RN Home Health - We
RN Home Health - We
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Registered Nurse Hospice Weekends
$10000 Signon Bonus for Experienced RNs
Additional $1500 Signon Bonus for Candidates with relevant HomeCare Homebase Experience
Company Car Available
Full Time 48 Hours Per Pay Period Every Saturday and Sunday 8a8p
Sevier/Hamblen Coverage
Covenant HomeCare isEast Tennesseeslargest nonprofit homecare and hospice provider. Since 1978 we have provided quality home healthcare to allow patients to live with comfort dignity and independence. We care formore than6300 patients in our HomeCare and Hospice program every year. Covenant HomeCare is a proud member of Covenant Health our regions topperforming healthcare network.
Position Summary:
Provides professional nursing care to an assigned group of terminally ill patients; coordinates care planning working in conjunction with the interdisciplinary team to ensure the best possible outcomes for patients duration of life. The RNHospice will work 12 hours each day on the weekend shift starting Saturday at 8AM and Sunday 8AM. Two twelvehour oncall shifts are also required starting on Saturday at 8PM and Sunday at 8PM. The RNHospice reports to the assigned Hospice Clinical Supervisor.
Responsibilities
- Conducts initial and ongoing assessment of the impact of the terminal illness on the patients physical functional psychosocial and environmental needs and activities of daily living.
- Facilitates a palliative Milieu in the home that promotes a smooth transition at time of death.
- Risk for pathological grief
- Cultural and spiritual implications
- Verbal and nonverbal communication patterns
- Implements the individualized plan of care and recommends revisions to the plan as necessary.
- Symptoms management focused care prioritizing comfort at end of life by reducing pain and suffering.
- Specialized nursing skills related to palliative and endoflife care
- Consults with and educates the patient/family regarding:
- The terminal dx disease process
- Selfcare techniques
- Endoflife care
- The processes for dealing with issues of ethical concern
- Initiates appropriate preventive and rehabilitative nursing procedures.
- Pressure ulcer prevention
- Pain crisis prevention
- Bowel impaction prevention
- Care of bed confined patient
- Prepares clinical and nursing notes that reflect the progression of disease process at the end of life as it takes its normal course.
- Coordinates all patient/family services and prioritizes needs with the members of the interdisciplinary team thru daily communication prn and or biweekly IDG.
- Uses case management approach and referring to other services as needed.
- Act as liaison between the provider and patient/family. Communicates to provider orders received and processed and communicated to family. Informing the Provider and other staff of changes in the patients needs.
- Determines scope and frequency of services needed based on acuity and patient/family needs. Updates POC as needed and adjusts visit calendar frequency. Develops and oversees HHA POC individualized to the specific needs of the patient.
- Supervises LPNs and Hospice/Home Health Aides providing services. Assists in orienting new employees.
- Provides specialized hospice training to other staff family members and informal caregivers to insure adequate care.
- Performs ongoing evaluation of patient/family response to education and care provided.
- Assesses the ability of the caregiver to meet the patients immediate needs upon admission and throughout care. Advocates for respite care as needed.
- Has working knowledge of Medicare guidelines and performs in compliance with such guidelines.
- Follows appropriate admission discharge oncall and death procedure as outlined by Covenant HomeCare policy.
- Performs basic infection control techniques according to Covenant HomeCare policy; examples are proper Bag technique proper handwashing glove usage appropriate handling and disposing of wastes body fluids contaminated trash and needles proper handling of soiled or contaminated linens or garments cleaning all equipment used in the home properly.
- Preplans appropriately including scheduling with patient/care giver ETA to the home.
- Demonstrates knowledge and competency in providing for agespecific culturespecific and religiousspecific needs of the population served.
- Demonstrates ability to perform skills on annual skills check list.
- Required travel to all counties served by Covenant Hospice.
- Follows policies procedures and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications
Minimum Education:
Graduation from an accredited school of nursing
Minimum Experience:
Three 3 years of profession experience in hospital or prior home health experience; Clinical experience pertinent to Hospice including oncology palliative end of life care etc. preferred.
Licensure Requirement:
Must have and maintain Tennessee RN licensure. CPR required. Employee must have a valid Tennessee drivers license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.
Employment Type
Full-Time
