Description
Description
The on-call RN will have primary responsibility to assess patient need via phone triage or referral information, and provide appropriate care to home care and hospice patients after business hours Monday - Friday Weeknights.
The RN will assess, plan, implement and evaluate the care for a designated group of patients in their home. The RN will coordinate, direct, and promote positive patient outcomes and contribute to efficient agency operations. In addition, the Hospice RN will provide palliative care and support to terminally ill patients and their families.
Essential Job Functions
Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.
Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers.
Promote patient's independence by establishing patient care goals; teaching patient/caregiver to understand condition, medications, and self-care skills; answering questions.
Maintain safe and clean working environment by complying with procedures, rules and regulations; call for assistance from health care support personnel as indicated.
Document patient care services by charting in patient and department records
Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.
Maintain nursing supplies inventory by checking stock to determine inventory level; anticipate needed supplies place and expedite orders for supplies; verify receipt of supplies; use equipment and supplies as needed to accomplish job results.
Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients' homes, in accordance with federal regulation and accrediting bodies.
Resolve patient problems and needs by utilizing multidisciplinary team strategies.
Maintain a cooperative relationship among health care teams by communicating information; respond to requests; build rapport; participate in team continuous quality improvement and problem-solving methods.
Contribute to team effort by accomplishing related results as needed.
Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.
Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.
Ability to think and concentrate for an entire shift.
Specialty Job Functions
Provide nursing care and assessment to home care and hospice patient after normal business hours.
Triage patient phone calls received by the answering service.
Provide appropriate professional care based on triage phone call. This may be phone assessment and instruction, a home visit, phone call to the physician, or facilitate a transfer to another level care.
Receive and process from referral sources after hours referrals for home care or hospice care.
Contact patient/family to assess need for immediate home visit.
Make home visit or schedules for the next day.
Communicate care needs to appropriate personnel - supervisor, primary nurse or therapist.
Hospice Role to understand the Hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient.
Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation.
Assess eligibility for Hospice care and obtain the informed consent prior to the initiation of services.
Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional, and spiritual need of the terminally ill patient and their family.
Follow established guideline for pain and symptom management to enhance quality of life.
Educate patient and caregivers regarding the care needs at the end-of-life, including palliative care measures.
Provide supportive psychotherapy.
Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources
Function as a resource for Agency staff with patients demonstrating mental health issues as a secondary diagnosis.
Maternal/Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications.
Maternal/Child Nurse Role: Instruct and assess the newborn and child's physical and emotional development, adjustment and/or abnormalities and report to the physician.
Maternal/Child Nurse Role: Provide prenatal nursing services, which includes instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection and intervention of complications.
Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients' homes, in accordance with federal regulation and accrediting bodies.
Demonstrate a general knowledge of all Excela Health services and a high degree of knowledge in targeted programs and services.
Communicate operational changes or newly created programs and services to physicians and their office staff.
Other related duties as assigned.
Required Qualifications
Graduate of an accredited Nursing Program required.
Strong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem-solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice.
Preferred Qualifications
Minimum of one-year recent experience in home care, hospice, hospital or other related setting.
License, Certification & Clearances
Current licensure to practice as a Registered Nurse in the State of Pennsylvania required.
Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.
Act 33 with renewal
Act 34 with renewal
Act 73 FBI Clearance
Valid PA Driver's License.
Supervisory Responsibilities
This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department.
Position Type/Expected Hours of Work
Regular, consistent, on-site and timely attendance.
Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
Travel may be expected locally betwee
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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