Full Job Description
Provides skilled nursing care to hospice clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost-effective care.
• Reviews referrals, and initiates contact with client and family.
• Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status. Demonstrates clinical expertise in symptom management and end of life issues.
• Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilizations of appropriate resources. Facilitates peaceful death and assures appropriate bereavement follow up through timely documentation of bereavement assessment. Modifies plan of care as conditions change.
• Demonstrates understanding of payer information in order to maximize care planning. Utilizes Hospice Levels of care appropriately.
• Follows IDT process of approving non-formulary medications, treatments, and DME.
• Initiates and maintains a client record utilizing the Agency's standard for documentation.
• Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment so as to promote peaceful death; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers. Utilizes interdisciplinary team members to support patient/family needs.
• Teaches patients and reinforces client/caregiver teaching and education. Prepares/teaches/supports family regarding signs and symptoms of death, as appropriate.
• Refers, collaborates, and coordinates all client care services. Consults with physician regarding client needs and plan of care.
• Directs LPNs in carrying out the established plan of care. Directs Home Care Aides and supervises plan of care.
Qualifications:
• Minimum Requirements:
• Education: Graduate of an Associate's of diploma program in nursing
• Experience: One year nursing experience OR one year nursing experience in a specialty
• Licensure: License to practice in the State of Connecticut
• Preferred:
• Education: Graduate of NLN approved BSN program
• Experience: Medical/surgery or home care experience