- Salary
- $38 – $56/hr
- Location
- Fishersville, Virginia, US
- Workplace
- Onsite
- Type
- Full-time
- Department
- Healthcare
- Seniority
- Manager
- Education
- Associate
- Source
- BetterTeam
Description
- Comprehensive insurance package including medical, dental, and vision coverage.
- Retirement savings plans and financial wellness support programs.
- Generous paid time off and flexible scheduling to promote work-life balance.
- Career development programs including clinical ladders, shared governance, and advancement opportunities.
- Personalized onboarding with dedicated preceptors and ongoing educational support.
- Tuition reimbursement and access to onsite childcare.
- Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy.
- Competitive pay with shift/weekend differentials.
- Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets).
- Completes 5 Rights with 100% compliance. Knowledge of medications used.
- Knowledge and use of high-risk medications.
- Ability to perform calculations for mixtures/solutions.
- Reconciles patient medications and changes in medications with physician/provider.
- Implements/develops/documents the plan of care to ensure quality and continuity of care and recommend revisions to the plan, as necessary.
- Documentation reflects nursing interventions, patient responses, as well as follow through with patient outcomes.
- Consults with and educates the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition, and dietary needs. Prioritize any needs with the members of the IDT. Provide training to other staff as needed.
- Determines scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the care giver to meet the patient’s immediate needs upon admission and throughout care.
- Prepares clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate documentation.
- Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patients and family, and return demonstration if appropriate.
- Responsible for improving patient outcomes and comfort at end-of-life.
- Responsible for fiscal utilization of services/supplies per patient.
- Initial and ongoing comprehensive assessments are complete and appropriate for patients age, special care needs, patient’s knowledge level, and psychosocial, emotional, physical, functional, environmental, and spiritual needs.
- Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
- Reassessment is timely and performed as patient condition warrants.
- Informs physician/provider and other team members of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care.
- All documentation is submitted in a timely manner and per documentation policy.
- Communicates patient information as necessary to the interdisciplinary team and other nurses as required.
- Appropriate referrals are made with evidence of follow-up documentation in the medical record.
- Assumes responsibility for own personal education and developmental needs.
- Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education.
- Displays positive attitude and flexibility toward work unit.
- Cooperates with interdisciplinary team members and other units to meet the needs of the patient.
- No complaints from patients/family, other units, physicians or staff.
- Attends 50% of staff meetings.
- Attends in-services as required or requested by clinical manager.
- Maintains clinical competency.
- Abides by AH service standards.
- Participates in staff satisfaction projects.
- Assist Clinical Manager on quality improvement projects when requested.
- Knowledge of department QAPI projects.
- Provides suggestions for cost containment.
- Assist unit in ACHC preparedness by maintaining environment and practicing within established standards.
- Knowledge of ACHC standards as it relates to everyday work practices.
- Awareness of patient satisfaction goals to meet individual patient/family needs on a daily basis.
- Provides clinical directions to the Hospice Aide and LPN to ensure quality and continuity of service provided.
- Completes Hospice Aide and LPN supervisory visits as required.
- Able to function as a team leader ensuring optimal patient care while supervising the work of other supportive nursing staff.
- Demonstrates ability and knowledge to be a resource and mentor for other staff.
- Minimizes absences and reports to work in a dependable manner.
- Communicates effectively with physicians/providers utilizing SBAR approach.
- Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations.
- Promotes the Hospice’s philosophy.
- Maintains responsible attitude towards management and cost containment.
- Serves on organizational committees as requested by Clinical Manager.
- Provides mentoring and orients new nurses, students and aides as assigned.
- Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines.
- Anticipate patients’ potential complications and need for appropriate preventive measures.
- Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction.
- Demonstrates efficiency in documentation by documenting at least 75% at the point of care.
- Demonstrates proficiency in starting IVs and phlebotomy and follows policies and procedures.
- Maintains patient safety. Maintains patient confidentiality.
- Provides patient education appropriate to age and knowledge level of patient.
- Demonstrates proficiency in computer applications necessary to perform the job.
- Coordinates care through use of interdisciplinary services as needed.
- Maintains equipment as assigned. Reports damages/problems to manager, quality controls are done per department policy when indicated.
- Follows department’s infection control policies. Consistently uses Personal Protective Equipment including eye protection when appropriate.
- Maintains organization and safety in the physical environment of care.
- Demonstrates knowledge of proper body mechanics.
- Disposes of sharps, medications, and infectious waste appropriately per policy.
- Maintains calm and safe approach with those patients that display violent or aggressive behavior.
- Practices safe driving.
Patient Safety:
- Demonstrates knowledge of patient two unique identifiers.
- Utilizes SBAR approach to patient hand off communication.
- Follows policy and procedure in the administration of medication and medication reconciliation.
- Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease.
- Abides by policies/procedures for Isolation.
- Consistently follows CDC guidelines for hand hygiene.
- Knowledgeable of their role in department emergency preparedness plan.
- Documents appropriately by not using an abbreviation from standard "..Do Not Use Abbreviation List..."
- Implements fall preventions.
- Involve family/caregiver in fall prevention measures.
- Labels all specimens appropriately in home.
- Education: Nursing Diploma and/or Associate Degree in Nursing.
- Licensure/Certification:
- Current and valid Registered Nurse license in the Commonwealth of Virginia or from a state that is part of a compact agreement with Virginia.
- CPR-Basic Life Support Healthcare Provider Certification (BLS-HCP).
- Experience: Minimum of one (1) year of recent RN experience.
- Driver's License: Yes .
- To drive an Augusta Health Vehicle, must also be 21 years old and Motor Vehicle Record (MVR) must be approved by Risk Management.
- Eligibility to work in the United States and meet Virginia state employment requirements.
- Education: BSN/MSN.
- Licensure/Certification: CHPN Certification.
- Experience: Hospice experience preferred.
- Prior experience in a hospital, healthcare system, or related service-oriented environment.
- Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus.
- IV therapy, wound care, general medical/surgical assessment skills.
- Clinical competence in all aspects of hospice care.
- Completion of annual education requirements and department competencies.
- Demonstrates good leadership and communication skills.
- Demonstrates job related computer competence as seen in patient documentation and information retrieval. Documentation is submitted timely.
- Practices within scope of Nurse Practice Act.
- Familiar with current Standards of Nursing Practice.
- Familiar with CMS hospice regulations and ACHC standards applicable to daily work practices.
- Ability to work a flexible schedule.
About Augusta Health: