Job Description
Job DescriptionRegistered Nurse (RN)
About us
Topkare Hospice Inc. is located in San Diego County, CA. We are professional, supportive and customer-centric.
Our work environment includes:
- Supportive leadership team
- Hands on Medical Director support
- Wellness events for staff
Passionate about end-of-life care? Interested in a modern, holistic approach to healthcare? Do you want to be a part the change, creating a new way to think about end-of-life and hospice care?
Our goal is to positively transform the end-of-life experience, so that all patients and families affected by a life limiting illness are given the opportunity to experience meaningful, personalized, supported and compassionate care.
We value our employees and believe that every single person in our organization is necessary to carry out our vision. Come work with us and experience a fresh and new culture within the hospice industry, while also making a meaningful impact within our community. We prioritize holistic care and well-being not only for our patients and families, but for our valued staff as well.
We are Nurse owned and operated, and we are ready to make a positive impact on end-of-life care in our community through the patients and families we serve.
The registered nurse plans, works autonomously, organizes and directs the hospice plan of care and is experienced in nursing, with emphasis on palliative care and end of life. The professional nurse builds from the resources of the community and the interdisciplinary team to plan and direct services to meet the needs of individual and families within their homes and communities.
Essential Job Functions/Responsibilities:
1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of nursing process.
3. Assesses and evaluates patient’s status by:
A. Writing and initiating plan of care
B. Regularly re-evaluating patient and family/caregiver needs
C. Participating in revising the plan of care as necessary
4. Uses health assessment data to determine nursing diagnosis.
5. 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.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan.
9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
10. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan.
4. 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.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient and family/caregiver and other team members in providing continuity of care.
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
8. Attends interdisciplinary group meetings.
Additional Duties
1. Participates in on-call duties as defined by the on-call policy.
2. Ensures that arrangements for equipment and other necessary items and services are available.
3. Supervises ancillary personnel and delegates responsibilities when required.
4. 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.
5. Fulfills the obligation of requested and/or accepted case assignments.
6. Actively participates in quality assessment performance improvement teams and activities.
Position Qualifications
1. Registered nurse with current licensure to practice professional nursing in the state.
2. Graduate of National League for Nursing accredited school of nursing.
3. Maintains a current American Heart Association CPR certification.
4. Must be a licensed driver with a dependable automobile that is insured in accordance with state/or organization requirements and is in good working order.
5. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
6. Self directed and able to work with minimal supervision.
7. Management experience not required. Responsible for supervising hospice aides.
8. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
9. Shows ability to organize and prioritize workload independently.
10. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.'
Hours per week:
1. 40 hours per week
2. On-Call rotation for weeknights and an occasional weekend
3. 8 hour shifts are Monday - Friday 8:30am to 5:00pm
4. Topkare leadership reserves the right to adjust schedules based on organizational
need with the goal to hire accordingly as to not need to do that often if at all.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid sick time
- Paid time off
- Vision insurance
Experience:
- Nursing: 1 year (Required)
- Case management: 1 year (Required)
- Hospice: 1 year (Required)
License/Certification:
- RN (Required)
Work Location: In person