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
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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.
