Schedule: 9-6 M-F
Job Summary
The Visit Nurse (VN) participates in providing staffing coverage including RN Case Manager coverage Admissions support and coverage and team visit coverage.
Working in collaboration with the PCM and Triage the VN responds to pt/family needs as identified providing phone instruction/support or visits as needed. Care provided is based on an individualized Plan of Care developed by the IDG that reflects pt/family goals.
The VN demonstrates flexibility and ability to manage multiple competing priorities. The VN has competence in admissions as well as case management and maintains consistent communication with triage PCM and other team members regarding patient care throughout the day. The VN must have clinical competence in pain and symptom management and exercise fiscal responsibility in the planning and delivery of services.
Essential Responsibilities
Patient/Family Care
- Respects patient right to self-determination and acts as an advocate within the context of the values and ethical standards of HSCC
- Makes visits per agency policy
- Makes home visit at time of death
- Utilizes nursing process in providing care to patients
- Documents all care and care planning per agency policy
- Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC safe nursing practice and the policies and procedures of HSCC
- Monitors management of pain and symptoms in collaboration with patient/family facility staff IDG and physician to achieve maximum comfort
- Administers medications and treatments as ordered
- Instructs and supports pt/family and facility staff regarding symptom management patient care disease process & death/dying
Information/Admission Visits
- Meets with patients & families in all settings to explain services answer questions and admit patient as appropriate
- Conducts info visits and discuss treatment and/or symptom management issues to facilitate the admission process
- Develops and implements an individualized interdisciplinary Plan of Care for patients and families
- Uses electronic medical record (EMR) systems effectively and efficiently to complete required documentation in a variety of patient care settings
Secondary Responsibilities
Quality Improvement
- Meets all standards and requirement as indicated by licensing and accrediting agencies
- Participates in activities that affirm enhance and develop the highest quality standards for HSCC
- Participates in developing standards for quality patient care within HSCC
- Participates in Quality Assessment & Improvement activities as requested
- Performs other related job duties as assigned by Supervisor
Compliance
- Ensures all HIPAA Privacy and Security Regulations Medicare Conditions of Participation and all other regulatory/compliance requirements are understood and followed
- Submits all appropriate documentation as required for compliance including RN license auto insurance drivers license and TB checks
Requirements
- Required to attend regular meetings and in-services
- California Drivers License current and maintains a good driving record
- Ensures TB and FIT checks are completed in a timely manner (annually)
- Maintains BLS certification
Education/Experience
- Degree in Nursing from an accredited college and current California RN license
- 2 years RN experience in hospice oncology medsurg ICU ER skilled nursing facilities or homecare
- Acute care experience preferred
- Hospice and/or home health experience preferred
- End-of-life and pain management experience preferred
- Bilingual in English/Spanish preferred but not required.
- Previous experience in hospice or palliative care preferred.
Physical Demands
- Sufficient dexterity to utilize electronic record keeping systems computers/keyboards and or laptops and other related equipment
- Ability to travel to patient locations; includes ability to drive negotiate stairs and walkways including uneven surfaces at private homes or facilities
- Vision ability to read manual and electronic documentation medications charts office related equipment and instructions
- Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
- Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team
Work Environment/Environmental Condition
- Performs services in private homes and care facilities and will experience a variety of settings and situations
- Office work is performed in combination of private homes care facilities and office environment.