RN Hospice Hospice Full-time
GBMC Healthcare

Hospice of Washington Co. - Registered Nurse Float Pool Hospice

GBMC Healthcare Hagerstown, MD, US
$35.32 - $60.60 / hour

Under general supervision, provides direct patient care to assigned patients.

Education

Associate degree from an accredited School of Nursing required; BSN preferred. Bachelor’s degree required within 3 years of start date.

Experience

Minimum of 2 year of relevant clinical experience, preferably in long term care, hospice, palliative, or home care.

Skills

  • Ability to read, write, speak, and understand the English language. 
  • Ability to make independent decisions when circumstances warrant such action.
  • Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Interpersonal communication (oral and written) skills required in order to educate and comfort patients and their families, maintain effective contacts with a variety of hospital personnel, and maintain appropriate documentation records.
  • Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.

Licensures, Certifications

  • Current registration with the Maryland State Board of Examiners of Nurses as a registered nurse.

Physical Requirements

  • Ability to stand and walk almost constantly up to ninety 90% of work time and lifting and positioning patients up to fifty 50% of work time.
  • Ability to concentrate and pay close attention to detail and often in stressful situations.
  • Must be able to move intermittently throughout the work day.
  • Must be able to cope with the mental and emotional stress of the position. 
  • Must be able to see and hear or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. 
  • Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies to follow through with residents requests and use this information for evaluation of situation. 
  • Must meet the general health requirements set forth by the policies of this facility which include medical and physical examinations. 
  • Must be able to relate to and work well with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. 

Working Conditions

  • Normal patient care environment with possible exposure to excessive noise, dust, temperature.
  • Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases.

Principal Duties and Responsibilities:

Utilization of Nursing Process

Assessment

  • Compiles database and formulates nursing diagnosis.
  • Utilizes physical assessment and interviewing techniques.
  • Anticipates need for intervention by other disciplines.
  • Determines priorities for patient care needs or problems.
  • Reassesses the patient as indicated by changes in condition and/ or response to treatment(s)

Planning.

  • Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
  • Incorporates information obtained from the Team into written nursing plan of care.
  • Coordinates patient, family, significant other, and health team members in the planning.

Implementation

  • Performs clinical nursing skills independently.
  • Administers medications, IV therapy and treatments appropriately and accurately.
  • Initiates appropriate emergency procedures as necessary.
  • Appropriately delegates and coordinates the duties of LPN & Hospice Aide staff.
  • Communicates the patient's status and plan of care through written documentation in the patient's medical record.
  • Verbally communicates the patient's status to physicians, nurses and other health care professionals.
  • Communicates in a therapeutic manner with the patient, family and visitors.
  • Applies teaching/learning principles in education of patient and family.

Patient Care Coordination

  • Manages daily patient assignment by appropriately setting priorities.
  • Delegates responsibility appropriately and monitors the nursing care delivered to patients by ancillary personnel.
  • Coordinates patient activities with other disciplines.

Teaching and Quality Improvement

  • Develops, documents and implements Patient Teaching and Discharge Planning Record.
  • Participates in established patient, family, staff and/or student education program.
  • Identifies patient care problems. Takes action or refers problems to appropriate resources when indicated.

All Roles Must Demonstrate the GBMC Values:

Respect

  • Treats others with fairness, kindness, and respect for personal dignity and privacy
  • Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

  • Meets and/or exceeds customer expectations
  • Actively pursues learning and self development
  • Pays attention to detail; follows through

Accountability

  • Sets a positive, professional example for others
  • Takes ownership of problems and does what is needed to solve them
  • Appropriately plans and utilizes required resources for various job duties
  • Reports to work regularly and on time

Teamwork

  • Works cooperatively and collaboratively with others for the success of the team
  • Addresses and resolves conflict in a positive way
  • Seeks out the ideas of others to reach the best solutions
  • Acknowledges and celebrates the contribution of others

Ethical Behavior

  • Demonstrates honesty, integrity and good judgment
  • Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

  • Embraces change and improvement in the work environment
  • Continuously seeks to improve the quality of products/services
  • Displays flexibility in dealing with new situations or obstacles
  • Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

$35.32 - $60.60

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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Essential Job Functions: · Fosters positive relationships between clinical staff and providers, therefore supporting a constructive and professional work environment. · Provides input to practice manager and medical director with workflow development specific to practice needs · Participate in Performance Improvement activities · Act as Preceptor; Assist in training and onboarding of staff if needed · Able to triage patients over the phone or in person to determine appointment need. Will assist patients who walk in and need immediate assessment. The RN will engage a provider for any emergency management of a patient’s condition. · Works collaboratively with the access center to receive urgent patient phone calls. Responsible for monitoring and answering urgent phone line. · Provide one on one education for patients related to disease management · Is a clinical resource for other staff. is a clinical resource for other clinical staff. · Maintains accurate EHR; Includes documentation from outside sources for up to day medical records. · Collaborate with team members to address patient medical concerns, assure quality outcomes, and achieve optimal health maintenance · Assists support staff with clinical concerns. · Assign tasks to support staff as needed. Ensures staff at appropriate level of licensure complete tasks. Works collaboratively with Practice Leadership to guide support team Communicate directly with patients regarding test results and plan of care within scope of RN license and expectations of designated Physician Practice protocols. · Attendance at staff meetings/in-services. · Clinical coverage as necessary; Flexibility in working at other locations as necessary. · Other duties as assigned Required Knowledge, Skills and Abilities · Must have current CPR certification. · Demonstrates in-depth knowledge of established standards for patient care. · Demonstrates effective interpersonal skills towards diverse patient population. · Demonstrates effective verbal and written communication. · Demonstrates leadership skills, decision-making skills, and ability to problem solve. · Demonstrates knowledge of infection control standards and EOC standards. · Strong organization skills with ability to prioritize and multi-task. · Ability to triage patients in person or over the phone and determine an urgent vs. non-urgent and/or emergency need. · Must abide by HIPAA law and maintain a high level of confidentiality. · Excellent computer skills, knowledge of Electronic Medical Records. · Knowledge in operations of basic medical and emergency equipment. · Pleasant, caring and professional personality. · Availability and flexibility to work at other locations Minimum Education, Training, and Experience Required · 2- 3 years of experience in medical practice or clinic setting. · Current unrestricted licensed Registered Nurse in the state of Maryland. · BSN preferred. Patient Contact If applicable, must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups: X__ Neonate (0 thru 30 days) X__ Infant (31 thru 12 months) X__ Child (13 months thru 12 years) X_ Adolescent (13 years thru 17 years) X__ Adult (18 years thru 65 years) X__ Geriatric (66+ years) If applicable, must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures. Physical Demands: Light Work - Lifting up to 20 pounds on an infrequent basis (less than one lift every three minutes and/or carrying up to 10 pounds, or requiring walking or standing to a significant degree (about six [6] hours a day). Ergonomic Risk Factors: Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved. Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task. Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Contact Stress : Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders. Working Conditions: Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids. Reporting Relationship: Reports to the Practice Manager with clinical oversight by the Manager of Clinical Services and receives direction from the Medical Director, M.D.s, N.P.s, and P.A.s. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable. Hourly: $32.89 - $52.00