Description: |
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The Primary Nurse (PN) is a member of the core interdisciplinary
team responsible for the care and case management of
patient/families admitted to hospice service. The PN in
collaboration with pt/family, physician and interdisciplinary team,
develops and coordinates an individualized Plan of Care (POC) that
reflects pt/family goals related to Safe & Comfortable Dying, Self-
Determined Life Closure and Effective Bereavement.
The PN demonstrates: sensitivity and compassion for the issues
involved with serving patients and families facing a terminal
illness, death and bereavement; clinical competence in pain and
symptom management; and fiscal responsibility in the planning and
delivery of services.
ESSENTIAL RESPONSIBILITIES:
Patient/family care
Recognizes the patient and family as the unit of care and
active members in the development of the POC.
Respects patient right to self-determination and acts as
advocate within the context of the values and ethical standards of
HSCC. Meets pt/family where they are.
Utilizes nursing process in providing primary care to
pt/families.
Documents all care and care planning per agency policy.
Provides nursing interventions for pt/family as ordered by
the physician and in accordance with the POC, safe nursing
practice and the policies and procedures of HSCC.
Assesses and monitors management of pain and symptoms in
collaboration with patient/family, IDG and physician to achieve
maximum comfort.
Exercises good clinical judgment.
Administers medications and treatments as ordered prn.
Demonstrates the ability to articulate the parameters of
hospice care and services.
Demonstrates the ability to work with pt/families under
stress & in crisis.
Develops, manages, reviews & revises HHA POC & supervises HHA
performance per HSCC policies & procedures.
Instructs and supports pt/family unit re: symptom mgmt,
patient care, disease process & death/dying.
Participates in providing after-hours coverage to pt/family
as needed.
Case Management
Manages a caseload of 8-10 (.8 FTE) or 10-12 (1.0 FTE) within
assigned hours.
Overtime requests are appropriate and approved in advance.
Visit frequencies are appropriate to patient status.
Plans & provides care within the structure of the Conditions
of Participation & the Hospice Medicare/Medi-Cal Benefit.
Collaborates with IDG & Attending Physician to develop,
manage, review and revise a written POC that includes identified
goals, interventions and outcomes that address pt/family physical,
psychosocial and spiritual goals related to Safe & Comfortable
Dying, Self-Determined Life Closure and Effective Grieving.
Opens, closes & revises POC per HSCC guidelines.
Documents all contacts/instructions/ interventions per HSCC
policies & procedures.
Obtains medications, medical supplies and equipment per pt
need/physician order.
Demonstrates understanding of pharmacy-related policies &
procedures.
Assess patients continued appropriateness for hospice care
per HSCC Recertification protocols.
Completes Recertification documentation in a timely and
accurate manner.
Exercises professional management and coordinates care
between and among involved parties in home, SNF and RCFE setting.
Provides concise and timely on call reports.
Submits completed paperwork & time sheets within the time
frames per HSCC policies & procedures.
REQUIREMENTS:
Require current California RN license, valid state drivers license
and liability auto insurance.
EDUCATION / EXPERIENCE:
Prefer technical experience with ports, IVs, TPN, 3-5 years RN
experience in hospice, oncology, medsurg, ICU or homecare and
electronic medical record keeping. Previous experience working with
end of life is desirable.
SKILLS REQUIRED:
Bilingual in English/Spanish encouraged but not required.
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