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Prisma Health

Registered Nurse (RN) - Inpatient Hospice - PRN Variable

Prisma Health, Seneca, South Carolina, United States, 29672


Inspire health. Serve with compassion. Be the difference.

Job SummaryThe hospice registered nurse utilizes the nursing process to provide hospice and palliative care to the terminally ill patient, regardless of their age, and supportive care to the patient's family in the Hospice House.

Adheres to all compliance and policy and procedure requirements of the organization including, but not limited to:

licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration.

Demonstrates knowledge of regulatory agency requirements (The Joint Commission, DHEC).

Provides care within the scope of the SC Nursing Practice Act.

AccountabilitiesAssessment and Planninga. Assesses patient physiological, psychosocial, developmental, environmental needs, and thefamilies' need for supportive care. Considers the physical, emotional, and spiritual aspects of thepatient/family when assessing the patient's needs. Assesses pain and other symptoms. Offersinput into the interdisciplinary Plan of Care based on assessments. Provides assessment tophysician. Documents assessments in the medical record .b. Develops an individualized nursing and a CNA plan of care, as needed, seeking input from thepatient and family. Monitors and updates the plans of care, as needed, due to changes in statusand family needs.c. Assess for, and provides education to, patient/family. Monitors the patient's/family's need foradditional services and refers to other members of the hospice team.d. Develops a plan of care for the time of death that meets the express wishes of the patient/family.Implementationa.Performs appropriate nursing interventions with thorough and timely documentation in patient'schart.

Utilizes standing orders and medical authorization guidelines to guide practice.b. Reports assessment findings and changes in patient's condition to physician;

makesrecommendations.c. Recognizes the family decision-making role and patient's right to self-determination.d. Oversees CNA's performance of the Plan of Care according to requirements.EvaluationEvaluates the the effectiveness of specific interventions and the resulting movement toward goals. The evaluation process is reflected by patient's response to any treatment and/or medication administered, patient's disease progression and family's response to change, patient's progress toward goals and achieved outcomes, patient/family response to teaching, family caregiver's potential and current ability to cope with the physical and emotional demands of their role in patient's care, and cultural needs and/or developmental needs.BereavementUnderstands the importance of continued support for the family during the process of bereavement through bereavement follow-up with patient's family, supporting the bereavement POC, attending funeral, visitations or memorial services whenever possible, and attending scheduled bereavement program events, supporting those families served. Is knowledgeable of the process of grief/loss and demonstrates appropriate supportive interventions.Continuitya. Facilitates continuity of care with other team members and other agencies through accurate andtimely exchange of information.

Communicates on a regular basis with all staff/volunteersregarding patient status. Communicates with physicians and others, as needed, to coordinate andensure quality care. Provides ongoing communication with all Hospice team members. Attendsand participates in

team meetings, briefings and other related activities.b. Communicates verbally and in writing with pharmacy, DME vendors, material management and insurancecompanies to help control agency costs.c. Documents all clinical findings, interventions, physician orders, changes in the Plan of Care, telephone calls, team conferences and referrals.d. Initiates POC at time of death and notifies all appropriate persons/agencies. Completes all

discharge paperwork.Agency NeedsPerforms the following tasks in support of the general needs of the department:a. Participates in review of quality data and makes appropriate recommendations for improvement.b. Performs admission, evaluation visits and consultative services as requested.c. Works on various projects and committees as requested.d. Educates the public regarding end-of life issues.e. Assists with the orientation and training of students/new

employees/Volunteers.

Supervisory/Management

ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.

Minimum EducationAssociate's Degree- Nursing

Minimum ExperienceNo experience required.2 years- Acute Care Nursing is preferred.

Required

Certifications/Registrations/LicensesRN - REGISTERED NURSE - (Code NLRN)Valid driver's license, an acceptable motor vehicle record as defined by the Acceptable Motor Vehicle Record (MVR) Chart, and a certificate of auto insurance.Other Required ExperienceBSN- PreferredExperience in hospice or other home care services- Preferred

Work ShiftDay (United States of America)

LocationHospice Of The Foothills

Facility1067 Hospice - Upstate

Department10696050 Nursing Service

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