The RN, Hospice administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Hospice Director. The Hospice RN will provide quality patient and family centered care as a member of the hospice interdisciplinary team in accordance with SCHS mission, philosophy, policies, and procedures. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.
(May perform additional duties of similar complexity within SCHS as required or assigned)
Maintains and demonstraties an in-depth knowledge of palliative nursing principles, practices, standards, and techniques and applies this knowledge in accordance with SCHS policies and work instructions and within laws and regulations governing nursing practice in the State of Oregon.
Reports to assigned locations in an appropriate manner and enters patient’s homes, assisted living and long term care residences, jails or other designated locations in compliance with that facilities protocol(s). Adheres to outside agency’s conduct guidelines
Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with the Interdisciplinary team to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. Meets productivity standards set forth by the Hospice department
Calculates dosages and administers medications accurately in accordance with SCHS policies and procedures for medication administration.
Provides and maintains a safe environment for caregivers, patients, guests and volunteers.
Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies
Completes, maintains and submits accurate, timely and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
Demonstrates awareness of and supports St. Charles Health System’s departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
Participates in activities that promote professional growth and development of self and others.
Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, volunteers and families.
Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice), when appropriate.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others.
Responsible to manage the patient’s experience by clarifying, integrating, and coordinating the roles of the interdisciplinary team.
Provides a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. It includes introducing oneself and stating your purpose, asking the patient their preferred name, sitting with the patient to determine their care goals, active listening, and the skillful use of communication skills (touch, eye contact, etc.).
Functions as a member of the interdisciplinary care team to assure effective case management of patient care.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all company investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate
As required by licensure
Current Oregon RN license required.
Current BLS/CPR certification required.
Valid Oregon driver's license and ability to meet SCHS driving requirements required.
Personal Protective Equipment:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Minimum of two years RN experience in which assessment skills and critical thinking have been used regularly.
Hospice experienced preferred.
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Ability to multi-task and work independently
Attention to detail
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions
Strong analytical, problem solving and decision making skills