Responsible for the delivery of patient care in accordance with acceptable standards of care in various care settings including patient homes, hospitals, long term care facilities, assisted living facilities and retirement communities in the hospice service area. Collaborates with other professional disciplines and members of the hospice interdisciplinary team to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Utilizes knowledge of patient's age, gender and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides supervision of the Hospice aides. Provides on-call coverage for the hospice program.
Preferred Licensure or other certifications: CHPN.
Preferred Educational Requirements:
Preferred Experience: Experience with emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care. Additional experience with children and infants desired. One (1) year hospice experience.
Other:
Job Summary
Responsible for the delivery of patient care in accordance with acceptable standards of care in various care settings including patient homes, hospitals, long term care facilities, assisted living facilities and retirement communities in the hospice service area. Collaborates with other professional disciplines and members of the hospice interdisciplinary team to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Utilizes knowledge of patient's age, gender and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides supervision of the Hospice aides. Provides on-call coverage for the hospice program.
Minimum Job Qualifications
Licensure or other certifications: Georgia RN licensure. Current BLS certification.
Educational Requirements: Associates Degree
Minimum Experience: Minimum of one (1) year of clinical nursing experience.
Other:
Preferred Job Qualifications
Preferred Licensure or other certifications: CHPN.
Preferred Educational Requirements:
Preferred Experience: Experience with emphasis on care of terminally ill patients, adults in acute care medical and surgical areas/home care. Additional experience with children and infants desired. One (1) year hospice experience.
Other:
NGHS Core Competencies
1. I Show Vulnerability when I:
trust others and assume positive intent.
am emotionally accessible and transparent without hidden agendas.
acknowledge weaknesses and accept responsibility for mistakes.
am comfortable saying "I don't know" and asking for help.
seek and accept feedback in a non-defensive manner.
forgive others and give the benefit of the doubt.
2. I Display Empathy when I:
seek to know others on a deeper level.
work to ensure others feel included.
accept others for who they are without judgment.
show concern for the well-being and challenges of others.
consider the human impact before making decisions.
3. I Demonstrate Courage when I:
do not hold back on anything that needs to be said.
do the right thing even when that is difficult.
speak my own truth, even when that means standing alone.
address potential conflict quickly and directly.
commit to seeing a difficult conversation through to the end.
4. I Demonstrate Radical Listening when I:
seek to understand the other person's viewpoint first, before expressing my own viewpoint.
listen for the unsaid.
ask questions to confirm understanding.
accept others' perceptions as their truth.
take action to help others feel fully heard and seen.
pursue as many different viewpoints as possible and embrace the bearer of bad news.
5. I Promote Teamwork when I:
treat others in a respectful manner, regardless of their position, identity, and background.
encourage and support my coworkers.
value and acknowledge others for their contributions to the success of the team and NGHS.
put the good of the team and NGHS first.
strive to find common ground to solve problems for the good of NGHS.
6. I Hold Others Accountable when I:
provide clear, consistent, and frequent communication about what is most important.
clarify what is less important to establish clear priorities.
help others see their blind spots.
look for every opportunity to provide reinforcing feedback.
provide immediate and actionable corrective feedback.
7. I Strive for Continuous Improvement when I:
hold myself personally responsible to seek improvements every day.
experiment regularly with new ideas and approaches.
demonstrate initiative and perseverance to overcome obstacles and resistance to change.
embrace mistakes and pivot quickly if a new approach fails.
seek to always be better tomorrow than today.
Organization Expectations
Quest: Demonstrates/utilizes Quest tools in department.
Talent Development: Coaches and develops staff.
Safety: Promotes patient, visitor and staff safety and effectively manages hazards that lead to injury or harm.
Productivity: Meets productivity expectations.
Regulatory Compliance: Ensures department's compliance with all regulatory, DNV, mandatory education, and similar requirements.
Key Performance Indicators (KPI)
Identifies unit/department level goals that align with the organization's Key Performance Indicators.
HIPAA (Health Insurance Portability and Accountability Act)
If, in the normal course of my duties and responsibilities, I am required to access protected health information (PHI) and electronic protected health information (EPHI) for the purposes of treatment, payment and operations within Northeast Georgia Health System, I will limit such access to only the minimum necessary amount of PHI and EPHI necessary to perform the functions of my job. If access is not required in the normal course of my duties and responsibilities, I will not access PHI or EPHI.
Job Specific and Unique Knowledge, Skills and Abilities
Strong clinical nursing and assessment skills
Ability to understand, interpret and adhere to regulations, agency policy/procedure and accreditation standards
Excellent customer service and interpersonal skills
Skill in documenting clinical care in software system via laptop computer
Able to work independently and as a member of a team
Heavy travel throughout service area; must have own automobile, proof of valid driver's license, and current auto insurance with a minimum of $100,000 liability. Hours may be extended to meet the needs of the agency. Twenty-four (24) hour on-call assignment as scheduled.
Essential Tasks and Responsibilities
Admits patients to the hospice program. Assesses the appropriateness of patient admission to the hospice program based on state, federal and regulatory requirements, hospice admission criteria and in consultation/coordination with attending physician and hospice medical director. Completes the admission visit utilizing specialized format of the agency and within specified time frame. Performs complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director, referral source, and hospice intake department.
Delivers nursing care according to the standards of care defined within the American Nurses Association (ANA) standards of Clinical Practice and Standards of Hospice Nursing Practice and Professional Performance. Performs routine, admission, death pronouncement, continuous care, and on call visits as assigned and/or as needed by patient/significant others. Implements the interventions identified in the plan of care and evaluates response to interventions in relation to expected outcomes. Supervises the hospice aide and LPN in accordance with State and Federal regulations and agency policy and procedure. Provides education and instruction patient and/or caregivers appropriate to the learning ability/level of the patient and/or caregiver. Assesses, instructs and refers as indicated to ensure a safe environment for the patient.
Documents care in accordance with medical documentation standards and in accordance with agency policy, standards and timelines. Completes patient charting in accordance with agency policy and procedure and within specified timeframes 100% of time. Charts concisely and legibly. Does not utilize unacceptable abbreviations. Documents in a manner that facilitates the determination of expected outcomes and plan of care, including interventions and response to interventions. Completes necessary paperwork/procedures for the appropriate payor to ensure proper reimbursement in accordance with agency policy and procedure.
Collaborates and communicates with the patient/family, Primary Nurse, Patient Care Coordinator, Physician, Referral Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and to participate in the development and monitoring of the plan of care to ensure effective patient case management. Acknowledges and honors the patient and significant others as vital members of the health care team. Communicates accordingly in assessing and establishing their needs and goals. Delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Consults with Attending Physician/Medical Director/health care providers for patient care, especially difficult to control symptoms of hospice patients. Recommends/assists the Primary Nurse in coordinating all aspects of care for patients and their families by appropriate communications with various IDT members and referrals to appropriate community agencies/resources as indicated. Notifies interdisciplinary team members of changes in patients' condition/support system/environment and changes made in specific duties in the hospice aide's assignment related to the patient's needs. Coordinates changes in level of care and care setting as indicated and in accordance with physician orders and agency policy.
Area/Unit Specific Essential Tasks and Responsibilities-On Call Hospice RN
Provides on call coverage after normal business hours. Responds appropriately to pages/calls from Hospice office, NGMC operator or Administrator on call concerning needs of patient, family, significant others, physician, referral sources. Handles calls with excellent customer service, compassion and clinical and interpersonal expertise. Verbally offers to make visit to each current hospice/significant other call for assistance, including when assigned to be on-call. Always provides visits when appropriates. If unable to assist an individual in need, offers to find someone who can. Visits within required time frames established by agency. Demonstrates good judgment and analytical ability in response to calls. Inspires confidence from callers and co-workers, remaining well informed and prepared at all times. Demonstrates caring and maintains calm and effective behavior during stressful situations. Responds appropriately to new referrals received while on call.
Considers factors relating to safety, effectiveness, performance improvement, and cost in planning and delivering patient care. Participates in peer chart review and other Quality Assessment/Performance Improvement activities as directed. Documents and processes all variances, medication errors, adverse drug reactions and infection surveillance in accordance with agency policy and procedure. Evaluates care from a cost effectiveness perspective and utilizing hospice philosophy of care. Understands hospice Medicare/Medicaid/payor benefits and delivers care in accordance with benefit and plan of care.
Maintains responsibility for communication and professional development and growth. Attends interdisciplinary team meetings, staff meetings and educational programs when indicated or obtains information through review of minutes, handout materials, video/audio tapes of sessions. Completes all required education within specified time frames. Seeks out education required to maintain clinical and regulatory expertise and knowledge. Completes required competencies within specified time frames. Observes established dress guidelines, visibly wearing the photo/name identification badge. Demonstrates knowledge and compliance with OSHA regulations, organization's safety policies and risk management program.
Physical Demands
Weight Lifted: Up to 50 lbs, Frequently 31-65% of time
Weight Carried: Up to 20 lbs, Frequently 31-65% of time
Vision: Moderate, Constantly 66-100%
Kneeling/Stooping/Bending: Frequently 31-65%
Standing/Walking: Frequently 31-65%
Pushing/Pulling: Frequently 31-65%
Intensity of Work: Frequently 31-65%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving #NGHSJOBS#LI-RB1
Environment and Working Conditions
OSHA Category I: Job classifications in which the normal duties may involve contact and potential exposure to blood or other potentially infectious or hazardous materials. Appropriate personal protective equipment is to be used whenever potential exists for exposure to potentially infectious or hazardous materials.