Special Assignment Nurse |
| Location: | Scotts Valley, CA |
| Exempt/Non-Exempt: | Non-Exempt |
| Employment Type: | Full Time |
| Department: | Clinical |
| Description: | The Special Assignment Nurse (SAN) is a unique member of the interdisciplinary team. The SAN moves between nursing roles and departments to provide support and coverage as needed. SAN primary responsibilities include: vacation relief in patient care and admissions, the admission of patients to hospice care, case management and special projects as assigned. In all situations, the SAN is a member of the core interdisciplinary team responsible for the care and case management of patient/families admitted to hospice service. The SAN, in collaboration with pt/family, physician and interdisciplinary and facility team (when applicable), develops and coordinates an individualized, collaborative Plan of Care (POC) that reflects pt/family goals related to Safe & Comfortable Dying, Self-Determined Life Closure and Effective Bereavement. The SAN 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. |
| Duties: | Patient/family care
� Recognizes the patient and family as the �unit of care� and IDG members.
� Respects patient right to self-determination and acts as advocate within the context of the values and ethical standards of HSCC.
� Demonstrates ability to meet pt/family/facility where they are.
� Utilizes nursing process in providing primary care to pt/families.
� 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, IDG and physician to achieve maximum comfort.
� Administers medications and treatments as ordered prn.
� Instructs and supports pt/family unit re: symptom mgmt, patient care, disease process & death/dying.
� Develops, reviews & revises HHA POC & supervises HHA performance per HSCC policies & procedures.
Case Management/Assignment Management
� Coordinates with supervisor daily to confirm assignment.
� Organizes day to maximize availability for combining patient care and admission needs per assignment type.
� Manages a assigned caseload +/or daily assignment within assigned hours.
� Overtime requests are appropriate and approved in advance.
� Visit frequencies are appropriate to patient status.
� Develops, reviews, revises and manages the POC that reflects pt/family goals related to Safe & Comfortable Dying, Self-Determined Life Closure and Effective Grieving.
� Collaborates with IDG regarding changes in patient status and POC.
� Obtains medications, medical supplies and equipment per pt need/physician order.
� Assess patient�s continued appropriateness for hospice care per HSCC Recertification protocols. Opens, closes and revises POC per HSCC guidelines.
� Documents all contacts, instructions and interventions provided per HSCC policies & procedures.
� Submits completed paperwork & time sheets within the time frames per HSCC policies & procedures.
� Creates individualized, collaborative POC based on the assessment of pt/family needs and goals.
� POC addresses pt/family physical, psychosocial and spiritual needs.
� Collaborates with IDG, Facility staff & Attending Physician to develop, review and revise a written POC that includes identified goals, interventions and outcomes and documents.
� Demonstrates understanding of Facility regulator requirements.
� Demonstrates understanding of Hospice Medicare/Medi-Cal Benefit.
� Demonstrates understanding of pharmacy-related policies & procedures.
� Monitors patients for continued appropriateness for receiving hospice care.
� Completes Recertification documentation in timely & accurate manner.
� Participates in providing after-hours coverage to pt/family as needed.
Professional Management/Facility Collaboration
� Exercises professional management and coordinates care between and among involved parties in home, SNF and RCFE setting.
� Develops, reviews and revises the Collaborative Plan of Care with facility staff to delineate plan of care and assignment of roles and responsibilities.
� Develops and maintains positive, respectful relationships with facility staff.
� Promotes teamwork and cooperation between HSCC and facility staff.
� Develops and maintains expertise in the culture and functioning of assigned facilities.
� Demonstrates understanding of regulatory requirements of licensed facilities.
� Demonstrates knowledge of General Inpatient protocols and procedures.
Information/Admission Visits
� Meets with patients & families in all setting to explain services, answer questions and register patient as appropriate.
� Completes evaluation assessments as needed.
� Collaborates with Intake SW/RN to insure smooth referral/admission process.
� Reviews intake data and clarifies potential issues prior to admission visit.
� Presents hospice philosophy and scope of services clearly.
� Explains funding parameters including HSCC and pt/family responsibilities.
� Evaluates prognosis, pt/family goals of care, caregiving and funding.
� Identifies potential hot spots and confers with hospice team as appropriate.
� Completes admission process and paperwork accurately and efficiently.
� Initiates HHA POC as appropriate.
� Reviews medication profile with contract pharmacists.
� Notifies Attending Physician of outcome of evaluation/admission.
� Establishes and maintains positive relationships with all referral sources.
� Develops and maintains effective working relationships with referring physicians.
� Receives all inquiries and provides accurate information about hospice care in a professional and sensitive manner.
� Documents all required information in a timely and organized fashion.
� Screening process demonstrates compliance with admission criteria and appropriate. use of input from other sources.
� Demonstrates good judgment in evaluation of patient appropriateness.
� Completes information & admission visits & documentation per HSCC standards.
� Participates in meeting department standards for response and admission.
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| Qualifications: | REQUIREMENTS:
Require current California RN license, valid state driver�s license and liability auto insurance.
Available 40 hours per week
Available to work weekends routinely
Required to attend regular meetings and in-services
EDUCATION / EXPERIENCE:
Prefer technical experience with ports, IV�s, TPN, 4-6 years RN experience in hospice, oncology, medsurg, ICU or homecare and electronic medical record keeping. Previous experience working with end of life is desirable.
SKILLS REQUIRED:
Bilingual in English/Spanish encouraged but not required.
Certifications, Licenses, Registrations:
California State issued RN license.
Hospice Palliative Nurse Certification preferred
Occasional Night/Weekend work.
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