Reports To: North Vernon Location

FLSA: Non-Exempt / Hourly

JOB SUMMARY

This position shall be responsible for providing non-skilled nursing care to an assigned group of patients in the home care setting.

CORE VALUES

1. Serves as a role model to Hospice’s staff and external customers, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising the Leadership of potential risks, concerns or issues that could effect the organization.
3. Adheres to and is an advocate for the Hospice Mission Statement and philosophy.
4. Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.
5. Encouraged to attend and/or participate in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).
6. Serves as Committee member as appropriate.
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

RESPONSIBILITIES

1. Provides routine patient care per the Home Health Aide and/or Homemaker assignment in an exemplary manner, providing comfort, care, and compassion to patients and families.
2. Observes patients and reports observations and concerns to the primary care nurse and/or Patient Care Coordinator, Nurse Facilitator or Manager of Inpatient and Bartholomew.
3. Completes patient records accurately and on a timely basis.
4. Assists in maintaining a clean, healthful environment for the patient.
5. Attends and participates in Interdisciplinary Group meetings, in-services, and staff meetings as requested.
6. Participates in a minimum of twelve- (12) hours in-service education per year.
7. Assists in orientation of new Home Health Aides and Homemakers.
8. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.
9. Completes other tasks as assigned.

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Frequently lift and/or move up to 50 pounds, and occasionally lift and/or move up to 100 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.
8. Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines.Possible Occupational exposure (Category A employee) to human bloodborne pathogens.

QUALIFICATIONS

1. Education – High school diploma or general education degree (GED)
2. Experience – One to three months related experience and/or training
3. Licensure
   1. Valid Indiana Drivers License
   2. Certified Nurse Aide (CNA) & Home Health Aide or Certified Nurse Aide (CNA)
4. Skills
   1. Ability to read and comprehend simple instructions, short correspondence, and memos.
   2. Ability to write clear correspondence.
   3. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
   4. Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.
   5. Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.
   6. Competent to perform all skills delineated on the Home Health Aide skills checklist.

JOB SUMMARY

This position shall be responsible for meeting the nursing care needs of patients / families after normal business hours. Professional nursing services will be given in accordance with physician’s orders and the plan of care established by the IDG.

RESPONSIBILITIES

 1. Provides on-call service to patients / families to ensure availability on a 24 hour, seven day a week basis.

 2.  Triage of incoming phone calls from patients, families, facilities etc. to ensure appropriate hospice measures and provide adequate hospice staff visits that will adhere to a safe and symptom free environment for the patients / families..

 3. Performs admission assessments for new patients / families as scheduled or requested by a referral source, physician or patient / family.

4. Makes routine and on call Hospice nursing visits as assigned to patients in the home, extended care facilities, assisted living facilities, and hospitals.  Completes assessment of the patient / family needs including physical, emotional, and bereavement status.

5. Ensures that hospice care is provided according to regulations and standards established by Our Hospice.

6. Maintains responsibility for assigned patient visits in a cost-effective and quality manner.  Manages time, pharmacy and medical supplies, and durable medical equipment in a manner conducive to optimal reimbursement.

7.  Teaches, supervises and counsels patient / family in care techniques including pain and symptom control, dietary instruction, use of equipment and observation techniques.

8. Develops and implements the plan of care for each patient in collaboration with the patient, family and Interdisciplinary Group (IDG).  Evaluates each patient / family as directed and makes appropriate changes to the plan of care.

9. Communicates with and updates other IDG team members as needed to coordinate and ensure quality care (e.g. social services, home health aides, volunteers and medical staff).

10. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to patients and family members, case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.

11. Maintains accurate records in accordance with the organization’s policies and procedures in a timely manner (e.g. initial plan of care, comprehensive plan of care, updates to the plan of care, daily documentation requirement, discharge summaries, death summaries).