RN Home Care Exempt

Case Management and Supervision

• Follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license
• Reports any request to practice outside of scope of license to the manager/supervisor
• Supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care
• Completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement
• Appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults
• Completes documentation at the time of the event and at the location of care unless otherwise directed
• Provides education to patients, families, caregivers and referral sources
• Participates in patient care meetings as assigned
• Participates in weekly team meetings
• Provides effective communication/shift reports through written, verbal, reporting and body language
• Participates in bereavement support
• Participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs
• Provides visits/shifts in program coverage area
• Develops, coordinates, and follows the patient's individualized plan of care
• Appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses
  • All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed
  • Determination that this activity can be delegated safely to a Hospice Aide/Homemaker
• Connecticut -For activities other than those listed in section 19­13D69(d)(3)of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that:
• Provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HHAs and Volunteers
• Participates in and monitors patient and family care compliance activities
• Professionally manages/coordinates the hospice plan of care
• Provides and follows infection control practices
• Delivers care in accordance with the patient's plan of care
• Provides primary nursing care for inpatient and continuous care patients as assigned

Quality Improvement

• Participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. This may include, but is not limited to
• participation in Performance Improvement Project(s) (PIP)
• Gathering clinical data which is used for quality measures

Professional Development

• Develops and achieves professional growth goals and objectives personally and per Team Manager reviews
• Responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned
• Participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned
• Participates in training activities internally within VITAS and externally as assigned

Customer Service

• Maintains focus on the patient and family experience of care
• Serves as a patient and family advocate
• Reports patient/family/customer complaints to Team Manager
• Participates in patient/family/customer conflict resolution as applicable.
• Represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner

QUALIFICATIONS

• Currently licensed as a R.N. in the state where the VITAS program is located.
• A minimum of two years experience in hospice, home health, or community health experience in the last five years.

EDUCATION

• RN license

SPECIAL INSTRUCTIONS TO CANDIDATE

• EOE/AA M/F/D/V