As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey. From hospice and palliative care for adults and children suffering with life-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life's ever-changing landscape. We'll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life. .
The Hospice House RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process; coordinating the plan of care with the Interdisciplinary Group (IDG) and providing palliative and supportive care to the patient/family unit. The RN utilizes nursing interventions and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit during times of crisis.
In addition to RN Hospice House responsibilities, the RN Hospice House Preceptor plans, coordinates and carries out educational opportunities for Hospice House nurses. S/he orients the nurses to their role within the interdisciplinary team; evaluates job performance using competency checklist to insure each new nurse has successfully acquired knowledge and skills essential to providing patient care.
Current Florida license as RN, or current licensure from another state plus a temporary Florida permit.
- Valid driver's license and automobile insurance in the State of Florida.
- Reliable transportation to meet visit schedule.
- Minimum one (1) year in-patient nursing or hospice experience. Exceptions may be made by Director of Education and Director of Nursing Practice Standards.
- Ability to use equipment with visual and auditory mechanisms.
- Ability to effectively communicate in English.
- Flexible schedule to meet the needs of Hospice House patients.
- Ability to manage the emotional stress of working with and caring for terminally ill patients and their families.
- Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation.
- RN Hospice House Preceptor: One (1) year's experience as a hospice RN Hospice House preferred, with demonstrated competence in patient care and in depth understanding of Company systems.
"Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system required"
- Coordinate patient care, including assessing psychosocial, spiritual care, and volunteer needs, and make appropriate referrals, as needed.
- Provide and manage direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
- Coordinate the plan of care, insuring that an individualized plan of care is developed that accurately reflects the patient's evolving needs.
- Demonstrate clinical skills regarding: case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
- Consult, refer, and collaborate with other professionals to promote quality and continuity of patient/family care.
- Take verbal orders from physicians, ARNPs and physician's assistants.
- Educate patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
- Report changes in the patient's condition to appropriate members of the IDG or other health professionals.
- Participate with the IDG to evaluate hospice house referrals/admissions for level of care appropriateness.
- Attend patient deaths; prepare body for transport; oversee disposal of medications.
- Provide appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
- Accept responsibility and is accountable for nursing actions: demonstrate an understanding of the legal consequences of nursing actions; request supervision when needed; perform within the guidelines established by the Florida Nurse Practice Act.
- Document assessment, plan, intervention and evaluation on appropriate Company forms with accuracy, timeliness, legibility, professional terminology and awareness of legal and regulatory implications.
- Document patient condition and decline to support hospice and level of care appropriateness.
- Present concise and pertinent oral and written reports to IDG; respect and encourage input from all disciplines.
- Communicate accurately and completely to physicians, staff members, patients, families, and supervisors; utilize positive approaches when working with others.
- Supervise patient care given by other nursing team members; i.e., LPNs, hospice aides, and contract nurses.
- Exemplify behaviors supportive of internal mission statement.
- Schedule nursing visits, in conjunction with supervisor, based on patient/family needs.
- Participate in orienting new staff, students, volunteers and board members.
- Participate on committees and projects, as assigned.
- Act as a resource to peers, students, orientees and other staff members.
- Participate in activities and professional development that enhance hospice nursing skills.
- Participate in the broad education process of the Company, both to the medical and lay communities.