Hospice Admissions Nurse

About This Role

This nursing role focuses on providing skilled care to hospice patients in their homes, following physician orders and established care plans. It involves comprehensive assessment, health teaching, and continuous evaluation of patient needs, while fostering positive relationships with patients, caregivers, and doctors.

Responsibilities

• Follow Agency Policies and Procedures, Federal and State Regulations and Standards of Practice
• Attend Agency In-services, Case Conference, or other meetings as requested
• Provide skilled nursing services in accordance with the orders of a physician and under a plan of care in a patient
• Observe, assess, nurse diagnose, counsel, care for, and health teach the ill, injured, or confined, and maintain health and prevent illness of others
• Record the health needs of the patient
• Perform and complete start-of-care assessment, medication profile, initiate Nursing or Home Health Aide plan of care, and/or Homemaker/Companion service plan and associated paperwork in accordance to agency policy
• Evaluate the effects of the care given and regularly reevaluate the patient
• Evaluate and revise the plan of care, as necessary
• Provide those services requiring substantial specialized nursing skill based on the physician
• Foster a positive relationship with patients/caregivers and doctors to improve patient outcomes
• Strive to improve patient outcomes
• Strive to maintain positive internal and external customer service relationships
• Demonstrate effective leadership skills
• Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed
• Plan and organize work effectively and ensure its completion
• Demonstrate reliability by arriving at work on time and taking breaks in expected time frames
• Meet all productivity requirements
• Demonstrate team behavior and promote a team-oriented environment
• Represent the organization professionally
• Demonstrate initiative, strive to continually improve processes and relationships
• Exercise necessary cost control measures
• Notify patient/clients prior to visit and communicate further visits scheduled
• Drive responsibly and safely to and from client
• Schedule own time based on priorities and maintain productivity utilizing time management
• Provide appropriate and thorough service to patients/clients, ensuring proper completion of services in an accurate and timely manner and in accordance with agency policy
• Make the initial patient/client Start of Care (SOC) assessment within an appropriate time as scheduled by the agency
• Demonstrate respectable customer service and professionalism
• Establish Home Bound Status and document
• Provide skilled services and/or supervise, requiring substantial knowledge and skills in accordance with the Plan of Care (POC) and accepted standards of professional practice
• Determine discipline frequencies according to physician order and/or assessed needs
• Implement and adhere to physician
• Obtain physician order or verbal orders for Start of Care (SOC) or Resumption of Care (ROC) or Recertification (RECERT) within twenty-four (24) to forty-eight (48) hours from time of service
• Notify physician with any changes with the initial plan of care (POC) and obtain any appropriate orders
• Provide teaching to patient/client and answer health-related questions and document patient/client/caregiver understanding of education
• Complete Home Health Nursing Aide care plan and make supervisory visits on Home Health Aides at least every fourteen days (14)
• Perform Supervisory visit at least every 30 days for LPN and document in Supervisory note
• Document patient
• Assess any medication changes with each Re-visit and update Medication Profile Form in the home and in the agency
• Notify physician with any change in client condition, abnormal findings and new medications
• Complete Discharge Oasis and Discharge Summary when patient/client is discharged
• Complete Recertification Oasis every sixty (60) days while on service and obtain new orders for new plan of care
• Communicate with staffing coordinator with any scheduling concerns and/or changes in patient/client assignment
• Communicate all Start of Cares (SOC), Resumption of Care (ROC) or Recertification (RECERT) to the clinical support division within twenty-four (24) hours of completion
• Maintain continuity of care and document communications with others within the health care team
• Demonstrate work that meets quality standards
• Communicate regularly with Director of Nursing and Clinical Supervisor with all patient/client concerns or ideas for better patient/client outcomes
• Adhere to Agency Code of Conduct, Standards of Practice, and Patients/Clients Rights/ Responsibilities
• Demonstrate professionalism in appearance, adhering to Agency dress code

Requirements

• Currently licensed as a Registered Nurse to practice in the State of Arizona (or) Current multi-state license from another compact state utilizing their valid compact state license for up to 30 days until an Arizona permanent license is issued
• Accessible transportation to and from patients/clients visits
• Ability to lift 30 pounds, move intermittently throughout the work day, inclusive of sitting, standing and bending, pushing, pulling or moving objects and patients/clients

Important Details

• Team: All employees of the organization

About the Company

This organization strives to improve patient outcomes and maintain positive internal and external customer service relationships.