The night/on-call nurse is responsible for responding to all of Coastal Home Health and Hospice (CHHH) patients and their family members, as well as making referrals and community inquiries when the office is closed. The On-call nurse provides:
Clinical and psychosocial interventions for patients and their families.
Skilled nursing care.
Collaboration with providers within and outside of CHHH to maximize patient outcomes.
The on-call nurse consults with the case manager, clinical director and physicians as necessary
ESSENTIAL DUTIES AND RESPONSIBILITIES:
May include, but are not limited to the following:
1. Is constantly available by cell or telephone during the hours of 5:00 pm to 8:30 am, Monday through Friday.
2. Responds to answering service within 5 minutes and be ready to travel in 10-15 minutes.
3. Conducts admissions as necessary.
4. Conducts physical and psychosocial assessments of patient's and family's needs after
a. hours and determines intervention.
5. Provides interim guidance to the patient and his or her family regarding diagnosis medications, treatments and patient progress.
6. Documents care in a thorough and timely manner.
7. Works closely with IDG and home health team to provide continuity of care and support for the patient and family.
8. Triages patient phone calls and provides skilled nursing care as needed.
9. Collaborates with vendors to obtain DME, supplies and medications.
10. If needed, make arrangements for patient transfers to the hospital by calling report to hospital.
11. Collaborates with hospital, SNF, AFH or any assisted living facility to adjust interventions and plan of care as well as provide teaching/training to unlicensed personnel or family member.
12. Attends mandatory staff meetings as required.
To perform this job successfully the individual must be able to perform each assigned essential duty satisfactorily. The requirements listed below are representative of the education, knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must maintain a valid driver’s license and vehicle insurance.
· Nursing techniques and procedures. Medical terminology.
· Medication use and effects.
· Medical record keeping practices.
Interpret orders and carry out instructions while exercising judgment within the scope of the position and established nursing practices.
Work with limited supervision in an independent setting, while able to recognize situations in which supervision and guidance is required.
Work with computers/programs and able to learn basic software applications.
Communicate therapeutically with the patient, family, and public and maintain a
compassionate, empathetic attitude.
Education, Certification, and Licenses –
Graduate of an approved school of professional nursing.
Must hold a current unencumbered RN nursing license to practice in Oregon.
Current BLS care or be able to obtain prior to date of hire.
One year of nursing practice in a prior home health, hospice or facility setting is required; 3 years preferred.
· Must have Oregon driver's license, car insurance and maintain a good driving record.
· Understands and is committed to the hospice philosophy of care.
· Has comprehensive knowledge of medications, treatment and therapies for pain and symptom control.
· Understands home health regulations.
· Functions well as a team member.
· Relates to and cares for people from all walks of life in a calm, courteous and professional manner.
· Maintains client confidentiality.
· Understands and works within pertinent state and federal laws and regulations.
· Understands documentation requirements and is able to complete paperwork in a timely manner.
· Able to read, write, speak and understand the English language.
· Able to work with interpreters, sign language interpreters, and other individuals who may be needed to assist patients or family members to communicate.
· While performing the duties of this job, the employee is regularly required to operate standard office equipment; reach with hands and arms; talk or hear; vision requirements include close, distance and ability to adjust focus. The employee is required to walk, stoop, kneel, crouch and climb stairs, adjusting from sitting and standing is required.
· Ability to perform tasks involving physical activity, which may include heavy lifting of supplies, equipment or patients; extensive bending, standing, walking or sitting may be required.
· Ability to deal effectively with stress.
· No known communicable diseases.
· May occasionally drive for long periods of time.
· Employee may encounter various environmental situations in individual patient homes, including odors, tobacco smoke or animals.
· Tasks may involve exposure to blood, body fluids or tissues.
· Travel is required between all office locations - Brookings; Gold Beach; and Bandon Oregon.
· Employee may occasionally be required to work weekends, holidays or other hours on a rotation basis, as well as on-call rotation.