Shire Veteran Jobs

Registered Nurse Case Manager Hospice

**Summary/Objective The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. Follows applicable laws, regulations and established policies and procedures.

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. **

• Completes an initial, comprehensive, and ongoing assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process. Uses health assessment data to determine nursing diagnosis.
• Assesses and evaluates patients status by: Writing and initiating plan of care; Regularly re-evaluating patient and family/caregiver needs; Revises the plan of care as necessary.
• 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.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physicians plan of care.
• Provides health care instructions to the patient as appropriate per assessment and plan. Counsels the patient and family in meeting nursing and related needs.

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``` - Assists the patient with the activities of daily living and facilitates the patients efforts toward self-sufficiency and optional comfort care. - Completes, maintains, and submits accurate and relevant clinical notes regarding patients condition and care given. Records pain/symptom management changes/outcomes as appropriate. - Communicates with the physician regarding the patients needs and reports changes in the patients condition; obtains/receives physicians orders as required. - Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. - Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. - Participates in on-call duties as defined by the on-call policy. Fulfills the obligation of requested and/or accepted case assignments. - Ensures that arrangements for equipment and other necessary items and services are available. - Supervises ancillary personnel and delegates responsibilities when required. - Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. - Maintains the comfort, privacy and dignity of patients and interacts with them in a manner that displays warmth, respect and promotes a caring environment. - Communicates and interacts effectively and tactfully with patients, visitors, families, peers, and supervisors. - Attend and participate in departmental meetings and in-services as directed.

*Supervisory Responsibility This position may have direct supervisor responsibilities for Certified Nurse Aides and other personnel assigned. *Work Environment May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions. This role may be exposed to infectio