice;
  • Updates care plan as needed;
  • Assures interventions are consistent with established plan of care;
  • Ensures availability and accessibility of nursing care twenty-four (24) hours a day, seven (7) days a week;
  • Interventions are documented in a timely manner.
• Evaluate client/caregiver’s progress towards attainment of outcomes.
• Maintain established agency, hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control and environmental standards.
• Maintain professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations or journals to stay abreast of current trends in field of expertise.
• Meet annual competency and retraining requirements. Maintain any certifications required for the Hospice Nurse Case Manager position.
• Attend meetings as required.
• Perform other functions/duties as requested.