Registered Nurse, HHA-PRN |
| Location: | Lafayette, IN |
| Exempt/Non-Exempt: | Non-Exempt |
| Benefits: | Not Benefit Eligible |
| Type: | PRN |
| Facility: | Home Hospital |
| Description: | Provides nursing in the community through the process of assessment, planning, implementation and evaluation. Communicates and consults with patients, families, physicians, therapists, home health aides and hospital staff to coordinate patient care and evaluate its outcome. Reports to Supervisor, Home Care Services (Intermittent Skilled Care), Field Supervisor (Private Duty) or Hospice Supervisor (Hospice). |
| Duties: | Assessment
Makes initial nursing evaluation visit as assigned. Completes an initial and ongoing comprehensive
assessments of the client’s needs.
Determine scope and frequency of services needed based on acuity and patient/family needs.
Initial assessment of the hospice patient to include the impact of the terminal diagnoses on the patient’s physical,
functional, psychosocial and environmental needs and activities of daily living. Assessment to include risk for
pathological grief, cultural and spiritual implications and verbal and non-verbal communication patterns. (Hospice)
Completes OASIS assessments at appropriate time points. (Home Healthcare Agency)
Completes all documentation, including psychosocial, environmental and physiological factors affecting the patient, on admission paperwork to initiate a plan of treatment according to policy.
Validates information obtained by others and includes only relevant data in assessment documentation.
Assess and evaluates outcomes of care
Provides adequate patient information to other team members as needed.
Assesses home for safety needs.
On-going evaluation of patient/family responses to care.
Assessing the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
Preparation of clinical and progress notes in a timely manner that demonstrate progress toward established goals.
Planning
Plans ways to meet patient needs and make improvements in the quality of care.
Develops patient care plan, according to policy, which addresses health care needs.
Revises care plans as needed and no less than every 60 days.
Establishes realistic, measurable goals with the patient and family.
Communicates and involves other disciplines, physician, family and patient in developing care plan.
Serves as a core member of and collaborates with Interdisciplinary Group (IDG) in the development of the patient care plan. (Hospice)
Interventions
Provides care according to the written patient care plan and the signed plan of treatment.
Provide services and/or treatments requiring substantial and specialized nursing skill.
Specialized nursing skills related to palliative and end-of-life care to include consulting and educating the patient/family regarding the disease process, self-care techniques, end-of-life care and the processes for dealing with issues of ethical concern. (Hospice)
Adapts and implements teaching/counseling techniques to the level of the patient/family comprehension meeting nursing and related needs.
Makes referrals to appropriate personnel and disciplines based on patient’s needs.
Supervises and guides care provided by Home Health Aide.
Performs Home Health Aide supervisory visits every 14 days.
Promotes self-care and independence in care by patient and family members and utilizes community resources, if appropriate.
Identifies and makes arrangements for patient supplies and medical equipment needs.
Initiate appropriate preventive and rehabilitative nursing procedures.
Manage discomfort and providing symptom relief. (Hospice)
Provide specialized hospice training to other staff, family members and informal caregivers to ensure adequate
care. (Hospice)
Evaulate own needs for support and using identified system(s) to meet the need. (Hospice)
Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care
and the patient’s eligibility. (Hospice)
Case Manager Role
Manages a case load of patients
Coordinate all patient/family services and prioritization of needs with the members of the interdisciplinary team. (Hospice)
Schedules visits appropriately according to patient’s needs and physician orders.
Reviews assignment with associate nurses or aides to clarify patient care to be provided.
Communicates with physician and other staff regarding any changes in patient’s needs, condition change and patient’s progress or lack of progress using current process and technology available to the organization.
Maintains a thorough record of nursing observations and patient care activities on each patient assigned.
Follows procedures in completing all documentation correctly and effectively in a timely manner, according to agency policy.
Takes call as assigned and follows up as appropriate.
Participates in Case Conferences as required.
Communicates with third party payers as needed to assist with authorization of visits.
Supervision of LPNs/LVNs and paraprofessionals providing services to the patient according to regulatory
guidelines.
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| Qualifications: | Knowledgeable of scientific principles as applied to the nursing process.
Must demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served.
Ability to assess and respond to the needs of patients and families coping with terminal illness.
Ability to cope with family emotional stress.
Sensitive to issues of loss and grief.
Minimum Position Qualifications
BSN with one year home health/community health and/or hospice experience preferred.
Current Indiana Registered Nurse license is required. CPR certification required. IV certification required. Current Indiana Drivers License required
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