Jobs and Careers at the U.S. Medical Management Talent Network

PRN-On Call Registered Nurse

Department: Grace Hospice
Location: Norfolk, VA
Company: Grace Hospice

PRN-On Call Registered Nurse

At Grace Hospice, our mission is for each employee to treat every patient as their own treasured loved one, providing care that affords a quality of life that outweighs quantity of days, and supports caregivers as their hearts find healing.†† †

Our program ensures that our patients will spend the final days of their journey in comfort and with dignity. If you are caring, compassionate, and have a true desire to help others, becoming a member of the Grace Hospice team may be the perfect opportunity for you.

Some of the benefits and advantages of working with Grace Hospice Include:† †† †

  • †Grace Hospice is CHAP accredited and we are Members of the National Hospice and Palliative Care Organization.†††
  • †We invest in our employeesí career development and growth. †††
    • Comprehensive orientation programs for new hires†††
    • Leadership Academy meetings held off-site regularly for continuous development of our site leadership team members (Office Manager, CS, DCS, and Administrator).† †† †
  • †Grace offers advancement opportunities.†††
    • Grace Hospice has 27 locations across the U.S. and we are growing!† This growth creates additional advancement opportunities for strong performers.†††
    • We provide an innovative healthcare environment offering a clinical ladder. †††
  • †Grace is founded firmly on five pillars of excellence: People, Service, Quality, Finance, and Growth.†††
  • †Our environment offers collaboration and provides tools and programs to enhance our teamís ability to provide excellent care. †††
    • Our point-of-care system is state of the art:† HomeCare HomeBase. †††
    • Employees have access to referring physicians and other professional resources on a daily basis. †††
    • Inter-disciplinary Team conferences are held regularly to discuss and optimize patient care. †††
    • Our ĎMeaningful Memoriesí program is in development to provide exceptional patient experiences.†

POSITION DESCRIPTION

The On Call Registered Nurse is responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays. Under the general supervision of the RN Manager, she/he provides intermittent skilled nursing services; communicates the patientís progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • As scheduled, nurses in the On-Call position will work in the office assisting with medical records and order processing along with other duties as needed.
  • Assume primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours.
  • Report On-Call activities to the RN Manager and RN Case Managers at the end of the call shift
  • Maintain and complete appropriate On-Call Log documentation as well as care coordination notes for phone calls and communication, visit notes, and other pertinent clinical information.
  • Assist, provide, or arrange for delivery of medications and supplies needed after business hours, weekends, and/or holidays.
  • Attend interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient/family needs.
  • Under the physicianís order, admits patients eligible for hospice services.
  • Assess and evaluates patient needs/problems, identifies mutually agreed upon goals with patients.
  • Reports patient status and need for other disciplines to agency intake coordinator, RN Case Manager, RN Manager, and referring physician.
  • Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals. Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification.
  • Admit paperwork and patient care plan submitted to RN Manager within 2 days following the admit.
  • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information.
  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient IDG Plan of Care and as indicated by on-call needs
  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way.
  • Reports significant findings to patientís physician and RN Manager as they occur.
  • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy.
  • Submits change orders within 48 hours of occurrence.
  • Submits recertification paperwork by the due date provided by the RN Manager.
  • Schedules an IDT meeting with assigned RN Manager to review patientís needs, problems, level of care and any changes in Plan of Care for next cert period.
  • Completes communication note documenting plans for recertification were discussed and agreed upon between the physician, patient, and RN Manager.
  • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable.
  • Effectively communicates with all members of the healthcare team
  • Acts as the patientís advocate and as such is a liaison to assist in communicating the patientís needs to the multidisciplinary team
  • Supervises the hospice aide every 14 days. Provides direction and instruction as it relates to provision of personal care and related support services.
  • Completes documentation on hospice aide supervisory notes.
  • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manager.
  • Acts as a preceptor in the orientation of new nursing staff as directed
  • Attends staff meetings and educational in-services per agency requirements.
  • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences, and participation in professional and related organizations and individual research reading.
  • Obtains CEUís as dictated by the State Board of Nurses.
  • Attends at least 50% of the skilled nurse in-services and meetings provided by agency.
  • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services.
  • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams.
  • Follows agency policies and procedures.
  • Participates in discharge planning process.
  • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge.
  • Completes and submits along with other notes turned in per agency policy:
    • Patient Care Plan
    • Discharge Nurseís Note
  • Provide care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs.
  • Perform other related duties as assigned.

REQUIRED KNOWLEDGE, SKILLS, AND EXPERIENCE

  • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC), and
  • Three years recent experience as a professional nurse preferred with at least one in hospice
  • Ability to work in a field setting and exhibited ability to make sound nursing judgments; must be able to work independently
  • Ability to assess patient needs and formulate individualized patient care plans to meet those needs
  • Knowledge of physical, psychosocial and spiritual needs of terminally ill patients and their caregivers
  • Effective written and verbal communication skills
  • Must have a valid Driverís License as well as have and maintain an automobile to be used for work.

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