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Provides and coordinates professional nursing care for hospice patients within a homecare setting, including initial and ongoing assessments. Develops individualized plans of care and collaborates with an interdisciplinary team to manage symptoms and provide end-of-life support.
Requires a graduation from an approved professional nursing school and an unrestricted Registered Nurse license from the Texas Board of Nurse Examiners. Must possess CPR certification, a valid Texas driver's license, and auto liability insurance.
Job DetailsJob Location: Spicewood - Austin, TX 78759Position Type: 40 HRS - 1 FTEJob Shift: M-F 8A-5PJOB TITLE: RN Case Manager
Provides and coordinates nursing care in the home care program.
Provides professional nursing care for hospice patients in the homecare setting.
Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient's physical, functional, psychosocial, and environmental needs and activities of daily living, including any risk for pathological grief, cultural and spiritual implications, and verbal and non-verbal communication patterns.
Performs nursing assessments, including vital signs, pain assessment, breath sounds, etc.
Triages patient care problems
Initiates appropriate preventive and rehabilitative nursing procedures as needed and facilitates movement to another level of hospice care when needed.
Develops, maintains and updates individualized plan of care that involves performing specialized nursing skills related to palliative and end-of-life care related to managing discomfort and providing symptom relief.
Consults with and educates the patient and caregivers (including hospital, alternate living facility or home health staff) regarding disease process, self-care techniques, end of life care, comfort measures, medication use and side effects, and processes for dealing with ethical issues; may provide specialized training to staff and/or caregivers to ensure adequate care provided
Performs on-going evaluation of patient/family response to care
Provides psychosocial support to patients and families
Provides preparation and support for patient’s death; pronounces deaths in accordance with state regulation, provides postmortem care, handles body and death event with respect and dignity and in accordance with patient/family/caregiver wishes
As needed and depending on current caseloads, may be asked to provide nursing care to pediatric patients
Utilizes proper bag technique in performing nursing visits
Reports adverse events (complaints, infections, falls) to team leader or quality nurse within 24 hours of obtaining information.
Performs POS documentation and completes/signs all documentation according to agency protocol
Complies with minimum weekly visit requirements per company protocol
Coordinates nursing, personal and homemaker care hospice patients in the homecare setting
Attends IDT meetings; coordinates patient/family care and services and prioritizes needs with the members of the IDT
Informs the physician and other team members of changes in the patient's needs and outcomes of intervention
Determines scope and frequency of services needed based on acuity and patient/family needs
Coordinates personal care, DME, and obtaining medications and medical supplies
Uses case management approach, referring to other services as needed (e.g. Nutritionist, PT, OT, SLP)
Provides supervision of care provided by CNAs and LVNs and homemakers providing services to the patient according to regulatory guidelines
Documents in a timely manner patient assessments, patient contacts, physician orders, and clinical and progress notes that demonstrate progress towards established goals
Ensures hospital charts (hospitals, long-term care facilities) include documentation after each patient visit as applicable
Acts as a liaison between patient and physicians, hospital staff, long-term care facility staff, and other care team members to facilitate ongoing clinical care
Works with Hospice Austin and hospital staff, regarding discharge planning, ordering DME, meds, etc.
Evaluates own needs for support and self-care, using identified system(s) to meet the need
Recognizes and maintains professional boundaries in relationships with patient/family/caregiver
Assists in developing and implementing discharge plans with a five-day notice to patient
Other duties as assigned.
Qualifications
Graduation from an approved school of professional nursing as determined by the Board of Nurse Examiners.
Unrestricted license as a Registered Nurse by the Texas Board of Nurse Examiners.
CPR certification.
Valid Texas driver’s license, auto liability insurance and safe driving record.
1-year previous hospice nursing experience
Your Comfort. Our Calling.
As the first hospice in Central Texas, Hospice Austin was established more than 40 years ago by a group of doctors and concerned citizens for the sole purpose of serving families. Since then, we have provided end-of-life care to any person who needs us, regardless of the complexity of the illness, cost of care or a patient’s ability to pay. Hospice Austin is a nonprofit hospice. That means our resources are not used to benefit shareholders but instead go back into services that benefit patients and their families. It allows us to fulfill our mission of providing our patients with the very highest standards of care. We believe every person deserves peace and comfort, with care that emphasizes independence and respect and is tailored to his or her individual preferences.
Offices: 4107 Spicewood Springs Rd, Austin, TX 78759, US
