RN Full-time
Lake Charles Memorial Health

Discharge Registered Nurse- Full Time

Lake Charles Memorial Health Lake Charles, LA, US
Description Of Position

The Admit/Discharge RN is responsible for managing and coordinating patient admissions and discharges on 2 Tower Oncology Med-Surg to ensure safe, efficient, and regulatory-compliant transitions of care. This role supports patient throughput, enhances documentation accuracy, improves patient and family education, and reduces the workload burden on bedside RNs.

The A/D RN works closely with physicians, case management, social services, pharmacy, other interprofessional team members, and bedside nursing staff to streamline processes and promote high-quality care.

SUPERVISION: Reports directly to Director of Nursing

Responsibilities And Duties

  • Complete the full RN admission assessment, including oncology-specific safety screenings (neutropenia, fall risk, skin integrity, central line status).
  • Perform thorough medication reconciliation upon admission and resolve discrepancies in collaboration with pharmacy.
  • Initiate care plans, education pathways, and regulatory screening requirements (sepsis, VTE, pain, suicide risk if applicable).
  • Ensure timely and accurate documentation within EMR to meet CMS and DNV standards.
  • Assist with rapid admissions, direct admits, and ED/PACU transfers to support hospital throughput.
  • Review admissions from prior shift admits to ensure completeness of data collection, assessments and care planning.
  • Provide comprehensive discharge teaching, including diagnosis, medications, chemotherapy precautions, DME needs, and home-care instructions, consistent with the Discharge Nurse Educator guidelines.
  • Coordinate with pharmacy to ensure patient access to prescribed medications prior to discharge, including affordability pathways (e.g., Moss pharmacy programs).
  • Confirm and/or schedule follow-up appointments with oncology providers, PCPs, specialists, and infusion services.
  • Collaborate with and communicate discharge readiness with case management, social services and participate in multidisciplinary rounds.
  • Complete post-discharge follow-up calls for patients meeting criteria (recent discharge, high readmission risk, or complex oncology care needs).
  • Ensure all discharge documentation and regulatory requirements are completed with accuracy.
  • Prioritize and manage multiple admissions and discharges to reduce delays and maintain patient flow.
  • Participate in daily huddles, rounds, and throughput meetings as needed.
  • Ensure compliance with DNV, CMS, ONS, and internal policies regarding transitions of care.
  • Maintain high documentation standards to reduce readmissions and regulatory risk.
  • Support quality initiatives related to falls, central lines, infection prevention, medication safety, and patient satisfaction.
  • Provide individualized, culturally sensitive education to patients and caregivers.
  • Assess and reinforce patient understanding of instructions using teach-back methodologies.
  • Support symptom management education for oncologic conditions and treatment side effects.
  • Serve as a central resource for nurses, providers, and ancillary staff regarding admission/discharge processes.
  • Demonstrate excellence in communication, service, and teamwork.
  • Maintain confidentiality and uphold ethical nursing practice.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Education And Work Experience

  • Graduate of School of Nursing
  • Current Louisiana Registered Nurse license or compact state license as Registered Nurse
  • BLS-CPR certified
  • 5 years of bedside acute nursing care experience, preferred.
  • OCN and MEDSURG-BC certification preferred

Physical Demands/Work Environment

  • Work requires a variety of physical activities including sitting, standing and walking.
  • Bending, stooping, and lifting is minimal.
  • The work environment may be physically confining.
  • Must have normal hearing or utilize adaptive hearing devices if duties require listening with a stethoscope to discern breath sounds, heart sounds, and bowel sounds.
  • Visual acuity required for a variety of activities.
  • Ability to do shift work as required.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work?

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