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About the Role

Provides and coordinates nursing care for hospice patients in the homecare setting, focusing on managing the impact of terminal diagnoses and providing comfort and symptom relief.

Responsibilities

• 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.
• Performs nursing assessments, including vital signs, pain assessment, and breath sounds.
• Triages patient care problems.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Facilitates movement to another level of hospice care when needed.
• Develops, maintains, and updates individualized plan of care.
• Performs specialized nursing skills related to palliative and end-of-life care.
• Consults with and educates the patient and caregivers regarding disease process, self-care techniques, end of life care, comfort measures, medication use and side effects, and processes for dealing with ethical issues.
• Provides specialized training to staff and/or caregivers.
• 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.
• May provide nursing care to pediatric patients as needed.
• Utilizes proper bag technique in performing nursing visits.
• Reports adverse events to team leader or quality nurse within 24 hours.
• 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 for hospice patients in the homecare setting.
• Attends IDT meetings.
• Coordinates patient/family care and services and prioritizes needs with IDT members.
• 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.
• Provides supervision of care provided by CNAs, LVNs, and homemakers.
• Documents patient assessments, patient contacts, physician orders, and clinical and progress notes.
• Ensures hospital charts 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.
• Works with Hospice Austin and hospital staff regarding discharge planning, ordering DME, meds, etc.
• Evaluates own needs for support and self-care.
• Recognizes and maintains professional boundaries.
• Assists in developing and implementing discharge plans with a five-day notice to patient.
• Performs other duties as assigned.

Requirements

• Graduation from an approved school of professional nursing.
• 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.

Skills

• Nursing care
• Patient assessment
• Palliative care
• End-of-life care
• Symptom management
• Psychosocial support
• Case management
• Documentation
• Communication

Location

• Spicewood - Austin, TX 78759

Work Type

• 40 HRS - 1 FTE
• M-F 8A-5P

Experience Level

• 1-year previous hospice nursing experience (Preferred)

Education Level

• Graduation from an approved school of professional nursing