Job Description
The Registered Nurse will provide in-home services to our patients. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of care. Caseloads will vary from approximately 12-18 patients, depending on issues such as complexity of patient/family needs, geography, and home-based versus facility-based patients; Demonstrates competency in all skills required for the agency, including, but not limited to pain management, symptom control, infusion therapy, infusion therapy device care, wound care and aseptic technique; Demonstrates critical thinking, analysis and clinical judgment in the care of patients and families facing terminal illness; Addresses the physical, emotional, psychosocial, and spiritual needs of the patient and family/caregiver; Makes referrals to other disciplines as needed; Coordinates the total Plan of Care and maintains continuity of patient care by liaising with other health professionals assigned to the same patients; Attends all interdisciplinary group meetings; Initiates patient care conferences for complex patients whenever needed; Includes the patient/family in implementation of the patient care plan; Evaluates and routinely re-evaluates the nursing needs of the patient, and makes necessary revisions to the patient's Plan of Care as needed; Educates the patient and family/caregiver on their rights and responsibilities as a Hospice patient; Communicates with the patient's Attending Physician and the Hospice Medical Director keeping them informed of changes in condition; The Hospice Registered Nurse is a Case Manager of the patient's care and ensures that resources are utilized in an equitable and beneficial manner to meet needs; The RN Case Manager manages the patient's care from admission through discharge and coordinates with interdisciplinary team on bereavement.