St Augustine, FL 32086Under the general direction of the Patient Care Coordinator or the Chief Clinical Officer, the Registered Nurse serves as primary nurse and case manager for assigned patients, ensuring that each receives appropriate services by the hospice interdisciplinary team. The RN provides direct nursing care to patients in accordance with current Federal and State guidelines and to ensure that the highest degree of quality care is maintained at all times. Respond to calls from patients or family in a timely and professional manner Perform nursing duties according to Hospice Nursing Standard of Practice and Hospice of the Golden Isles policies and procedures. Display critical thinking skills to problem solving and manage patients and family issues according to Hospice and Standard of Practice and HGI policies and procedures. Maintain excellent direct care nursing skills. Complete required documentation in an informative and descriptive manner on each patient each day. Review and update care plans based on patient needs and according to HGI policies. Develop and maintain a good working rapport with all personnel to ensure that nursing services can be adequately maintained to meet the needs of the patient and family. Ensure a safe environment for patients receiving care at the Robinson Center and Jolley House. Assess and identify emotional and physical pain and implement the NHPCA guidelines. Supervise LPNs and CNAs. Complete required documentation in an informative and descriptive manner on each patient each day. Receive and transcribe physician orders accurately. Prepare, administer, and sign off medications as ordered by the physician. Ensure narcotic records are accurate at beginning and end of shift. Dispose of drugs and narcotics as required and in accordance with HGI established procedure. Triage calls from home patients and notify on call nurse as needed. Admit, transfer, and discharge patients as necessary according to HGI policies and complete documentation as required. Provide support to patient and family. Appropriately answer patient and family questions about medical care and the end of life process. Pronounce patient at time of death. Inform supervisor of unusual or problematic patient family issues. Maintain knowledge of hospice insurance sources and requirements. Maintain up to date records using the EMR system so problems, plans, actions and goals are accurately and clearly stated according to HGI policies, best practice and regulatory requirements. Answer patient and families questions about medical care and the end-of-life process. Successfully completes the annually required in-service as assigned. Participates in QAPI program as appropriate. Attends regular staff meetings as scheduled. Displays critical thinking skills to problem solve and manage patient and family issues according to Hospice and Standard of Practice and HGI policies and procedures. Informs supervisor of unusual, problematic patient/family issues. Participates in emergency disaster processes as defined by HGI policies. Demonstrates familiarity with HGI policies/procedures and follows state and federal regulatory requirements. Performs assignments as directed. Participates in Interdisciplinary team meeting as able. Assures timely review of all emails and voice messages and responds as required. Maintains the confidentiality of all patients. Maintains a positive work atmosphere by demonstrating behavior and communicating in a professional manner suitable for interaction with customers, clients, co-workers and management. Education/Experience: Any combination of education and experience that would provide required skills and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to: •Possession of a degree from an accredited school of nursing program, 2 (two) year Associate Degree, or a Bachelor’s Degree in Nursing. •One (1) year Registered Nurse experience with one (1) year recent hospital medical-surgical/oncology experience preferred OR • Five (5) years Licensed Practical Nurse experience within the past five (5) years, with one (1) year hospital medical–surgical/oncology experience • Current licensure as Registered Nurse in the state of Florida • Current CPR certification • Current State of Florida driver’s license with an acceptable driving record We are an equal opportunity employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.
Jacksonville, FL 32257Under the supervision of the Triage manager and the direction of the Triage supervisors or Team managers, provides patient care in a variety of settings for the purpose of assessment, symptom management, treatment, teaching, emotional support, coordination of care, deaths, coverage of routine case management visits, etc. Work hours include every Saturday and Sunday from 8am-8pm and one weekday (either Monday or Friday) from 830a-5p, based on organizational needs. Primary Responsibilities: Weekend coverage: Performs skilled nursing activities such as: Completes assessment of patient for effective symptom management. Incorporates nursing skills, communication skills, and emotional intelligence skills to effectively assess problems/needs. Perform treatments and interventions in accordance with the plan of care and physician’s orders. Provide information and education regarding disease progression and anticipated needs at end of life. Provide instruction to the patient/care giver in accordance with the plan of care or changes in plan of care. Collaborate with patient, family/caregiver, and practitioner regarding goals of care and changes in treatment plan. Follows precautions based on plan of care. Provides appropriate emotional support during all conversations with patients/caregivers. Conducts follow up and collaboration calls as needs arise or as requested by the team. Communicates and coordinates as follows: During shift answers phone at time of call or returns call to Triage within 5 minutes (unless actively engaged in patient care). Provides real-time updates to supervisor regarding visit arrival and departure times per protocol. Provide change of status updates to supervisor (such as GIP/ER transfer or death) Call physician or APRN as necessary for change in plan of care. Facilitates change to continuous care and GIP transfer, per policy. Collaborate with supervisor or IDG team to determine appropriate discipline to respond to call and/or visit need. Arranges for medications and supplies based on urgency, per policy. Communicates with staff, physicians, community resources, and vendors providing accurate information regarding patient’s needs/problems. Documents all phone calls or in-person encounters with patients/caregivers in the EMR in a timely manner per CHPC protocol. Leaves accurate and detailed report, per policy, to IDG team members, after all visits including death visits. Weekday coverage: Act as a member of an assigned care team, coordinating resources and performing a wide range of skilled nursing activities for an assigned caseload of adult patients or to assist the wider team, as directed by the home or LTC team manager Conduct assessment of patient/caregiver needs; symptom management; teaching of appropriate care related to disease process; and participating as a member of the interdisciplinary group (IDG) in providing end-of-life care/support for patients and caregivers alike. Performing skilled nursing activities as indicated above Communicate and collaborate with the IDG team as directed by the team manager Provide end of shift report as directed by team manager Minimum Qualifications: Possession of a degree from a diploma nursing program or a Bachelor’s degree in Nursing. Minimum of two (2) years experience in acute care setting, oncology, or home health care setting. Skilled at t eaching, communication and listening skills, assessment skills, central/peripheral IV skills, working within the framework of a multidisciplinary team. Required Licenses/Certifications: Current license as a Registered Nurse in the State of Florida. Current CPR certification Current State of Florida driver’s license with driving record acceptable to Community Hospice of Northeast Florida insurance carrier and reliable transportation. Physical Requirements/Work Environment: Home care position for 8 to 12 hour shifts. Use of own vehicle required. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. We are an equal opportunity employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.
Jacksonville, FL 32257Under the supervision of the Triage manager and the direction of the Triage supervisors or Team managers, provides patient care in a variety of settings for the purpose of assessment, symptom management, treatment, teaching, emotional support, coordination of care, deaths, coverage of routine case management visits, etc. Work hours include every Saturday and Sunday from 8am-8pm and one weekday (either Monday or Friday) from 830a-5p, based on organizational needs. Primary Responsibilities: Weekend coverage: Performs skilled nursing activities such as: Completes assessment of patient for effective symptom management. Incorporates nursing skills, communication skills, and emotional intelligence skills to effectively assess problems/needs. Perform treatments and interventions in accordance with the plan of care and physician’s orders. Provide information and education regarding disease progression and anticipated needs at end of life. Provide instruction to the patient/care giver in accordance with the plan of care or changes in plan of care. Collaborate with patient, family/caregiver, and practitioner regarding goals of care and changes in treatment plan. Follows precautions based on plan of care. Provides appropriate emotional support during all conversations with patients/caregivers. Conducts follow up and collaboration calls as needs arise or as requested by the team. Communicates and coordinates as follows: During shift answers phone at time of call or returns call to Triage within 5 minutes (unless actively engaged in patient care). Provides real-time updates to supervisor regarding visit arrival and departure times per protocol. Provide change of status updates to supervisor (such as GIP/ER transfer or death) Call physician or APRN as necessary for change in plan of care. Facilitates change to continuous care and GIP transfer, per policy. Collaborate with supervisor or IDG team to determine appropriate discipline to respond to call and/or visit need. Arranges for medications and supplies based on urgency, per policy. Communicates with staff, physicians, community resources, and vendors providing accurate information regarding patient’s needs/problems. Documents all phone calls or in-person encounters with patients/caregivers in the EMR in a timely manner per CHPC protocol. Leaves accurate and detailed report, per policy, to IDG team members, after all visits including death visits. Weekday coverage: Act as a member of an assigned care team, coordinating resources and performing a wide range of skilled nursing activities for an assigned caseload of adult patients or to assist the wider team, as directed by the home or LTC team manager Conduct assessment of patient/caregiver needs; symptom management; teaching of appropriate care related to disease process; and participating as a member of the interdisciplinary group (IDG) in providing end-of-life care/support for patients and caregivers alike. Performing skilled nursing activities as indicated above Communicate and collaborate with the IDG team as directed by the team manager Provide end of shift report as directed by team manager Minimum Qualifications: Possession of a degree from a diploma nursing program or a Bachelor’s degree in Nursing. Minimum of two (2) years experience in acute care setting, oncology, or home health care setting. Skilled at t eaching, communication and listening skills, assessment skills, central/peripheral IV skills, working within the framework of a multidisciplinary team. Required Licenses/Certifications: Current license as a Registered Nurse in the State of Florida. Current CPR certification Current State of Florida driver’s license with driving record acceptable to Community Hospice of Northeast Florida insurance carrier and reliable transportation. Physical Requirements/Work Environment: Home care position for 8 to 12 hour shifts. Use of own vehicle required. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. We are an equal opportunity employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.
