St Croix Hospice is hiring an On Call RN for our hospice branch in Lincolnshire, IL. The On-Call Registered Nurse organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse directs the immediate services necessary to meet the needs of individual and families within their homes and communities. This position covers call for nights and weekends for 7 days and then has the next 7 days off.
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Available to receive and respond to calls from Triage during assigned shifts making visits to patients with changing conditions, and completing week end admissions.
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Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs for after-hours calls. Provides a complete physical assessment and history of current and previous illness.
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Provides professional nursing care by utilizing all elements of nursing process.
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Assesses and evaluates patient’s status by:
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Writing and initiating plan of care
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Re-evaluating patient and family/caregiver needs
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Participating in revising the plan of care as necessary
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Initiates the plan of care and makes necessary revisions as patient status and needs change.
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Uses health assessment data to determine nursing diagnosis.
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Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
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Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
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Counsels the patient and family in meeting nursing and related needs.
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Provides health care instructions to the patient as appropriate per assessment and plan.
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Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
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After hours on-call responsibilities included remaining available for all calls related to patient care and making all appropriate visits as necessary.
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Remaining with patient and or family through a crisis period until resolved and or relived.
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Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
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Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
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Communicates with community health related persons to coordinate the care plan.
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Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
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Provides and maintains a safe environment for the patient.
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Assists the patient and family/caregiver and other team members in providing continuity of care.
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Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
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Attends interdisciplinary group meetings.
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Ensures that arrangements for equipment and other necessary items and services are available.
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Supervises ancillary personnel and delegates responsibilities when required.
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Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
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Fulfills the obligation of requested and/or accepted case assignments.
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Actively participates in quality assessment performance improvement teams and activities.
