RN Skilled Nursing- Hospice GIP Shift Lead

The Bartlett Skilled Nursing and Assisted Living El Paso, TX 79912, US

$33.99 - $40 / hour

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.

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Coordination with Hospice Interdisciplinary Team (IDT)

Documentation & Regulatory Compliance

Family & Patient Support

Skilled Nursing Interventions

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