Reports To: Manager of Inpatient and Bartholomew or Patient Care Coordinator

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

a.      Valid Indiana Drivers License

b.      Certified Nurse Aide (CNA) & Home Health Aide or Certified Nurse Aide (CNA)

4.      Skills

a.      Ability to read and comprehend simple instructions, short correspondence, and memos.

b.      Ability to write clear correspondence.

c.       Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

d.      Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.

e.      Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.

f.        Competent to perform all skills delineated on the Home Health Aide skills checklist.

JOB SUMMARY

This position shall be responsible for providing counseling and supportive services across all Our Hospice service area that encourage the grief process and the patient / family adjustment to the terminal illness, according to individual and/or family needs. 

RESPONSIBILITIES

Essential

1.      Assists in the implementation, development and revisions of the plan of care through the development of problems, intervention, and goals.

2.      Provides services as indicated by the plan of care.

3.      Assists patient/family in locating simple legal forms (e.g. Living Will, out of hospital DNR, General Power of Attorney, Health Care Representative).

4.      Provides psychosocial assessments and psychological counseling for the following but not limited to:

a.      Patient/family adjustment to terminal illness.

b.      Individual counseling relating to: stress, anxiety, depression, self-esteem and feeling of inadequacy.

c.       Family counseling relating to social/emotional problems.

d.      In the coordination of services for hospice care including: environmental, equipment, temporary care services, long term care and community support agencies.

e.      Economic counseling to assist in receiving financial aid applications.

f.        Grief counseling.

5.      Records in patients chart diagnostically, appropriately, and promptly the social finds, impressions and plan of action in relations to medical social problems.

6.      Participates in quality assessment and performance improvement program and Hospice sponsored in-service training. 

7.      Participates in Hospice team meetings (IDG).

8.      Facilitates Support Groups

9.      Assists with Memorial Services

10.  May help and assist with bereavement follow-up care for thirteen months after patient’s death.

11.  Participates in on-call service to patient/family to insure availability on a 24 hour, seven day-a-week basis.

12.  Assists with training and educating bereavement volunteers.

 

Additional Duties & Responsibilities

1.         Participates in the educational process of the Hospice approach to other professionals and volunteers. 

    QUALIFICATIONS

1.      Education – Masters of Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education

2.      Experience – Hospice and/or Home Health experience preferred.  Has one year of social work experience in a health care setting. 

3.      Licensure

a.      Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW), Indiana Licensed.

4.      Must possess a valid driver’s license, current auto insurance, and reliable transportation. Skills

a.      Ability to exercise time management and flexibility to accommodate work schedule, including evenings and weekends

b.      Excellent interpersonal skills; working with large groups of volunteers and other diverse groups. 

c.       Excellent verbal and written skills.

d.      Ability to effectively present, respond and address clients, customers and the general public.

e.      Creativity and initiative required. 

f.        Ability to perform under high stress situations.

g.      Strong organizational, managerial, and motivational skills.

h.      Proficiency in accuracy, detail, and follow-up.
i.        Proficient in Microsoft Office Products.

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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

 

Essential

 

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).

 

Additional Duties & Responsibilities

 

1.    Performs additional duties and / or responsibilities as delegated by the Patient Care Manager or Director of Clinical Services including but not limited to direct patient care, after-hours triage, assessments, admissions, discharges, medication administration and treatments.

2.    Works positively and professionally with Hospice staff, assisting and supporting their involvement in appropriate work assignments, whenever appropriate.

3.    Collaborate with the MSW or Chaplain as after-hours needs are identified for the patients, families or referring facilities.

4.    Provides support to the Hospice Inpatient Facility as needed in the accomplishment of effective patient / family care.

5.    Provides assistance with medical record workflow including but not limited to audits, physician order approvals and patient transfers within the electronic health record.

 

WORKING CONDITIONS / PHYSICAL DEMANDS

 

1.    Lift and / or move up to 50 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.

9.    Must have a reliable vehicle and provide evidence of current driver’s license and insurance.

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JOB SUMMARY

This position is responsible for applying nursing knowledge at an advanced level to maintain or improve quality of life for our hospice patients. He/she will also serve as a resource, consultant, and advisor to the clinical staff and leadership to ensure that our patients receive the highest quality of care.

RESPONSIBILITIES

• Clinical Practice
  
  Applies nursing knowledge at an advanced level to maintain or improve quality of life for patients in the hospice setting, both inpatient and home.
• Conducts focused medical assessments: history & physicals; orders and evaluates diagnostics; interprets findings and develops plans of care.

• Provides diagnostic & pharmacologic management of acute and chronic disease processes through ongoing assessment, intervention and education in collaboration with the physician.
• Practices within the guidelines established by Hospice of South Central protocols, policies, and procedures.
• Collaborates with the interdisciplinary professional group regarding clinical findings and coordinating the plan of care.
• Consults with medical director regarding patient care issues beyond the realm of experience or autonomy of the Advanced Practice Nurse.
• Participates in on-call service to patient/family to insure availability on a 24 hour, seven day-a-week basis.

 

Research

• Conducts clinical inquiries to improve patient care.
• Leads and participates in research with staff to enable clinical practice reform.
•  Identifies potential problems and healthcare system deficiencies.
• Utilizes and promotes evidence-based research along with institutional, state, and federal laws and regulations to ensure quality of care.
• Have knowledge of active clinical trials in area of practice.
• Provide for the dissemination of current research based literature and theories necessary for the advancement of patient care.
• Facilitate nursing staff in ability to critique current literature for applicability in critical areas.

 

Education and Consultation

• Identifies and addresses educational needs of the patient and family.
• Serves as a mentor for healthcare staff/physicians regarding professional standards of care.
• Collaborates with nursing and other disciplines regarding clinical findings and the plan of care.
• Provides product evaluation and audit review in conjunction with the QA/PI & Education Coordinator.
• Assesses and coordinates continuing education and staff development needs in conjunction with the QA/PI & Education Coordinator.
• Serves as a consultant resource for hospice clinical issues.

 

Leadership

• Serves as a representative to assigned hospice committees and community based activities.
• Serves as a role model in clinical and professional practice.
• Serves as an inter/intra departmental liaison.
• Assumes leadership and clinical practice roles in identifying, monitoring, and changing standards of hospice practice to improve care for patients and families.

 Professional Development

Maintains appropriate certifications and professional association memberships as required and specific to designated specialty area.

• Participates in mandatory and seeks additional educational growth opportunities.
• Participates in Performance Improvement/Quality Assurance activities.

 

QUALIFICATIONS

• Education – MSN from accredited program
• Experience – At least three to five years’ experience in appropriate clinical area.
• Licensure
• Current Registered Nurse Licensure in the state of Indiana
• Certification in appropriate clinical area
• Valid Indiana Driver’s License

 

Skills

• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.