RN Skilled Nursing- Hospice GIP Shift Lead

Job Title: RN

Job Summary:

The Bartlett Skilled Nursing and Assisted Living is seeking a dedicated and compassionate RN to join our team. As a RN, you will provide high-quality nursing care to our residents in a setting that values compassion, dignity, and respect. If you are passionate about delivering exceptional patient care and are committed to making a positive impact, we encourage you to apply for this exciting opportunity.

Responsibilities:

• Provide nursing care within the scope of licensure for assigned patients according to established nursing standards and hospital policies and procedures

• Administer medication, perform treatments, and patient care responsibilities as prescribed

• Consult with and keep MD/NP informed of activities, symptoms, reactions, and changes in the patient condition

• Provide appropriate pain management techniques and educate patients and families regarding pain management

• Administer medication following the 10 rights of medication administration within scope of practice

• Assist with the rehabilitation and treatment of patients in accordance with the medical plan of care

• Update and revise plan of care under the supervision of MD/NP

• Assist physicians with examinations, treatments, and special procedures

• Perform services requiring technical and manual skills as directed by MD/NP

• Treat patients and their families with respect and dignity

• Identify and address psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families

• Interact professionally with patient/family and involve patient/family in the formation of the plan of care

• Assist with admitting, discharging, and transferring of patients

• Identify and address psychosocial needs of patients and family; communicate with Social Services/Discharge Planner regarding both in-hospital and post-discharge needs

• Medication Administration & Management

  • Administer medications per physician/NP orders

  • Manage IV, SQ, SL, rectal, transdermal, and other hospice-related medication routes

  • Titrate comfort medications within ordered parameters

  • Monitor for side effects, adverse reactions, and effectiveness

  • Ensure timely availability of emergency comfort medications

  • Coordinate pharmacy needs with hospice provider

  Coordination with Hospice Interdisciplinary Team (IDT)

  • Communicate patient status changes to hospice physician/medical director

  • Collaborate with:

    • Hospice aides

    • Social workers

    • Chaplains

    • Nurse practitioners

    • Facility nursing staff

  • Participate in hospice IDT discussions and care planning

  • Coordinate transfers, discharge planning, or level-of-care changes if symptoms stabilize

  Documentation & Regulatory Compliance

  • Document assessments, interventions, and patient response thoroughly

  • Support documentation demonstrating:

    • Need for continued GIP level of care

    • Uncontrolled symptom burden

    • Frequent nursing interventions

  • Complete required hospice and SNF documentation timely

  • Ensure compliance with:

    • CMS hospice regulations

    • State nursing regulations

    • Facility policies

    • Hospice Conditions of Participation

  Family & Patient Support

  • Educate family regarding:

    • Disease progression

    • Dying process

    • Medication purpose/effects

    • Comfort-focused goals

  • Provide emotional support during crisis situations

  • Assist with difficult decision-making discussions

  • Support cultural and spiritual preferences

  • Offer bereavement-related support and referrals

  Skilled Nursing Interventions

  • Frequent reassessment and bedside monitoring

  • Wound and skin care as appropriate

  • Foley catheter management

  • Oxygen therapy management

  • Suctioning and secretion management

  • Fall prevention and safety monitoring

  • Positioning and pressure injury prevention

  • Infection prevention practices

Requirements:

• RN

• Ability to work varying shifts, including days, nights, and weekends

Work Environment:

The Bartlett Skilled Nursing and Assisted Living is a locally owned and operated organization that values its commitment to quality care and community involvement. Our team is dedicated to providing a positive and supportive work environment that fosters growth and development.