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Job Title: On – Call RN
Department: Nursing
Reports to: Director of Clinical Services
Next Review Date: 03/2014
Job Description Details
Statement of Position/Position Summary

This position will be responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays.

 

Qualifications and Education Requirements

  • Graduate of an accredited school of nursing; minimum of ADN, Bachelor’s Degree in Nursing preferred.
  • Current State of Minnesota RN license.
  • Three years recent (within the past five years) nursing experience in acute, long-term care or home care/hospice, with at least one in hospice or homecare preferred.
  • Must be able to work independently, have demonstrated patient care planning and patient teaching skills and strong written and verbal communication skills.
  • Computer proficiency and a working knowledge of Microsoft programs required.
  • Current CPR certification.
  • Valid MN Drivers License and daily access to a reliable and insured vehicle.
  • Belief in the hospice concept.

Position Role and Responsibilities

  • As scheduled, nurses in the On-Call position will work in the office assisting with medical records and order processing along with other duties as needed.
  • Assume primary responsibility for the patient/family caseload that includes assessing, planning, implementing, and evaluating care needs during on-call hours.
  • Initiate communication with physicians and other staff members to coordinate optimal care and use of resources for the patient/family.
  • Make patient visits to wherever the patient calls home; as indicated by need.
  • Obtain data on physical, psychological, social and spiritual factors that may influence patient health status and incorporate that into the plan of care.
  • Teach appropriate interventions, medications, effects and side effects to patient, caregiver, volunteers and other as appropriate.
  • Anticipate, prevent and treat undesirable symptoms or secondary symptoms.
  • Assist in determining the need to change the level of care being provided for hospice patients based on assessment and collaboration with attending physician and/or hospice medical director.
  • Provide or arrange for delivery of medications and supplies needed after business hours, weekends or holidays.
  • Attend interdisciplinary team meetings during on-call period for full team discussion, consultation and evaluation of patient/family needs.
  • Provide appropriate support at the time of death, including disposition of medications, notification to funeral home, etc. according to agency policy
  • Report on-call activities to the RN –PCC at the end of the call shift.
  • Maintain documentation relating to care coordination including phone calls, communication, visits, and other pertinent clinical information.
  • Implement care to achieve outcomes of comfortable and safe dying, self-determined life closure and effective grieving for patient and family.
  • Responsible for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards.
  • Identify and address comfort care needs.
  • Support, instruct and educate the patient, family, and caregiver.
  • Maintain the dignity of the dying patient.
  • Support the patients and family's unique spiritual and cultural beliefs.
  •  Provide holistic, family-centered care across treatment settings to improve the quality of life.
  •  Consult and collaborate with the interdisciplinary team and others involved in the patients care.
  •  Provide care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs.

Agency Expectations

  • Adhere to all Seasons Hospice policies and procedures.
  • Maintain absolute confidentiality of all information pertaining to patients, families, and staff and adhere to all HIPAA rules.
  • Display a positive and professional image and attitude in all relationships with patients, families, peers and in the community.
  • Serve as an ambassador for Seasons Hospice at all times.
  • Provide verbal and written performance evaluations for assigned staff members, including peer and self evaluation.
  • Demonstrate ongoing responsibility for self education.
  • Assume responsibility for the promotion of the hospice concept in the community and with other agencies and professionals.
  • Participate in the Quality Assessment Performance Improvement Program (QAPI), as requested.
  • Maintains patient and personal safety regarding occupational health and safety.
  • Participate in safety program, as requested:
    • Participate in employee job safety analysis to eliminate hazards and prevent accidents.
    • Cooperate to investigate employee injuries.
    • Promote and support safety awareness and implement safety operations.
    • Encourage staff to make suggestions on safety practices.
  • Participate in orientation of new employees.
  • Participate in volunteer orientations, training and education as requested.
  • Participate in orientation and supervision for students seeking experience in hospice care
  • Perform other related duties as assigned.

 

ADA Requirements (essential functions)

  • Physical Requirements*

Lifting ……………………………………………………………………………………….    More than 25 lbs routinely, 50 lbs +                             occasionally

Transfer ……………………………………………………………………………………     150 lb. or greater patient weight

Sitting………………………………………………………………………………………..    4 - 5 hours/day

Standing…………………………………………………………………………………….    1- 2 hour/day

Walking …………………………………………………………………………………….    1- 2 hours/day

Bend, stoop, squat, and/or twist……………………………………………….    Repeatedly throughout day

Reaching …………………………………………………………………………………..    0.5 hour/day – arms ­ shoulder level

Use of telephone ……………………………………………………………………..     2 - 3 hours/day

Working under pressure……………………………………………………………     3 – 4 hours/day

Working rapidly for long periods ……………………………………………..     2 - 3 hours/day

Use of keyboard/computer, printer, fax, copier……………………….      4 – 5 hours/day

Position requires close work; finger dexterity; adequate hearing and vision (with or without   correction).

May occasionally work longer than 8 hours/day.  Must have ability to work long hours and tolerate some variability in work hours.

 

  • Cognitive or Mental Requirements

The following cognitive or mental requirements are necessary on a daily basis:

Critical thinking

Reading

Writing

Mathematics

Drawing conclusions from written or computer generated materials

Analyzing data or report information

Creating methodologies for accomplishing a goal

Conducting research

Implementing recommendations by coordinating persons and/or other resources

Developing plans, procedures, goals, strategies, or processes

Directing activities of others to accomplish a goal

Clear verbal articulation

 

  • Working Environment

Indoors, at a patient bedside,  at a desk or in a vehicle for majority of the day

Travel required ; will require transportation to get to various work sites

Possible exposure to communicable diseases

Skin contact with solvents or other chemicals such as alcohol, acetone, detergents, bleach, and latex gloves

Exposure to medical equipment with the risk of lacerations or punctures

 

Additional Notes

This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required by the employee.  This document is subject to change at any time.

 

Created by: Michelle Donahue – Director of Human Resources Date: February-2013
Approved by: Beverly Haynes – Executive Director Date: February-2013