The Registered Nurse, working as the Case Manager, has primary responsibility for the interdisciplinary physical, psychosocial and spiritual care of the patient with the goal of maintaining the highest level of comfort and quality of life.
Essential Position Functions
- Completes initial assessment of physical and home care needs of the patient; provides information to the patient and family regarding the hospice philosophy of care.
- Collaborates with interdisciplinary team to establish patient goals at the time of admission.
- Travels to and from patient's physical location (Home, ALF, NursingHomeetc.) to provide care.
- Assumes primary responsibility for physical care of the patient following orders of the attending physician and under the guidance of the Nursing Supervisor. Provides direct nursing care to the patient with a goal of maintaining the highest level of palliative care and quality of life.
- Responsible for entering patient medications into the McKesson system upon admission and throughout the patient course of treatment.
- If any changes or refills are required for medications, the case manager will fax/call to HPH pharmacy.
- Monitors medications taken by the patient, ensures adequate supplies are on hand, and instructs patient and family in appropriate use.
- Contacts the attending physician when changes in patient's condition require alteration or addition to the Plan of Care (e.g., changes in medication).
- Educates patient and family regarding symptom control, palliative care and patient care skills.
- Provides emotional support to patient and family.
- Documents all care given on nursing visits in a timely manner in the McKesson system and on appropriate hospice forms.
- Documents frequencies of each discipline using the McKesson system on day two of admission and at any other time with level of care change.
- Responsible for ordering and coordinating the delivery of durable medical equipment (DME). Will also notify of discharge and arrange for pick up of equipment.
- Documents supplies used during a visit in the McKesson system.
- Documents time and travel associated with each patient visit, to include non-visit activities (labs, prescription drop off, etc.).
- Participates in interdisciplinary team meetings; reports changes in the patient's condition and resolution of problems relating to nursing care; and refers relevant patient and family needs to Support Services. Updates IDT Plan of Care regarding problems and interventions.
- Completes Monthly Summary of patient activity using the McKesson system.
- Receives fifteen day notice from Supervisor for patient re-certification. Completes re-certification in the McKesson system.
- Receives scheduled visit five days prior to re-certification and documents re-evaluation assessment in the McKesson system.
- Responsible for updating the patient acuity level in the McKesson system upon re-certification.
- Supervises Hospice Aides as assigned by the Nursing Supervisor.
- Rotates on call and weekend duty with other nurses as scheduled.
- Performs additional duties as deemed appropriate by the Nursing Supervisor or Clinical Manager.
- Completes quarterly medical record audits.
- Completes Program Expense Sheet in the McKesson system to notify Supervisor of event for approval.
- Provides Supervision desk relief as needed
- Licensure as a Registered Nurse in the State of Florida.
- All clinical staff must have and maintain CPR.
- One year of experience as an RN in an acute care facility or other equivalent experience.
- Ability to perform weight-bearing activities (e.g., lifting, turning and ambulating the patient) without physical restriction.
- Willingness to care for all terminally ill patients, regardless of the nature of the illness.
- Ability to communicate effectively orally and in writing.
- Basic Windows based computer skills.
- Ability to safely operate a motor vehicle in all day and night time driving conditions.
- Customer Service Orientation ' Listening and understanding the customer (both internal and external) and anticipating and evaluating the customer's needs; making the customer's satisfaction a high priority in all areas of responsibility.
- Judgment ' Deciding on and committing to an action on the examination of the facts at hand; finding creative solutions to situations and opportunities that arise; taking strategic risks when necessary.
- Teamwork ' Supporting, facilitating, and participating in activities that promote team effectiveness; demonstrating sensitivity for the feelings and needs of team members and supporting team goals.
- Concern for Detail ' Pays attention to every portion of any task, down to the smallest item.
- Ability to multi-task, prioritizes, and is able to work with a flexible work schedule.
Typical Physical Requirements
- Stooping, sitting, standing walking and stretching.
- Ability to perform the essential functions of the position with or without reasonable accommodation.
- Coping with demands (stresses) that are associated with the job and/or the work environments so that acceptable levels of performance and overall contribution can be maintained.
- Interaction with patients, family members, employees and volunteers.
- Normal walking between offices and departments.
- Ability to navigate through patient homes, rooms, up-stairs and through tight areas.
- The employee may spend greater than 75% of their shift in an environment that is not controlled by the Agency. In a client's home the employee may be (and often is) exposed to unsanitary conditions, cigarette smoke, pets, allergens, or other hazards that may pose a safety risk.
- The employee may be exposed to all weather conditions that are common to the service area and may be required to work in client's homes where the temperature may not be controlled.
- The employee may be exposed to communicable diseases, blood borne pathogens and/or hazardous materials.