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Experienced Hospice RN [PRN, On-Call]

Thousand Oaks, CA
Assisted is an exciting place to be right now as we are experiencing tremendous growth!

We are looking for an experienced Hospice RN to help cover our On-Call overnights and weekends.


This role is for an individual who, through either as a former LVN or as an RN has worked in Hospice care.

Waiting to Engage Rates:
$50 Mon-Fri
$100 Sat or Sun

On Call Visit Rates:  
$206 per/Evaluation
$116 per/Routine

Assisted offers great and rewarding career opportunities, making a difference in the lives of people.
Join our team and love what you do!
Help others. Make a difference. Be proud.

Assisted Offers Our Employees a Unique Employment Package:
  • Affordable medical, dental and vision benefits package.
  • Company matched 401K (up to 6% of your annual salary can be matched)
  • A very generous referral bonus – earn up to $600* per referral.
  • We’ll empower you to reach your highest levels of personal and professional development by providing up to $6,000* tuition education reimbursement.
  • Vacation, sick leave, and paid holidays package*
*Internal policy provides detailed information regarding these benefits. Full policy is provided upon request.

JOB SUMMARY
Responsible for providing hospice services consistent with the mission, vision and goals of the Agency.  The RN is responsible for providing skilled nursing services for terminally ill patients utilizing an individualized palliative plan of care developed by the interdisciplinary team, patient's physician and his/her family.  The RN utilizes specialized nursing skills related to palliative and end-of-life care when providing skilled nursing services necessary to adhere to the plan of care.  They include, but are not limited to, patient assessment, evaluation and coordination of the medical nursing needs of the patient; the performance of prescribed medical treatment for pain and symptom control; the provision of emotional support to both the patient and his/her family; and the instruction of caregivers in providing care to the patient. The RN shall provide for the continuity of services for the patient and his/her family.  The RN is a core member of the hospice interdisciplinary team.

DUTIES AND RESPONSIBILITIES
  • Apply specific criteria for admission and re-certification to establish patient’s eligibility and appropriate levels of care  
  • Assess the impact of the terminal diagnosis on patient’s physical, functional, environmental, safety, ADL and psycho-social needs, including risk for pathological grief
  • Assess all aspects of the patient’s pain and develop an individualized pain management plan
  • Identify patient verbal and non-verbal communications patterns
  • Assess the ability of the caregiver to meet the patient’s immediate needs at start of care and throughout care
  • Follow an individualized palliative plan of care based on the needs identified which demonstrates management of discomfort and provision of symptom relief
  • Adheres to the scope and frequency of services based on acuity and patient/family needs
  • Implement the care plan utilizing appropriate preventative and rehabilitative nursing procedures
  • Anticipate, prevent, as possible, and treat undesirable symptoms or secondary symptoms
  • Consult and collaborate with the interdisciplinary team and others involved in the patient’s care
  • Coordinate with the case manager all patient / family services and participate in prioritizing needs of members of the interdisciplinary team
  • Inform the physician and other appropriate interdisciplinary team members of changes in the patient condition
  • Support, consult, and educate the patient, family and caregiver regarding the disease process, self-care techniques, end-of-life cares and managing ethical concerns
  • Document nursing assessments, care plans with problems, appropriate goals and interventions identified, cares provided, and patient / family outcomes demonstrating progress toward established goals
  • Document and communicate information using current process and technology available to Agency
  • Maintain the dignity of the dying patient
  • Attend Interdisciplinary Group meetings and participate in care plan revision / update as requested
  • Work in a team approach with members of the interdisciplinary team to evaluate on-going patient / family responses to and satisfaction with care
  •  Support the patient’s and family’s unique spiritual and cultural beliefs
  • Provide holistic, family-centered care across treatment settings to improve quality of life
  • Perform duties consistent with the Nursing Practice Act including the Standards of Competent Performance
  • Demonstrate the ability to correctly use and direct the use of medical supplies and equipment
  • Provide specialized hospice training to other staff the patient’s family and informal caregivers to ensure adequate care
  • Supervise LVNs and para-professionals (Home Health Aides) providing services to the patient as required by law and licensure. Supervision is documented on the Nursing Visit Note
  • Participate in orientation, in-service education and performance improvement
  • Prepare and submit, as directed, all case documentation and required payroll information according to Agency policy.
  • Provide services within the Agency's catchment area
  • Prepares all appropriate paperwork and submits timely
  • Acknowledge patient rights including privacy and confidentiality
  • Evaluate own needs for support and communicates concerns to manager
  • Consistently display a professional appearance and conduct in all settings 
  • Interact with internal and external customers using positive and professional approach
  • Assume responsibility and display reliability for the completion of all tasks, duties, communications and actions
  • Support the mission, vision and goals of the Agency
  • Maintain professional growth and development
  • Participate in performance improvement activities
  • Abide by Agency policies and procedures
  • Accept other duties as assigned

PHYSICAL DEMANDS AND WORKING ENVIRONMENT
Must have visual and hearing acuity.  Must be able to communicate clearly verbally.  Must be able to read, write and speak English fluently. May be exposed to minor hazards/communicable diseases.  Physically active walking, standing, climbing stairs.  Must be able to perform fully assisted transfers, with or without transfer devices.  Must not have any back lifting restrictions/moving restrictions.  Must provide proof of automobile insurance upon hire and at each renewal and maintain a safe driving record.

EDUCATION, EXPERIENCE, AND TRAINING
  • Current, active RN License in the State of California by the Board of Registered Nursing.
  • Current CPR, health clearance and clinical skills self-assessment.
  • Successful passage (80%) of Agency competency exam and core competency per skills checklist.
  • Minimum of one year of professional nursing experience and BSN or one year of professional nursing experience within the last 3 years
  • Have the orientation and training appropriate to the care of the hospice patient and his/her family.

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