RN On Call Seven On Seven Off
Company: Affinity Hospice
Location: Pine Bluff
Posted on: May 16, 2022
Job Description:
Job DescriptionWanted: RN 7 on 7 OFF ON CALL AFFINITY HOSPICEAre
you a RN who is looking to move your career to the next level? Are
you passionate about exceptional patient care? Do you have the
clinical knowledge and experience needed to serve as a mentor and
positive change agent? If so, we may have the perfect professional
opportunity for you!
Our Recruitment Team is actively looking for RN's who are the
perfect fit. If you are a RN who would like to explore
opportunities with Affinity Hospice, send us your resume today! All
candidates can email current resumes to
sbailey@affinityhospice.com. We are Affinity Hospice. We are one of
the fastest growing, privately held hospice organizations in the
country for several reasons. We are passionate about exceptional
patient and family care. We believe the care we provide truly
matters. We are deeply committed to our team members. Our core
Leadership Team has been working together for more than 20 years,
and because of our unprecedented growth, we are actively looking
for like-minded health care professional to join us. This is an
excellent opportunity to join a nationally recognized team. We have
open positions in Alabama, Georgia, South Carolina, and Arkansas.
If you're looking for a meaningful career path within a growing and
dynamic organization, send your resume today. We encourage ALL RN's
to contact us and explore what makes Affinity Hospice an employer
of choice. In addition to a mission-driven work environment, we
offer highly competitive compensation packages. Depending on the
position and location, we offer many perks which may include: up to
a $10,000 sign-on bonus, a company car, tuition reimbursement, and
relocation assistance.
Position Overview This is an On Call position. Sunday-Saturday.
Weekday hours are 5pm-8am and Weekend hours you field calls during
day and make visits from 5pm-8am. Hours are flexible and can be
discussed further at interview process.
The registered nurse plans, organizes and directs hospice services
and is experienced in nursing, with emphasis on community health
education/experience. The professional nurse builds from the
resources of the community to plan and direct services to meet the
needs of individuals and families within their homes and
communities.
Essential Job Functions
- Must be able to read, write, speak, and understand the English
language
- Must have reliable transportation to travel to patient homes
per patient schedule and agency needs, as appropriate
- Using effective body mechanics, must be able to lift 20 lbs.
floor to waist; lift 10 lbs. waist to shoulder; lift and carry 20
lbs. and push/pull 40 lbs.
- Must be able to ensure agency is in compliance with all
applicable federal, state, and local regulatory agencies
- Must practice regular and dependable attendance per company
policy and procedure
- Must be able to ensure qualified staffing is appropriate to
meet the needs of the patients served
- Must be able to interview, hire, train, evaluate, counsel, and
supervise agency staff
- Must be able to meet budgeted goals in all areas, including
admissions, revenue, cost, and profitability
- Must be able to develop and implement the Performance
Improvement program, including the agency annual evaluation for the
global region
- Must be able to effectively implement all company programs
- Must be able to develop a business plan to address
opportunities for improvement, growth, and expansion, including
staff for expansion
- Must be able to sit, stand, bend, lift, and move intermittently
throughout the work day
- Must be able to communicate and function in an
interdisciplinary team
- Must be able to document and chart appropriately and within
specific time frames
- Must be able to follow physician orders and nursing treatment
plans for patients
- Must be able to (or assist with) lift, turn, move and position
patients
- Must be able to knowledgeably and competently deliver nursing
care to patients
- Must be able to evaluate patient needs through ongoing
assessment and revise care plans based on changes in patient
condition
- Must be able to oversee and evaluate care given by LPN and
HASpecific Requirements
- Must be able to read, write, speak, and understand the English
language
- Must have excellent verbal and written communication,
organizational, problem solving, and basic math skills
- Must be competent in standard Microsoft Office
applications
- Must comply with accepted professional standards and
practice
- Must have excellent observation and good nursing judgment
- Must be able to concentrate and use reasoning skills
- Must be able to interact professionally with the community
- Must possess the ability to work harmoniously with professional
and non-professional personnel
- Must be knowledgeable of nursing practices and procedures based
on state practice acts
- Must be self-directed and possess leadership and supervisory
skills
- Must understand and follow company policies and procedures
- Must possess the ability to make independent decisions when
circumstances warrant such actions
- Must have a valid driver's license and auto liability insurance
with automobile being in good working condition
- Must be able to multi-task and accept additional duties as
assigned
- Must present a professional image
- Must practice regular and dependable attendanceEducation and
Experience
- Graduate of an accredited school of nursing. One (1) to two (2)
years of recent acute care experience in an institutional
setting
- Current licensure in state and CPR certification
- Bachelor's degree, with one (1) year of hospice experience
preferred
- Management experience not required. Responsible for supervising
hospice aides
- Excellent observation, verbal and written communication skills,
problem solving skills, basic math skills; nursing skills per
competency checklist
- Prolonged or considerable walking or standing. Able to lift,
position or transfer patients. Able to lift supplies and equipment.
Considerable reaching, stooping, bending, kneeling or crouching.
Visual acuity and hearing to perform required nursing skills
- Licensed driver with automobile that is in good working order
and insured in accordance with the organization requirementsWorking
Conditions
- Will work in and travel to patient homes as well as agency
office
- Sits, stands, bends, lifts, and moves intermittently during
working hours
- Subject to frequent interruptions
- Attends and participates in continuing education programs
- Possible exposure to infectious waste, diseases, conditions,
etc. including exposure to the AIDS and Hepatitis B viruses
- Subject to hostile and emotionally upset patients, family
members, caregivers, etc.
- May work beyond normal working hours, weekends, and holidays as
needed and in other positions temporarily as necessary
- Involved with patients, associates, caregivers, government
agencies/personnel, etc. under various circumstancesGeneral
Responsibilities
- Completes an initial, comprehensive and ongoing comprehensive
assessment of patient and family to determine hospice needs.
Provides a complete physical assessment and history of current and
previous illness(es)
- Provides professional nursing care by utilizing all elements of
nursing process and as defined in the state Nurse Practice Act
- Assesses and evaluates patient's status by:
- Writing and initiating plan of care
- Regularly re-evaluating patient and family/caregiver needs
- Participating in revising the plan of care as necessary
- Initiates the plan of care and makes necessary revisions as
patient status and needs change
- Uses health assessment data to determine nursing diagnosis
- Develops a care plan that establishes goals, based on nursing
diagnosis and incorporates palliative nursing actions. Includes the
patient and the family in the planning process
- Initiates appropriate preventive and rehabilitative nursing
procedures. Administers medications and treatments as prescribed by
the physician in the physician's plan of care
- Counsels the patient and family in meeting nursing and related
need
- Provides health care instructions to the patient as appropriate
per assessment and plan
- Assists the patient with the activities of daily living and
facilitates the patient's efforts toward self-sufficiency and
optional comfort care
- Acts as Case Manager when assigned by Clinical Director and
assumes responsibility to coordinate patient care for assigned
caseload
- Completes, maintains and submits accurate and relevant clinical
notes regarding patient's condition and care given. Records
pain/symptom management changes/outcomes as appropriate
- Communicates with the physician regarding the patient's needs
and reports changes in the patient's condition; obtains/receives
physicians' orders as required
- Communicates with community health related persons to
coordinate the care plan
- Teaches the patient and family/caregiver self-care techniques
as appropriate. Provides medication, diet and other instructions as
ordered by the physician and recognizes and utilizes opportunities
for health counseling with patients and families/caregivers. Works
in concert with the interdisciplinary group
- Provides and maintains a safe environment for the patient
- Assists the patient and family/caregiver and other team members
in providing continuity of care
- Works in cooperation with the family/caregiver and hospice
interdisciplinary group to meet the emotional needs of the patient
and family/caregiver
- Attends interdisciplinary group meetings
- Participates in on-call duties as defined by the on-call
policy
- Ensures that arrangements for equipment and other necessary
items and servicesare available
- Supervises ancillary associate and delegates responsibilities
when required
- Assumes responsibility for personal growth and development and
maintains and upgrades professional knowledge and practice skills
through attendance and participation in continuing education and
in-service classes
- Fulfills the obligation of requested and/or accepted case
assignments
- Actively participates in quality assessment performance
improvement teams and activities
- Instructs, supervises and evaluates hospice aide care provided
every two (2) weeks
- Performs comprehensive physical and psychosocial assessment on
patients accurately and completely, including OASIS assessment,
according to direction. Utilizes assessment information to
establish appropriate plan of care, clinical goals and discharge
plans for patients in collaboration with physician and
patient/family/caregiver
- Reassesses patient status and revises plan of care as indicated
throughout episode.
- Performs admission visit and completes all associated paperwork
accurately and completely. Explains all patient rights and
responsibilities to patients/families/caregivers per regulatory
requirements. Verifies payer and advance directive information on
admission visit. Coordinates necessary activity to satisfy Medicare
and other payer regulations. Submits admission paperwork within 48
hours
- Regularly promotes interdisciplinary communication and
coordination of care by communicating and documenting pertinent
findings to Clinical Director, care team members and physician.
Requests changes in physician orders and adds disciplines as
needed
- Accurately and safely performs all infection control procedures
and adheres to standard precautions and principles of safe body
mechanics
- Performs nursing interventions, including technical skills,
wound care management, pain management and clinical program
management accurately as ordered
- Performs and documents routine daily visits, transfers of care,
resumptions of care, recertification, discipline discharges and
agency discharges according to regulatory/payer requirements and
agency policy
- Regularly re-evaluates patients to identify progress toward
goal achievement. Reviews OASIS answers, coding and sequencing of
diagnoses to ensure accuracy. Obtains orders and updates plans of
care as needed throughout the episode of care
- Participates in care conferences and mandatory staff meetings.
Initiates conferences with patient/family/caregivers and physician
as needed to ensure effective coordination of care provided
- Identifies and documents changes in patient needs throughout
episode of care. Communicates with physician and
patient/family/caregivers. Provides written Notice of Medicare
Non-Coverage and Hospice Advance Beneficiary Notice per regulatory
requirements
- Supervises care provided to assigned patients by LPN/LVNs and
hospice aides. Provides accurate and complete written instructions
and care plans as required. Ensures appropriate assignment and
instruction of paraprofessionals by skill level and patient
need
- Performs supervisory visits for hospice aides per regulation to
ensure safe and appropriate care (at least every 14 days for
Medicare)
- Handles patient complaints as appropriate and/or refers
complaint to supervisor for appropriate resolution
- Maintains knowledge of community resources and appropriately
refers patients to resources as needed
- Identifies medical supply needs of patient and ensures patient
has adequate supplies to meet care needs without wasting
resources
- Submits DARS, clinical notes, reassessment visit forms as
indicated by payer, and OASIS documents timely and per agency
requirements
- Meets productivity expectations and communicates change in
schedule to Clinical Director /office
- Participates in on call, holiday, weekend rotation as
assigned
Keywords: Affinity Hospice, Pine Bluff , RN On Call Seven On Seven Off, Healthcare , Pine Bluff, Arkansas
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