RN, Triage (Sat/Sun/Monday 8:00 am - 8:30 pm)

Description Provides telephonic triage and direct patient care after normal business hours. Follows care plan, provides treatments, and works collaboratively with the members of the team to help meet positive patient care outcomes. Directs and supervises LVN's as necessary. The RN Triage may also become a member of the interdisciplinary team who will act as a RN Case Manager, and identify the physical, psychological, social and spiritual needs of the patient and family. The RN Case Manager initiates appropriate intervention and support for the patient and family upon admission and provides a continuously appropriate, comprehensive and responsive plan of care. ##### Professional Duties - Provides direct patient care and telephonic triage, as defined in State Nurse Practice Act. - Responds to urgent and family/patients calls during "after normal business hours" through collaboration with on-call contracted answering service. - Directs and supervises LVN's to respond to on-call needs and patient visits. - Provides accurate and timely documentation of patient services to reflect the plan of care, including submission to the of office. - Provides appropriate pain/symptom management. Evaluates patient's response to treatments/medications. - Assess and provide patient and family/caregiver education and information pertinent to diagnosis and self plan of care. - Participates in coordination of hospice services, appropriately reporting the identified needs for hospice interdisciplinary group members (CHHA, OT, PT, MSW, Dietitian, Manager, ST). - Ensures medications profiled with HP in a timely manner and DME ordered as appropriate. - Assist with the continuity of care/changes in LOC (GIP/Respite/Routine SNF admissions) and discharge planning from facilities as required. - Monitors the re-certification process. - Coordinates the patients and families care and services including those of the team, social worker, chaplain, home health aide, volunteer and physician. - Provides skilled nursing as determined by the interdisciplinary plan of care. - Updates care plan regularly and integrates plan of care with any new changes in patient condition. - Performs on site evaluations of Certified Home Health Aides (CHHA) and volunteers - Performs other duties as assigned within scope of practice. - Be accountable for your work - Speak positively about your work, co-workers and Desert Oasis Healthcare and Family Hospice Care - See the positive in situations and in others - Avoid gossip and negativity - Inform patients and co-workers of how and when to contact you under normal circumstances (phone number, email, a help line, Immediate Care, etc.) or when unforeseen issues arise ##### Qualifications - Current California RN license required. - Minimum of one year clinical nursing experience required. Previous Home health or hospice experience, preferred. - Understanding of guidelines and scope of nursing practice. - Able to effectively communicate with all team members and customers. - Able to work independently with minimal supervision to ensure that patient care is adequate and appropriate. - Able to work as part of interdisciplinary team to effectively manage patient care. - BLS required within 60 days of hire. - Current drivers license and proof of insurance required. ##### Physical Demands Type Description Sitting Approximately 50% of day Standing Approximately 35% of day Walking Approximately 15% of day Lifting 0 - 50 lbs - approximately 10% of day Bending Approximately 10% of day. Kneeling < 10%. Hearing/Visual Acuity Adequate for use with computers, telephone and or Blackberry - Approx 75% of day Computer Highly technical work environment - Must be able to work = 6 hours / day using keyboard, mouse and monitor Reaching Above head 75 degrees - approxim tely 25%. Hand grip dexterity Approximately 70% of day