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REGISTERED NURSE - HOSPICE JOB DESCRIPTION JOB SUMMARY The registered nurse plans,   organizes   and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.  The professional nurse   builds from   the resources of the community to plan and direct services to meet the needs of   individual   and families within their homes and communities. DUTIES & RESPONSIBILITIES Patient Care 1. Completes   an initial ,   comprehensive   and ongoing   assessments   of   patient   and family to   determine   hospice needs.  Provides a complete physical assessment and history of current and   previous   illness(es) . 2. Provides professional nursing care by   utilizing   all elements of   nursing   process. 3. Assesses and evaluates patient’s status by: a. Writing and   initiating   plan of care b. Regularly re-evaluating patient and family/caregiver needs c.   Participating   in revising the plan of care as necessary 4.   Uses   health assessment data to   determine   nursing diagnosis. 5. Develops a care plan that   establishes   goals, based on nursing diagnosis and incorporates palliative nursing actions.  Includes the patient and the family in the planning process. 6. Initiates   appropriate preventive   and rehabilitative nursing procedures.  Administers medications and treatments   as prescribed by   the physician in the physician’s plan of care. 7. Counsels the patient and family in meeting nursing and related needs. 8. Provides health care instructions to the patient as   appropriate per   assessment and plan. 9.   Assists   the patient with the activities of daily living and   facilitates   the patient’s efforts toward self-sufficiency and optional comfort care. 10. Acts as Case Manager and   assumes   responsibility to coordinate patient care for assigned caseload. Communication 1. Completes,   maintains   and submits   accurate   and relevant clinical notes   regarding   patient’s condition and care given.   Records   pain/symptom management changes/outcomes as   appropriate . 2. Communicates with the physician   regarding   the patient’s needs and reports changes in   the patient’s condition; obtains/receives physicians’ orders as   required . 3. Communicates with community health related   persons   to coordinate the care plan. 4.   Teaches   the patient and family/caregiver self-care techniques as   appropriate .  Provides medication, diet and other instructions as ordered by the physician and recognizes and   utilizes   opportunities for health counseling with patients and families/caregivers.  Works in concert with the interdisciplinary group. 5. Provides and   maintains   a safe environment for the patient. 6.   Assists   the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as   defined   by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when   required . 4. Assumes responsibility for personal growth and development and   maintains   and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively   participates   in quality   assessment   performance improvement teams and activities. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.  The employee may be requested to perform job-related tasks other than those   stated   in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) 1. Graduate of National League for Nursing accredited school of nursing. 2. Minimum of two years of experience, at least one of which is   in the area of   public health, home care, or hospice   nursing   is preferred. 3. Management experience   not   required .  Responsible for supervising hospice aides. 4. Registered nurse with current licensure to practice professional nursing in the state. 5. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist. 6. Shows   ability   to organize and prioritize workload independently. 7. Prolonged or   considerable   walking or standing.  Able to lift, position, and/or transfer patients.  Able to lift supplies and equipment.  Considerable reaching, stooping, bending, kneeling, and/or crouching.  Visual acuity and hearing to perform required nursing skills. 8. Maintains a current CPR certification. 9. The ability to drive and/or have access to transportation for   agency related   travel ( e.g.   community partners, patients, etc.) is an essential function of the job.  Must have and   maintain   a valid driver’s license,   maintain   automobile insurance   coverage   and have access to an automobile. 10. Self-directed and able to work with minimal supervision. PHYSICAL REQUIREMENTS 1. Employees are asked to sign a statement   indicating   whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. 2.   Typical functions of this role include standing, sitting, and walking   a majority of   the time.   There are occasions when kneeling, stooping, bending, or reaching may be necessary. 3. The employee must be able to lift and/or move up to 25   lbs   on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. 4.   Specific   vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth   perception   and ability to adjust focus. The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.  More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.