Night Nurse - Santa Cruz, United States - Hospice of Santa Cruz County

Hospice of Santa Cruz County

Verified Company

Santa Cruz, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary

The Variable Staffing Night Nurse [VSNN] is a member of the Variable Staffing Team and, as such, participates in providing after hours staffing coverage including Nights On-Call Coverage, both Evening Admissions and Night Visit roles as well as Evening Shift coverage and Admissions.

The Variable Staffing Night Nurse [VSNN] is responsible for providing after hours support to patient/families admitted to hospice service.

Working in collaboration with Triage, the VSNN responds to pt/family calls and intervenes appropriately, providing phone instruction/support or visit as assessed.

Care provided is based on an the individualized Plan of Care developed by the IDT that reflects pt/family goals related of Safe & Comfortable Dying, Self-Determined Life Closure and Effective Bereavement.

The VSNN demonstrates sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness, death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services.

Essential Responsibilities

Patient/family Care

Recognizes the patient and family as the "unit of care" and IDT members
Respects patient right to selfdetermination and acts as advocate within the context of the values and ethical standards of HSCC
Demonstrates ability to meet pt/family where they are
Offers/makes visits per agency policy
Offers home visit at time of death
Utilizes nursing process in providing primary care to pt/families, and professional patient management to facility staff
Documents all care and care planning per agency policy
Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC
Monitors management of pain and symptoms in collaboration with patient/family, facility staff, IDT and physician to achieve maximum comfort
Administers medications and treatments as ordered prn
Instructs and supports pt/family unit and facility staff re: symptom mgmt, patient care, disease process & death/dying

Admission Visits

Meets with patients & families in all settings to explain services, answer questions and admit patient as appropriate
Conducts info visits and discuss difficult treatment and/or symptom management issues to facilitate the admission process
Develops and implements an individualized, interdisciplinary Plans of Care for patients and families
Uses electronic medical record (EMR) systems effectively and efficiently to complete required documentation in a variety of patient care settings

On Call

Works cooperatively with Variable Staffing Team members to provide after hours coverage for HSCC pt/families and staff of our facility partners.
Participates in providing extra coverage for planned and unplanned absences
Secures current information on each patient prior to making call
Assesses patient status via telephone response
Follows agency policy in determining whether to make/offer visit for patient/family
Assists, supports & educates patient and family through physical and emotional crisis utilizing all Variable Staffing Team after hours resources available; Social Workers, Chaplains, Hospice Aides, Administrator On Call.
Assesses for and promotes caregiver confidence via telephone teaching or onsite visits.
Obtains medications, medical supplies and equipment per pt need/physician order and HSCC policies and procedures when needed
Demonstrates understanding of pharmacyrelated policies & procedures
Disposes or instructs re: disposal of Schedule II medications at time of death per agency policy
Opens, closes and revises POC per HSCC guidelines
Documents all contacts, instructions and interventions in the electronic medical record per HSCC policies & procedures
Documents all contacts, instructions and interventions provided per HSCC policies & procedures
Creates individualized POC based on the assessment of pt/family needs and goals
POC addresses pt/family physical, psychosocial and spiritual needs a written POC that includes identified goals, interventions and outcomes and documents

Secondary Responsibilities

IDT Participation

Functions as a member of the HSCC IDT maintaining open & organized communication with hospice staff, volunteers and supervisor
Works collaboratively with IDT to develop common goals to meet the needs of the pt/family
Completes and submits all documentation in accordance with policies and procedures

Quality Improvement

Meets all standards and requirement as indicated by licensing and accrediting agencies
Completes and submits all documentation in accordance with policies and procedures
Submits verification of current employment related documents per HSCC policies, procedures and licensing agencies
Participates in activities that affirm, enhance and develop the highest quality standards for HS