H-1B Visa Hospice Registered Nurse Jobs

Major Responsibilities:

Nurse/Patient Relationship: Develops and maintains a therapeutic relationship throughout the healthcare continuum

• Incorporates the concepts of responsibility, accountability, clinical decision-making, authority, shared governance, and critical thinking in daily nursing practice.
• Provides individualized care to promote physical and psychosocial comfort. Utilizes principles of optimum pain assessment and management in the delivery of patient care.
• Assesses patient and family readiness and involves them in planning and implementing care. Seeks consultation as needed.
• Incorporates an individualized, holistic approach in the plan of care.
• Assesses by gathering and appraising data to focus on age appropriate patient needs.
• Continually evaluates patients’ and significant others’ response to interventions and appropriately modifies plan of care. Responds respectfully to patient values, customs and spiritual needs.
• Collaborates with physicians and/or other health care professionals in developing relationships, plans of care and age specific strategies.
• Supports patient’s decision to question, refuse, or terminate treatment. Responds to physical or emotional crisis and/or death of patient, making home visit to provide care as appropriate.
• Provides supportive care to family members and involved caregivers throughout patient’s illness.
• Demonstrates ability to assess and respond to the needs of Hospice patients/families in varied settings.

Assuring/Improving Quality Care: Facilitates the patient and family’s right to receive quality, cost effective care

• Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient and family outcomes.
• Adapts practice to the latest standards according to evidence-based literature.
• Participates in quality/process improvement initiatives.
• Participates in efforts to reduce risk and improve patient safety. Assesses physical environment and reports unsafe conditions. Adheres to safety standards.
• Continually demonstrates current knowledge of Regulatory/Reimbursement standards.
• Looks for ways to improve processes, recommends solutions and implements appropriately. Measures outcomes and utilizes data to recommend changes.
• Utilizes effectively and efficiently resources, supplies, and equipment.

Patient/Staff Education: Demonstrates a commitment to meeting the learning needs of patients and families. Utilizes appropriate resources to meet those needs and achieve positive patient outcomes. Assists in creating an environment that promotes educational growth opportunities for nursing peers and colleagues.

• Assesses patient and family readiness to learn, and modifies approach as necessary.
• Seeks out opportunities to enhance knowledge, skill, and competence of department members. Independently seeks out opportunities to learn and grow both interpersonally and functionally. Takes responsibility for keeping skills and knowledge in field up to date. Displays willingness and ability to learn and apply new skills.
• Plans, implements, and provides follow-up education for patients/S.O. appropriate to the patient's level of understanding.
• Instructs volunteers and hired caregivers in delivery of Hospice care as appropriate.
• Completes self-evaluation in a timely and thorough manner. Supports the peer evaluation process by gathering and providing information as requested.

Nursing Process: Demonstrates the use of nursing process as a problem-solving model

• Recognizes changes in clinical situations. Evaluates and implements changes to the plan of care.
• Consistently makes sound clinical decisions, demonstrating the ability to care for patients with complex problems.
• Prioritizes and organizes patient care and ensures follow through with planned care.
• Initiates referrals and discharge planning for assigned patients and actively coordinates utilizing the interdisciplinary approach.
• Consistently demonstrates competence in implementation of patient care in accordance with established clinical standards of care, age specific policies, and federal/state law. Viewed as competent. Maintains knowledge base.
• Documentation is thorough, accurate, timely, legible, and concise with minimal duplication.

Leadership/Collaboration/Professional Development: Demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach to care. Demonstrates leadership behaviors and is committed to the development of self and others.

• Participates in unit meetings and activities that improve patient care or administrative systems. Utilizes available resources to maintain current knowledge base relevant to practice. Attends at least 80% of all required department meetings and in-services.
• Demonstrates effective communication, feedback, and conflict resolution skills, promoting collaboration among healthcare team members.
• Demonstrates ability to critique own nursing practice and achieves required certifications or Bachelor’s Degree.
• Earns a minimum of 10 contact hours per year.
• Employee Health requirements are up to date. (i.e., TB, fit testing, Hep B series completed or formally declined, etc.)
• Completes all required Safety, Infection Control and OSHA education. All Healthstream and written competency exams are current.
• Supports all Accrediting Organization compliance efforts. Actively participates in ongoing readiness efforts. Individually meets and complies with all Accrediting Organization regulations.
• Complies with Code of Conduct, confidentiality, and HIPAA policies. Has completed annual HIPAA education. Has completed annual Business Conduct education.

Licensure:

• Registered Nurse - Current Wisconsin RN license.
• A valid driver’s license issued by the Division of Motor Vehicles.
• Current CPR.

Education/Experience Required:

• Graduate from an accredited school of nursing.
• Minimum 1 year of experience.
• Earn 10.0 continuing education credits annually.
• Has demonstrated proficiency for the requirements for NC I.

Knowledge, Skills & Abilities Required:

• Good oral and written communication skills.
• Computer skills.
• Good time management and organizational skills.
• Familiarity with patient care equipment.

Physical Requirements and Working Conditions:

• Ability to work weekends, holidays, and different shifts in order to accommodate staffing.
• Certain positions may need to take call.
• Ability to transport objects, patients, and equipment.
• Ability to respond quickly to patient needs and work at fast pace.
• Work environment includes probability of exposure to adverse, hazardous, or unpleasant conditions while caring for the sick.
• Ability to assist in evacuation of patients in the event of a fire or other disaster.
• Routinely works with potentially infectious specimens and patients.
• Ability to respond to patients in a timely manner and access all areas of the unit.
• Ability to lift 100 pounds occasionally and/or in excess of 50 pounds frequently and/or in excess of 20 pounds constantly.

Addendum: Responsible for providing and coordinating comprehensive patient care by incorporating the concepts of responsibility, accountability, clinical decision-making, authority, shared governance, and critical thinking in daily nursing practice. Primary role is to use the nursing process in overseeing patient care to achieve the desired outcome in the department. A Nurse Clinician II plans and sets goals which demonstrates a wholistic approach to patients and families. Assumes leadership responsibilities at the unit level. Demonstrates a mastery of clinical skills.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.