HOSPICE NP

AnchorHospice

Job Title/Position: Hospice Nurse Practitioner (NP)

ReportsTo:Clinical Director

JOBDESCRIPTION SUMMARY

TheNursePractitionerisaregisteredprofessionalnursewithadvancedgraduateeducationandclinicaltrainingwhoprovidescomprehensivehospiceservicesincompliancewiththestate NursePracticeActandunderthesupervisionofacollaboratingphysician.He/Sheprovides hospicecarethroughtheevaluationandassessmentofthehealthhistory,healthpromotion,diagnosingmedicalconditions,managementofhealthproblemsbydirecting anddevelopingthe planofcare,prescribingmedicationsortreatments,coordinatingandcollaboratingwithpatients,familiesandotherhealthcarepractitioners.Underthesupervisionofaphysician,thenursepractitionervisitspatients,completesphysicalassessments,performsfacetofaceassessmentsandevaluateshospiceeligibilityasassignedinconsultationwiththehospiceinterdisciplinary team.Thenurse practitionerbuilds fromtheresourcesofthecommunitytoplananddirect servicestomeettheneedofindividualsandfamilieswithin their homesandcommunities.

ESSENTIALJOBFUNCTIONS/RESPONSIBILITIES

PatientCare

1. 1. Providesmedicalcare,palliatesand managesterminal illnessin compliancewith thestateNursePracticeActunderthe supervision ofacollaboratingphysician.
2. 2. Completeshistoryandphysicalexaminationsbyevaluating the patient'smedicalcondition andhealthhistory,orderingandinterpretingresultsfromlaboratoryanddiagnostictestsor procedures,diagnosinghealth conditions anddocumentsthe findingsin thepatient's medical record.
3. 3. Manageshealthconditionsandterminalillnessesbydevelopinganindividuaiizedplanofcare,prescribingmedicationsand/ortreatments,obtainingconsultationsormaking referralsandcoordinatinghospice careservices.
4. 4. Completesthehospicefacetofacevisitrequirementspriortothethirdand subsequent hospicebenefitperiodstoassesshospiceeligibilitybasedonthehospiceconditionsof participationandthelocalcoveragedeterminations.Providesclinicalinformationtothehospicemedicaldirectorforinterpretation foreligibilityforhospice recertification.
5. 5. Makesrecommendationstothehospicemedicaldirectorregardingpatienteligibilityforcertification and recertification for hospice care.
6. 6. Reviewsclinicalinformation,coordinatesandoverseespatientcareinconsultationwiththehospiceinterdisciplinaryteamandotherhealthcarepractitioners.
7. 7. Assuresthatpatientreceivesappropriatemeasurestocontrolsymptoms,throughcollaboration with interdisciplinary team members. l
8. Reviewsanddevelopsprotocolsfortreatmentandproposesoptions forinterventionsbasedontheliteratureincollaborationwiththecollaboratingphysician.
9. 9. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols.

California CHAP Hospice Human Resources/Revised April 2020 @corridor2003

Communication

1. 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care.
2. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition.
3. 3. Communicates with other community health practitioners to coordinate the plan of care.
4. 4. Attends and participates in hospice interdisciplinary group meetings.
5. 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessmentvisit notes, medical orders, collaboration notes and other documentation in the medical record.
6. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.
7. 7. Provides and maintains a safe environment for the patient.
8. 8. Assists the patient and family/caregiver and other team members in providing continuity of care.
9. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and tamily/caregiver.
10. 10. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team andother healthcare practitioners in the community.
11. 11. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth.

Additional Duties

1. 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services
2. 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare.
3. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies.
4. 4. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives.
5. 5. Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge andpractice skills through attendance at seminars, conferences and participation in continuing education and in-service classes.
6. 6. Fulfills the obligation of requested and/or accepted assignments.
7. 7. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues.

POSITION QUALIFICATIONS

1. 1. Graduation from an accredited School of Nursing
2. 2. Has a current DEA license
3. 3. Completion of an accredited Nurse Practitioner Program which conforms with the Board's educational standards set forth in the California Code of Regulations Section 1484 or certification by a national organization/association whose standards are equivalent to those set forth in the California Code of Regulations Section 1484 or a registered nurse who has not completed a nurse practitioner program of study which meets the Board of Registered Nursing's educational standards as specified in the California Code of Regulations Section 1484.
4. 4. Current nursing licensure in State and CPR certification.
5. 5. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience.
6. 6. Accreditation from an approved certifying body for advanced practice nursing as required by State.
7. 7. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics)
8. 8. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist.
9. 9. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to liftsupplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.
10. 10. Must be a licensed driver with an automobile that is insured in accordance with state/or organizationrequirements and is in good working order.

©Corridor 2003

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