Must maintain a current license to practice as a Registered Nurse in the State of Oregon. Minimum of one year work experience as a professional community health nurse (Hospice, Home Health), preferably with one year end-of-life, acute care experience. Oncology preferred. Must be able to function as an efficient, effective and collaborative member of the Comfort Hospice Team and all other teams within this agency and other facilities with primary emphasis as relates to the Comfort Hospice Patient Plan of Care. Must be able to create a professional presentation in all aspects – communication, presence – and maintain a positive and comforting atmosphere during the introductory meeting with patient/families. Must understand and remain in compliance with Oregon State Board of Nursing, Nursing Practice Act, and Scope of Practices relevant to Licensed Nurses and standards as related to Divisions: 31, 45, 47, 50, 56 and 63. Must understand and remain in compliance with the American Nurses Association Code of Ethics for Nurses. Must have, provide and maintain proof of professional liability insurance coverage. Must have current and maintain CPR certification and TB testing. Basic nursing skills and pharmacological comfort-based training/understanding related to end-of-life comfort-based care.
• Is responsible to report for work at scheduled time, ready to perform work functions and remain on task while completing entire scheduled shift.
• Complies with all applicable laws and regulations with respect to collaborative agreements.
• Is sensitive and compassionate with patient-centered attitude toward accepting death as a part of life; enhancing the quality of patient’s end-of-life experience, for those assigned to his/her care.
• Using a patient-centered approach schedules and completes the initial assessment within 48 hours of election of hospice care. Completes comprehensive assessment within 5 days. Reports and collaborates with the Comfort Hospice team all appropriate information and facilitates development of the Interdisciplinary Plan of Care. Develops CNA plan of care as needed.
• Works closely and cooperatively with Comfort Hospice team and Attending Physician
• Ensures a timely response to any immediate or urgent nursing needs identified in the assessments.
• Obtains medical information from referring physician, hospital, etc. regarding patients being admitted. Required information included, but not limited to:
RN CASE-MANAGER RESPONSIBILITIES CONTINUED:
1. Admitting diagnosis and prognosis; current medical findings, including specific clinical indicators; history of changes in indicators and data to support the terminal diagnosis.
2. Dietary information/requirements, including any restrictions.
3. Orders for medications, treatments and symptom management.
4. Information about the medical management of patient conditions unrelated to the terminal illness.
5. Designation of an alternative physician to be contacted if the attending physician were unavailable during patient emergency or non-business hours.
6. Discharge Summary from any medical facility (e.g. hospital) recently discharging the pt.
• Briefs the Patient Care Manager on all new admissions on the day of admission. Provides legible, concise, clear, complete and appropriately authenticated documentation dated in accordance with Hospice Policy and currently accepted standards of practice.
• Ensures the clinical record, with all the information contained therein, is safeguarded from loss or unauthorized use.
• Communicates regularly with the Patient Care Manager and other staff members to review problems about unique patient issues, share professional support, and exchange feedback aimed toward enhancing patient-centered care.
• Actively participates in Interdisciplinary Group, Comfort Hospice teams, required staff meetings, etc. Updates and amends plan of care as needed and at least every 15 days.
• Completes timely CNA supervisions and maintains aide plan of care.
• Participates in the Comfort Hospice Orientation, volunteer training and in-service training programs for professional staff; maintains a record of programs attended.
• Individually responsible to conduct him/her in a safe manner during the performance of all job related duties. Also responsible to bring unsafe conditions to the attention of the Patient Care Manager or Executive Director.
• The workweek consisted of five eight hour days or four ten hour days (to be determined) with occasional on-call and/or administrative back up responsibilities. Required to be available on a flexible schedule to ensure the care delivery process is completed.
• All other duties/tasks as deemed appropriate for an RN as requested/delegated or assigned by immediate supervisor or Executive Director.
• Responsible to provide continuity of care to patient/family by providing personal status report in regards to anticipated absence and a 45 day letter of resignation if/when it was determined a job change was needed (understanding negotiations maybe be possible).
III. JOB CONDITIONS
Job requires the ability to:
• Access patients’ homes and all rooms therein
• Drive a car
• Communicate effectively with patient/families both verbally and written
• Current TB test, driver’s license, auto insurance and dependable means of transportation required
• Functions with proficiency using Consolo software
1. Must be able to safely lift/transfer a maximum of 50lbs., required use of a 2-person assist with any awkwardly shaped or heavier person or object.
2. Must be able to safely negotiate in a variety of environments, e.g. step stairs, uneven surfaces, cramped physical quarters, etc.
3. Ability to drive in a variety of road and weather conditions, day or night, adhering to all safety standards, seat belts and no use of cell phones.
IV. ORIENTATION AND TRAINING
Comfort Hospice and Palliative Care will provide orientation and training on Hospice philosophy and procedures as necessary, to assist the RN Case Manager in performing the responsibilities listed above. Training may be in-house, or outside seminars. Evidence of orientation and training will become part of the personnel file.
Reports directly to the Patient Care Administrator.