Role: As part of the Interdisciplinary Group (IDG), the Admissions RN conducts the initial admission process for patients referred for hospice services. S/he initiates the plan of care based on identified immediate needs, and communicates with the IDG.
• Current Florida license as RN, or current licensure from another state plus a temporary Florida permit.
• Valid driver’s license and automobile insurance in the State of Florida.
• Reliable transportation to meet visit schedule.
• Minimum one year RN experience where physical assessment skills were utilized
• Ability to use equipment with visual and auditory mechanisms.
• Ability to effectively communicate in English.
• Flexible schedule to meet the needs of hospice patients.
• Ability to physically access any home i.e. navigate stairs and narrow spaces, tolerate heat and lack of air conditioning, in any area Company serves.
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families.
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation.
• RN, Preceptor: one (1) years’ experience as an Admissions RN preferred, with demonstration competence in assessment and in depth understanding of Company systems.
• Satisfactorily complete competency requirements for this position.
Responsibilities of all employees:
• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company’s health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
• Assess patient/family and identify immediate needs including assessing psychosocial, spiritual care, and volunteer, and make appropriate referrals, as needed.
• Initiate the plan of care that accurately reflects the patient’s immediate needs.
• Evaluate patient/family for hospice admission, utilizing approved criteria and procedures.
• Demonstrate clinical skills regarding: application of company policy and procedure, physical assessment, symptom management, and patient/family relationships.
• Consult, refer, and collaborate with other professionals to promote quality and continuity of patient/family care.
• Take verbal orders from physicians, ARNPs and physician’s assistants.
• Educate patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
• Provide information regarding available community resources and other referral sources when hospice care may not be appropriate.
• Provide timely and consistent feedback to referral sources, physicians, and patient/families.
• Maintain regular contact with social workers, ALFs, nursing homes and other referral sources to facilitate the admission process.
• Accept responsibility and is accountable for nursing actions: demonstrate an understanding of the legal consequences of nursing actions; request supervision when needed; perform within the guidelines established by the Florida Nurse Practice Act.
• Document assessment, plan, and intervention on appropriate Company forms with accuracy, timeliness, legibility, professional terminology and awareness of legal and regulatory implications.
• Document patient condition and decline to support hospice and level of care appropriateness.
• Present concise and pertinent oral and written reports to IDG; respect and encourage input from all disciplines.
• Provide hospital with a copy of the hospice plan of care when patient will remain in the hospital after date of hospice admission.
• Schedule staff/provide coverage/assistance to department as needed and as acuity dictates to ensure continuity of care to all patients.
• Communicate accurately and completely to physicians, staff members, patients, families, and supervisors; utilize positive approaches when working with others.
• Exemplify behaviors supportive of internal mission statement.
• Participate in orienting new staff, students, volunteers and board members.
• Participate on committees and projects, as assigned.
• Act as a resource to peers, students, orientees and other staff members.
• Participate in activities and professional development that enhance hospice nursing skills.
• Participate in the broad education process of the Company, both to the medical and lay communities.
• Pursue own professional growth through attendance at required in-services and other educational offerings.
• Establish professional goals for self and continually evaluate self in the attainment of these goals.
• Utilize supplies, equipment, medications, laboratory and patient therapies within the Company philosophy.
• Employ palliative and home care management modalities in care of the patient prior to hospitalization or to promote hospital discharge planning.
• Demonstrate knowledge of payment structures and paperwork necessary to change financial classes.
• Duties as assigned by the Admissions Manager.*
Additional RN, Preceptor Responsibilities:
• Plan, coordinate, and carry out educational opportunities for orientee(s).
• Explain the role and performance expectation for the admission nurse in the hospice setting.
• Assist the orientee to identify learning needs.
• Plan for and provide relevant learning experiences to orientee(s) involving the clinical supervisor, senior preceptor and other staff, necessary.
• Orient new nurses to their roles within the department and IDG.
• Evaluate competence of orientee utilizing orientation competency checklist.
• Provide prompt and consistent feedback, identifying areas in need of further development to the new nurse and the clinical supervisor.
• Coordinate activities with other nursing preceptors to maintain consistency in practice, establish relationships, and broaden the scope of the program.
• Provide input to clinical leadership and educators regarding patient care experiences for orientation.
•Participate in Nurse Preceptor Meetings.