Palliative Care RN

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Location: Woburn, MA
Job ID: 176741-1A
Date Posted: Jul 1, 2022
Category: Clinical Professional

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Job Description

Welcome To

Welcome to Lahey Health Continuing Care, part of Beth Israel Lahey Health. Our team provides ongoing care to individuals through our assisted living and skilled nursing facilities. Our teams of nurses, aides, food service, and environmental service employees work to create an environment that supports the physical, mental, emotional, and spiritual needs of our residents and patients, along with their families.

 

About the Job

Position Summary: The palliative care nurse provides consultative care services to palliative care patients with serious or life limiting illnesses with a focus on providing goals of care conversations and assisting patients in meeting those goals.Because these patients have a serious or life limiting illness, there will be a strong emphasis on communication and coordinating with the palliative team, other medical providers involved in the patient’s care, with hospitals, family members and caregivers.

Key Relationships: 
1. All Other Clinical Positions: Work collaboratively in a multi-disciplinary team for quality patient outcomes.
2. Clinical Manager: Reports to – case conferences with on a weekly basis.
3. Office Support Staff: Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts.

On Call: Yes
Weekends: Yes
Shift Rotation: Yes

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:

  • Through consultations with physicians, case managers, hospital staff as indicated, and through chart review, the RN Palliative Care Nurse will gain information about the patient’s prognosis and trajectory of illness. The RN Palliative Care nurse can then have goals of care conversations with patients, caregivers, and family members to clarify what they value most and what they hope to see happen with their medical care.  This information is used to formulate a plan of care around the patient’s values and preferences.
  • Responsibilities include the following:
    • Facilitates communication between all providers.
    • Provides palliative care visits, focusing on goals of care conversations, to patients/families in the home, skilled nursing facilities and inpatient settings.
    • Identifies when a patient meets hospice eligibility and provides hospice information to patients and families.
    • Transitions hospice eligible patients who opt for hospice care to the hospice program, ensuring a smooth transition.
    • Accurately documents services provided and consultation outcomes.
    • Plans for continuity of care with the hospice team as indicated. 
    • Uses opportunities for teaching nursing care, comfort measures and health practices to the patient, families and others.
    • Communicates and coordinates with other health and social agency personnel to assist in planning, implementing, evaluating services to the patient and family.
    • Participates in palliative care meetings as appropriate.
    • Provides educational opportunities for other stakeholders including physicians, facilities staff, and referral sources.
    • Performs liaison visits and hospice informational visits to patients in the community and in facilities to discuss hospice and palliative care services.

Communication

  • Communicates with the physician and other stakeholders 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 as needed.
  • Collaborates, communicates, and cooperates as appropriate with other health care providers to ensure quality end-of-life care.

Documentation

  • Documentation supports hospice eligibility as applicable.
  • 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.

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.

Qualifications

Minimum Qualifications:

Education

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

Licensure, Certification & Registration

  • Current license to practice as a registered professional nurse in the Commonwealth of Massachusetts.
  • Current Basic Life Support Certification.
  • Valid Massachusetts driver’s license.

Experience

  • Minimum one-year recent professional nursing experience required.
  • 1-2 years of Hospice or end of life care experience strongly 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.