Hospice Nurse RN - MyMichigan Health

Summary:The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient populations for this position are those requiring skilled clinical home care services. Activities of this position are patient focused and utilize the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures.Responsibilities:

(20%)* Initiates plan of care for assigned patients and revises and adapts as necessary.

 

(20%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.

 

(20%)* Provides nursing care (or arranges for services through specialized staff) through ongoing visits to a group of patients, sharing the patient caseload.

 

(20%)* Coordinates patient care by evaluating outcomes and providing on-going feedback to others involved in care relative to patient status and changes needed on patient care plan.

 

(10%)* Provides patients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of function and end of life care as appropriate in addition to case manager.

 

(10%)* Function as case manager for assigned case load for overflow, if necessary.

 

OTHER DUTIES AND RESPONSIBILITIES:  

Understands criteria for admission and recertification for care and takes appropriate actions in response to conditions related to these criteria.

 

Coordinates care provided by LPN’s and Home Health Aide’s.

 

Provides symptom management for discomfort related to end of life care.

 

Implements preventative and rehabilitative nursing procedures and utilizes community resources for optimum patient care.

 

Notifies physician of changes in patient condition and care needs and obtains new orders as needed.

 

Utilizes Agency documentation system to record services provided according to agency, professional, and program standards. Assists in maintenance of patient records.

 

Participates in the clinical team in providing patients/caregivers with information required by regulatory agencies.

 

Establishes a Home Health Aide care plan and supervises the Home Health Aide according to Agency guidelines. May make joint visits with other disciplines to assure consistency of care.

 

Functions as part of multi-disciplinary team in coordinating care including planning for discharge.

 

Acts as a preceptor to provide educational visit opportunities for students and will participate in orientation of new staff as assigned.

 

Participates in Agency, community and/or home health organization activities as assigned appropriate.

 

Participates in staff meetings, in-service education programs, and other opportunities for learning, including case conference and IDT.

 

Complies with documentation requirements for employee personnel and activity records as defined in Agency policy.

 

Carries out work according to Agency policies and procedures in such a manner as to appropriately reflect Agency standards for timeliness, accuracy, and productivity.

 

Maintains confidentiality of client and Agency information.

 

Carry beeper and triage/respond to afterhours concerns from patients and/or family.

 

Check voice mail at beginning of shift each day and at least two or more times during your workday.

 

Adheres to the Agency standards related to personal appearance and behavior.

 

Participates in weekend and holiday rotations and on-call duties as identified in personnel policies.

 

Participates in Agency performance improvement process.

 

Assists in Agency community education activities as requested.

 

Optional duties:  available upon request and with consent; perform additional patient related duties and assignments during non-scheduled hours.  Provide back up coverage for designated areas for visits and admissions during normal business workweek and after hours during the week.

 

Other duties as assigned.

 

MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MidMichigan Health.

Certifications and Licensures:

Credential:DRIVERSLIC: Drivers License

Equivalent Experience: 

Qualification Source:

Essential: true

 

 

Credential:RN: Registered Nurse

Equivalent Experience: 

Qualification Source:

Essential: true

 

 

Credential:BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true

 

 

Credential:VEH INS: Vehicle Insurance

Equivalent Experience: 

Qualification Source:

Essential: true

 

 

Credential:FINGERPRIN: Fingerprinting

Equivalent Experience: 

Qualification Source:

Essential: true

 

 

Required Education:

Education: ASSOC

Equivalent Experience: 

Education Specialization: NRG

Essential: true

 

 

Other Information:

EXPERIENCE, TRAINING AND SKILLS:

One year of direct patient care nursing experience prefer med/ surg experience.

 

Access to reliable transportation.

 

Able to function as part of a team.

 

Successful completion of Agency orientation and competency programs.

 

Ability to communicate effectively, verbally and in writing.

 

Ability to speak, write, and understand the English language.

 

Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships.

 

Ability to work independently, demonstrating problem solving and organizational skills.

 

Ability to drive under hazardous road conditions.

 

Ability to work where employee may be exposed to communicable diseases in unpredictable home situations.

 

Ability to use personal protective equipment correctly.

 

Ability to perform essential job functions with reasonable accommodation.

 

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

 

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

 

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

 

Overall vision and hearing is necessary with or without assisted device(s).

 

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

 

Some exposure to blood borne pathogens and other potentially infectious material.  Must follow MidMichigan Health bloodborne pathogen and TB testing as required.

 

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

 

Overall dexterity is required including handling, reaching, grasping, fingering and feeling.  May require repetition of these movements on a regular to frequent basis.

 

Physical Demand Level: Medium.  Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

 

 

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