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RN

Chesapeake Regional Medical Center


Location:
Chesapeake, VA
Date:
04/20/2017
Job Code:
3473
Categories:
  • Healthcare/Medical
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Job Details

Job Opportunities
Req. Number: 3473
Location: Chesapeake Regional Medical Center, Chesapeake, VA
Department: CC RN
Status: FT<80 (FT Benefits)
Shift: Days
Hours: M-F days, rotating wknd
Education: BSN Preferred.
Licensure/Registration/
Certification/Experience:
  • RN Required
Job Details:
  • §  Establish and utilize the plan of care to implement and direct patient care (the plan of care is updated at least monthly and also as changes occur); progress notes should reflect utilization of the care plan

    §  Recognize the patient and family as the unit of care

    §  Inform the patient's insurance case manager via the Managed Care Liaison about the ordered visit frequency plan(s) for patient care and patient's status

    §  Provide clinical supervision of the hospice home care team

    §  Home Health Aide (HHA) care plans must be reviewed and/or updated with each onsite visit and initialed; the original is kept on the chart and staff are responsible for weekly updates

    §  Perform HHA onsite supervisory visits every 14 days according to Medicare guidelines, and conduct an onsite with the HHA during the first week after start of care

    §  Performs all aspects of the skilled nurse home visit:

    o    Plan and prepare for the visit

    o    Perform skilled interventions including teaching, pain management, and symptom control

    o    Report changes in patient condition or other pertinent data to physician as needed

    o    Comply with established SN frequency as per form 485; change frequency as needed according to physician orders

    o    Document assessment of patient's status and response to skilled intervention and teaching on hospice SN progress note

    o    Document ongoing discharge planning from start of care, and prepare discharge summary according to agency policy

    o    Ensure that documentation shows subsequent planned visits with patient

    o    Report unexpected changes in patient condition or other pertinent data to the physician according to agency policy

    o    Provide appropriate support at the time of death and during the period of bereavement

    o    Utilize supply requisition process in an appropriate and cost effective manner

    §  Inform the Managed Care Liaison of patient updates regarding care, status, and frequency of visits for all disciplines

    §  Teach the patient/family about care needs, disease process, and health maintenance measures

    §  Ensure documentation on the hospice SN progress notes reflect patient/caregiver response to skilled instruction or treatment, as well as an update of status/problems

    §  Provide skilled instructions according to the nursing plan of care and any teaching guides (as applicable)

    §  Teach and counsel patient, family, or other primary caregiver regarding expected disease progression, care techniques, and other health measures

    §  Ensure that the patient's medical record reflects that the patient and caregiver are included in the planning and rendering of care as evidenced by patient/family response to plan of care/intervention/instructions

    §  Remain knowledgeable regarding current hospice trends and insurance issues

    §  Participate in joint visits with the Hospice PCC, PRN, and/or designee at least annually

    §  Seek attending physician, hospice medical director, or hospice PCC intervention and follow up appropriately

    §  Maintain current update of clinical skills and recognize/report skills review needs to the Hospice PCC

    §  Demonstrate courtesy, compassion, tact, patience, and respect for patients, families, and co-workers

    §  Practice hospice nursing with utilization of appropriate palliative tools (i.e. open communication, empathy, acceptance of spiritual and cultural differences, ability to assess and manage caregiver needs/problems, accurate pain assessment and treatment, teaching the family the normal processes of the human body as death approaches, and understanding of stages of grief and bereavement)

    §  Recognize and assume patient/family advocacy role

    §  Call the Team Assistant's voice mail each morning with daily plans and changes

    §  Document all patient care in reimbursable and professional terminology as evidenced by audit review

    §  The Nursing Plan of Care and any teaching guides used must be on the patient's clinical record within the first week from start of care

    §  The Plan of care is to be utilized with planning SN visits and updated accordingly

    §  Medication profiles will have classification completed and on the patient's medical record within the first week of start of care; medication profiles must be updated once per month and/or with additions or changes and signed/dated

    §  Discharge summaries are due within 48 hours after the patient is discharged from service and are to be submitted to the Hospice PCC

    §  Admission paperwork and orders must be completed within 48 hours and are to be submitted to the PCC

    §  Recertification's are due three (3) weeks prior to the end of the current certification period, and must be submitted to the PCC for review

    §  Phone orders are to be submitted for processing within 48 hours after receiving the order

    §  QCC reports are to be completed by the involved staff person within 24 hours and are to be submitted to the PCC

    §  Weekly schedules are to be submitted to the Hospice PCC and Team Assistant on Thursday for the coming week

    §  Payroll sheets with SN progress notes are to be submitted every Monday, Wednesday, and Friday by 8:00 AM; exceptions for holidays will be determined

    §  Nursing staff will perform billing audits and chart audits monthly as directed by the PCC

     

    Education and Experience

    Minimum Education: Successful completion of an accredited Registered Nursing Program (RN)

    Preferred Education: Bachelor of Science in Nursing (BSN)

    Experience: One (1) or more years' prior med-surg experience is required; prior hospice experience is preferred

    Certificates, Licenses, Registrations

    Applicant must be licensed to work as a Registered Nurse in the Commonwealth of Virginia and must hold a current CPR certification. CHPN certification is preferred.




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