Registered Nurse / RN - PRN

US-TN-LENOIR CITY

BrightSpring Health Services

Req #: 145330
Type: PRN
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BrightSpring Health Services

				Overview:

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Responsibilities:

* Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs
* Provides a complete physical assessment and history of current and previous illness(es)
* Provides professional nursing care by utilizing all elements of nursing process
* Assesses and evaluates patient's status by:
* Writing and initiating plan of care
* Regularly re-evaluating patient and family/caregiver needs
* Participating in revising the plan of care as necessary

* Initiates the plan of care and makes necessary revisions as patient status and needs change
* Uses health assessment data to determine nursing diagnosis
* 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

* Initiates appropriate preventive and rehabilitative nursing procedures
* Administers medications and treatments as prescribed by the physician in the physician's plan of care
* Counsels the patient and family in meeting nursing and related needs
* Provides health care instructions to the patient as appropriate per assessment and plan
* Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care
* Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload
* Completes, maintains and=0 submits accurate and relevant clinical notes regarding patient's condition and care given

* Records pain/symptom management changes/outcomes as appropriate

* Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required

* Communicates with community health related persons to coordinate the care plan

* 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

* Provides and maintains a safe environment for the patient

* Assists the patient and family/caregiver and other team members in providing continuity of care

* Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver

* Attends interdisciplinary group meetings

* Participates in on-call duties as defined by the on-call policy

*  

Ensures that arrangements for equipment and other necessary items and services 
are available 

* Supervises ancillary personnel and delegates responsibilities when required

* 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

* Fulfills the obligation of requested and/or accepted case assignments 

* Actively participates in quality assessment performance improvement teams and activities

Qualifications:

* Graduate of an accredited school of Nursing
* Current Registered Nurse licensure in State and American Heart Association CPR certification required; CPR certification may be offered and completed upon hire 
* Bachelor's degree preferred, with one (1) year of hospice experience preferred
* Management experience not required; Responsible for supervising hospice aides
* Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist
			
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