Ambercare Hospice On-Call Triage Nurse
The On Call Nurse, as a Registered Nurse, is a member of the interdisciplinary team and is responsible for the provision of skilled nursing assessment, planning and provision of patient care in order to maximize the palliation of symptoms when patient care needs arise after hours. In addition, the on-call nurse is responsible for identifying immediate patient or family needs and providing supportive care and appropriate services in accordance with the attending physician's orders, the interdisciplinary team plan of care, and the policies and procedures of the agency.
1. Be eighteen (18) years of age or older
2. Degree in nursing from an accredited school of nursing
3. Possession of a current license to practice in the State of New Mexico as a Registered Nurse
4. Minimum of two years of varied work experience as a professional nurse
5. Demonstrated skill in nursing practices and clinical judgments
6. Ability to cope with family emotional stress and tolerance of individual lifestyles
7. Understanding of the hospice philosophy and the ability to assess and manage symptoms
8. Must have a valid NM Driver's license
9. Must have reliable transportation available during work hours. Vehicle must be properly registered and insured in accordance with state law.
10. Must possess current CPR Certification
DUTIES AND RESPONSIBILITIES:
1. Assume responsibility for triage of after-hours patient and family phone calls, determining the need for services including assessments, symptom management and care plan updates, delegating nursing visits to appropriate staff members.
2. Obtain data on physical, psychological, social and spiritual factors that may impact patient and family's needs and initiate intervention by other members of the interdisciplinary team as appropriate.
3. Initiate communication with the attending physician, other interdisciplinary staff members and other agencies for the purpose of coordinating optimal care. 4. Effectively utilize resources to assist in meeting the patient's needs.
5. Perform therapeutic, preventative and rehabilitative nursing procedures as directed by the attending physician.
6. Perform clinical pronouncement of death and provide support to family
7. Perform initial assessment of individuals referred for care, determine eligibility under Ambercare criteria and perform admission of the patient.
8. Maintain an accurate clinical record through the timely preparation of care plans and clinical and progress notes.
9. Maintain regular communication with all members of the interdisciplinary team, alerting physician and nursing supervisor to any changes in the patient's condition or needs as well as potential problems or issues.
10. Provide effective teaching to family, caregivers and interdisciplinary team members to ensure continuity of care for the patient.
11. Develop and maintain familiarity with Federal, State, CHAP, and Ambercare policies and procedures regarding patients benefit.
12. Supervise and document delivery of care by the Hospice Aide as required by Federal, State, CHAP, and Ambercare guidelines.
13. Supervise and assess the delivery of care by the licensed practical nurse.
14. Accept responsibility for professional growth and development through participation in continuing education programs, agency in-services and community events.
15. Adhere to dress code
16. Adhere to work schedule and maintain good punctuality and attendance record
CONTINUING EDUCATION REQUIRMENTS: Ambercare personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, Ambercare personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All personnel must attend mandatory educational programs.
1. Satisfactory completion of pre-employment health screening if applicable, including drug screening.
2. Satisfactory completion of background check in accordance with State of New Mexico Caregivers Criminal History Screening Program.
PHYSICAL DEMANDS: Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment as needed. Considerable typing, reaching, stooping bending, kneeling, and/or crouching.
ENVIRONMENTAL AND WORKING CONDITIONS: Environmental Conditions: Must be able to drive in various weather/road conditions. Working Conditions: May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed to/ occasionally exposed to patient elements Subject to varying and unpredictable situations, Handles emergency crisis situations. Travel required. OSHA Exposure Category I- Position includes tasks that involve exposure to blood, body fluids, tissues.
EXPECTED WORK HOURS: Varies by agency needs; typically Monday through Friday 5 p.m. to 8 a.m. on assigned on-call days Other hours required as needed and assigned
Job Status: Full Time