Description
Who We Are
St. Francis Healthcare System of Hawai'i uplifts families through compassionate care and a strong commitment to community. Guided by our mission to provide excellent, 'ohana-centered hospice and supportive services, we remain rooted in our core values of grace, peace, unity, and legacy. Every team member plays a vital role in living this mission with heart, dedication, and a spirit of service. We cultivate a supportive environment where excellence is nurtured, teamwork is celebrated, and each person's contribution is valued. At St. Francis, healthcare is more than a profession-it's a calling. We welcome you to join our team and help carry forward our legacy of caring for Hawai'i's people with purpose and aloha.
About the Role
Using own automobile, provides patient and family assistance afterhours and weekends. Performs direct and indirect total nursing care of the Hospice patient and family in accordance with the St. Francis Hospice Standards for Nursing Practice in the home setting; instructs family in simple nursing procedures in accordance with the Hospice Interdisciplinary Plan of Care.
- Provides care and maintains awareness of total nursing needs of patients/families assigned to him/her and is responsible for seeing they are fulfilled.
- Triage hospice patient calls telephonically and makes on-call focus visits as needed for pain and symptom management and pronouncements, according to Federal, JCAHO, and appropriate Standards of Nursing Practice as defined by the Hospice Program.
- Notifies on-call physician on an as needed basis regarding patient's condition, changes in the patient's plan of care, med orders, and pronouncements.
- Monitors and documents patient's reaction to symptom management and pain control.
- Reports all medication errors, adverse drug reactions, fall, and any unusual occurrences by completing an Incident Form and documenting in Adverse Events in All scripts.
- Arranges for requisition of equipment needed in home setting when appropriate, such as oxygen and/ or suction equipment.
- Delivers/picks up Hospice medications, and supplies in the home setting when appropriate.
- Sends tasks messages to Interdisciplinary team members, including social services, pastoral/spiritual care, and volunteer services when needed.
- Sends Primary Case RNs all tasks of triage calls relating to their patients in order to enable them to follow up and identify problems for evaluation and to coordinate the plan of care to best meet the patient/families needs.
- Responsible for initiating telephone calls to patients, if requested by Case RN, for afterhours follow up and/or visit.
- Properly disposes of narcotic meds during pronouncement visit s.
- Consults with Patient/Family Care Coordinator - Home Care on problems/safety concerns encountered in caring for patient/family.
- Assists in providing an optimal safe physical and emotional environment for both patient and family.
- Teaches, supervises and counsels the patient and family members regarding the nursing care needs and other related problems of the patient.
- Charts accurate, current and complete clinical notes and assessments on all triage patients.
- Adheres to and effectively communicates Hospice's philosophy, goals, and objectives to community health agencies and to the public.
- Assists in the referral, intake and discharge process after hours as necessary, such as completing referral forms and faxing to call center, writing out med orders and faxing to MD for SOC RNs in the field after hours, and obtaining revocation/discharge signatures as needed.
- Assists in orientation and development of new staff members in the Hospice Program.
- Is responsible for maintaining the appropriate insurance verification on file with the business office as well as submits completed mileage voucher in a timely basis.
- Will work in a clinical role as on-call nurse on scheduled weekends and holidays according to rotation process.
- Will work in a clinical role as on-call nurse after working hours on weekdays due to emergency or staff shortage.
- Ensures that all patient information is held in strict confidence.
- Works together with hospice inpatient RN when a patient is transferred into the facility for GIP management.
- Ensures that when charting, only approved abbreviations found in the procedure manual are used.
- Performs other related duties as assigned.
Requirements
Educational Requirements
- Registered Nurse, B.S.N. preferred. State of Hawaii RN license.
Experience
- Minimum two (2) years' experience. Acute/Oncology Nursing Experience.
Skills Required
- Dexterity in handling equipment and instruments.
- Must have valid driver's license.
- Personal automobile available for business use.
- Ability to adapt to changing situations on short notice and with ease.
- Able to express self clearly and effectively in oral and written form.
- Effective interpersonal, communication skills.
- Desire to continually upgrade self in knowledge, skills, and professional conduct.
- Good driving record, as evidenced by a current driver's abstract.
Communication and Contacts
- Requires contacts both inside and outside the medical center in order to furnish or obtain information and/or provide patient care. Normal courtesy, tact and discretion required.