Hospice RN Weekend Baylor

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Location: Watertown, MA
Job ID: 176673-1A
Date Posted: Jul 11, 2022
Category: Nursing

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Job Description

Welcome To

Full-Time & Part-Time RNs are eligible to receive a Sign-On Bonus of up to $10,000 depending on location and hours worked!!

*Terms & Conditions apply - speak to a recruiter for details

Welcome To Beth Israel Lahey Health at Home. Our team provides high-quality home care and hospice services by partnering with physicians, hospitals and skilled nursing facilities to provide specialized care to patients in the comfort of their own home. Our team of nurses, therapists (physical, occupational, and speech), medical social workers, and home health aides work together to devise and implement a compassionate care plan that is expressly tailored for each patient.

About the Job

The Hospice RN Weekend Baylor plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency.

Part time - Every Sat/Sun 24 hours work for 32 hours pay 

Minimum Qualifications:

Education:

  • Registered Nurse from a Graduate of National League for Nursing accredited school of nursing.  
  • BSN, strongly preferred.

Licensure, Certification & Registration:

  • Registered nurse with current licensure to practice professional nursing in the state of Massachusetts.
  • Maintains a current American  Heart Association (AHA) CPR certification

Experience:

  • Minimum of 1-2 years recent professional nursing experience; oncology/hospice experience preferred.

Skills, Knowledge & Abilities:

  • Must be sensitive to the needs of terminally ill patients and families and one's own feelings about dying and death
  •  Must demonstrate the ability to interact in a positive and courteous manner with patients, families, other employees and outside vendors. 
  • The ability to work both independently and as part of a team are essential. 
  •  Demonstrates excellent observation and problem solving/critical thinking skills.
  • Well-developed verbal and written communication skills; essential computer skills to work with EMR. 
  • Self-directed and able to work with minimal supervision 
  • Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist. 
  • Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.

Benefits offered for any position with over 20 scheduled standard hours:

  •  Voluntary Insurance choices for Medical, Dental, Vision, Disability, Life, Auto and Home, and Pet Insurance available
  • Lahey Outpatient Pharmacy Benefits
  • 403B
  • Paid Time Off or (PTO)
  • Tuition Assistance for 20 hours or more per week after 1 year of continuous benefits eligible employment

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health. 

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

Responsibilities

Essential Duties & Responsibilities including but not limited to:

  • Manage care of patients, coordinate all services and facilitate communication between all providers.
  • Provide skilled nursing care and prescribed treatments to patients and families in their home.
  • Provide documentation of services utilizing problem-oriented record.
  • Plan for continuity of care with nursing team members, patient, family, and other disciplines.
  • Use opportunities for teaching nursing care, comfort measures and health practices to the patient, families and others.
  • Instruct and supervise care given by the Hospice Aides.
  • Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.

Patient Care 

Assumes responsibility to coordinate patient care for assigned patients including but not limited to:

  • Completion of Hospice Item Set (HIS) time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results.
  • Completes and documents an initial assessment of patient and family, as assigned, to determine hospice care needs.  Provides a complete physical assessment and history of current and previous illness(es).Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions, with emphasis on pain and symptom management. Includes the patient and the family in the planning process.
  • Initiates the plan of care, as assigned, and makes necessary revisions as patient status and needs change.
  • Administers medications and treatments as prescribed by the physician.
  • Counsels the patient and family in meeting patient needs related to physical, emotional, and spiritual needs.
  • Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
  • Provides information to the patient and family regarding the dying process and expectations.
  • Provides instruction regarding medication actions, side effects, dosage, route, and frequency.
  • Instructs, supervises and evaluates hospice health aide care provided. Supports the supervision of care provided by the hospice aide every two (2) weeks minimally, and as needed.
  • Assists in managing the hospice benefit periods in accordance with evolving patient needs and continued eligibility for services.
  • Performs liaison visits and hospice informational visits to patients in the community and in facilities to discuss hospice and palliative care services as requested.

Communication

  • Communicates with the physician and the Hospice RN Case Manager regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
  • Attends and contributes to IDT meetings via verbal and / or written communication to the team.  
  • Communicates and coordinates with the team LPN as appropriate.
  • Collaborates, communicates, and cooperates as appropriate with other health care providers to ensure quality end-of-life care.

Documentation

  • Demonstrates proficiency in HIS completion.
  • Documentation supports hospice eligibility.
  • Documentation supports that the patient meets hospice criteria ongoing.
  • Completes documentation in accordance with agency timeliness policies.

Professional Development

  • Maintains and updates clinical knowledge and skills based on current nursing practice.
  • Adheres to departmental requirements for required training.
  • Identifies specific learning needs & goals and collaborates with nursing leadership in developing a plan to meet them.

Additional Duties

  • Participates in the weekend/holiday/on-call rotation as defined by BILH at Home.
  • Ensures that arrangements for equipment and other necessary items and services are available.
  • Participates in in-service programs and supervises, teaches and precepts other nursing personnel as assigned by Clinical Manager.

Organizational Requirements

  • Maintain strict adherence to the Continuing Care Confidentiality policy.
  • Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.
  • Comply with all Continuing Care Policies.
  • Comply with behavioral expectations of the Continuing Care Division.
  • Maintain courteous and effective interactions with colleagues and patients.
  • Demonstrate an understanding of the job description, performance expectations, and competency assessment.
  • Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
  • Participate in departmental and/or interdepartmental quality improvement activities. 
  • Participate in and successfully completes Mandatory Education.
  • Perform all other duties as needed or directed to meet the needs of the department.