All Care Paraprofessional Job 1

JOB PURPOSE: RN to provide quality nursing care to identified Hospice client's , family/caregivers in their homes. The scope of nursing includes the planning, coordination, providing and documenting care for terminally ill patients from day of discharge. Utilizing Physician orders and professionals skills, the Hospice RN develops and implements a hospice plan that meets each patient's specific needs and is in compliance with guidelines, standards of care and Hospice policies and procedures.

The Hospice RN is a part of a team and is part of the rotation for admissions, weekends, holidays, evenings and on call as per agency policy. There is a productivity requirement.

AGENCY EXPECTATION OF EMPLOYEE
All Care expects each employee to maintain a positive, respectful attitude, to demonstrate flexible and efficient time management, to meet departmental productivity standards, while keeping current the clinical skills to work in the home care environment. Each employee is expected to maintain open, honest and appropriately confidential communications with all customer groups in order to foster an effective service environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Case Management
Collects data and completes clinical assessments in a timely manner; formulates a plan of care using the identified client problem list, based on their assessment.

Develops and implements a Plan of Care with the interdisciplinary team for each client based on the patient, family/caregiver goals. The plan reflects goals identified by the clinician, the client's family and other disciplines involved in the client's care. Evaluates effectiveness of plan through client's response.

Participates in IDT meetings to develop, implement and review goals and outcomes established by the Hospice team, patient, family/caregivers.

Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family/caregiver regarding pain management.

Carries out the pain management and symptom management plan to keep the patient as comfortable as possible. Reassesses pain and notifies the Physician when pain is not manageable on the current medications.

Acts as a consultant to All care VNA in issues related to end of life care/palliative care.

Develops a symptom management plan to keep the patient as comfortable as possible. Reassesses plan and works with the patients physician to modify the plan of care as needed.

Reviews with client's physician information regarding the client's status and hospice plan of care. Notifies physician of health status changes as they occur.

Demonstrates ability to organize and set priorities to accomplish work in a timely manner.

Patient Care
Updates and revises the client Plan of Care and expected outcomes to meet changes in the client’s status and the effectiveness of care being provided by all disciplines.

Continually reassesses the client’s progress towards expected outcome and documents this at every visit in nursing progress notes utilizing the nursing process.

Participates in the planning, implementation and coordination of health teaching and counseling of client’s family or significant other.

Evaluates and revises as necessary teaching plans established to assist client to reach established goals.
Communicates clearly and accurately with other members of the health care team and with the client/family.

Communicates clearly and accurately with other members of the health care team and with the client/family/caregiver.

Professionalism
Complies with infection control and safety measures in accordance with the Agency’s policies and procedures. Initiates appropriate referrals for additional services or community resources.

Maintains high level of clinical expertise necessary to meet the needs of the client population and recognizes need for ongoing professional education and development within the Agency and in the community.

IV/Phlebotomy, Aseptic Technique , Med. Knowledge/administration, Pain Management/Symptom Control
Recognizes personal strengths and weaknesses, independently seeks out appropriate resources. Shares professional experience, skills and knowledge with other staff members. Assists in orientation of new staff as requested by supervisor or team leader. Participates in the Agency’s Quality Improvement and Peer Review Programs. Precepts clinicians as requested

Documentation
Documents client’s level of understanding and response to teaching.

Documents goals and outcomes outlined on the plan of care established with the client, the family and their physician.

Completes and submits documentation on a timely basis with clear, legible and concise information. Completes documentation in accordance with Federal and State regulations and Agency’s policy. Any other duties/responsibilities assigned by supervisor.

QUALIFICATIONS
Experience, Education and Licensure
Graduate of an NLN accredited school of nursing. RN currently licensed in the state where client services are being rendered, current Driver’s License. BSN from accredited school preferred. One to two years of recent clinical experience. CHN experience preferred.

Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

AMERICANS WITH DISABILITY SPECIFICATIONS
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must regularily lift and / or move 50 pounds and frequently lift and / or move up to 100 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate

The employee is expected to act as a role model and to adhere to all Agency policies.

Contact Information:
Please contact Laurie Proulx, All Care Recruiter
All Care, 2 State Street, Lynn, MA 01901
Email: lproulx@allcarevna.org
Phone: 781-244-1150
Fax: 781-244-1058

Not ready to apply? Need more information? Please contact us.

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