Reports to the Residential Team Leader of the Macky & Pam Stansell Hospice House (SH) of Coastal Hospice at the Ocean. Provides personal care services and administers medication to the terminally ill patient and performs related tasks at SH, in accordance with the plan of treatment as assigned by the case manager. Behaves in a manner that consistently conveys commitment to the job of providing around-the-clock, compassionate and professional care. Responsible for carrying out the duties assigned in order to increase the level of comfort, and to maintain personal hygiene and a safe, healthy environment for the patient and co-workers.
Responsibilities and Functions:
DIRECT PATIENT CARE
• Provides direct patient care as instructed by a RN and/or physical therapist.
• Participates in weekend/holiday rotation to meet patient needs.
• Assists in feeding patients (if necessary) and provides nourishment between meals.
• Takes and records patient vital signs as directed by RN.
• Assists patients in and out of bed and assists with ambulation.
• Assists patients to bathroom or in using bedpan, urinal or bedside commode.
• Gives personal care including baths, back rubs, oral hygiene, shampoos and changes bed linen as often as necessary.
• Consistently utilizes 2 patient identifiers prior to the administration of medication.
• Patients' response to medication is documented according to Coastal Hospice policy and procedure.
• Recognizes and reports adverse drug reactions and reports per Coastal Hospice policy and procedure.
• Makes rounds per SH policy.
• Answers call bells promptly to respond to patient/family questions or concerns.
• Collaborates as a team member in order to meet patients’ plan of care.
• Reports changes in patients’ condition and/or needs to RN.
• Administers medications within scope of practice per certification.
• Consistently follows the “Six Rights” of medication administration.
• Changes simple dressings or ostomy bags as directed.
• Performs blood sugar finger sticks and documents results. Notifies RN of abnormal results.
• Responsible for daily cleaning of patient rooms. Rooms to be cleaned at time of discharge per SH policy.
ASSISTS WITH UNIT OPERATIONS BY:
• Washing of patients' laundry, ensuring a clean supply of bed linens, patient clothing, etc.
• Checking and documenting daily temperatures of refrigerators.
• Light meal preparation.
• Maintaining safe physical environment according to unit needs and regulatory standards.
• Performing housekeeping duties as needed.
SAFETY & COASTAL HOSPICE PROTOCOLS
• Recognizes unique responses to medication based upon the age of patient.
• Meets safety needs of patients and uses equipment safely and properly.
• Accurately signs out narcotics, wastages and documents on MAR as appropriate.
• Disposes of sharps in accordance with safety procedures.
• Complies with current CDC hand hygiene guidelines.
• Follows Coastal Hospice policies and procedures regarding standard precautions/infection control.
• Demonstrates a thorough knowledge of safety policies and procedures, including proper body mechanics.
• Communicates in a professional manner and demonstrates respect for patients, their families, volunteers and co-workers.
Possesses a current certification to practice as a LPN with the Board of Nursing in Maryland (MBON).
Possess valid/current LPN certification with MBON.
Current CPR certification for Healthcare Provider (BLS).
Ability to read and follow written instructions and document care given.
Must be able to use a computer and other office equipment to document patient information.
Must be able to communicate verbally and in writing in a clear manner with individuals and families in end-of-life situations.
Demonstrated ability to make meaningful patient observations and write brief, accurate reports for electronic patient files.
Communicate effectively and timely with supervising nurse and other hospice aides by performing change of shift rounds.
Self-directed with the ability to work with limited supervision.
Must have reliable transportation and be dependable.
Maintain good personal hygiene and project a professional image.
Successful completion of Coastal Hospice orientation program.
Demonstrates knowledge of and agreement with Coastal Hospice policies and philosophy of care.
Is flexible and able to work on several projects simultaneously.
Is able to work harmoniously with diverse individuals and groups.
Documents 12 hours of in-service training per year.
Successful completion of periodic competency examinations and performance evaluations.
Sight, hearing and manual dexterity to function with or without prosthetic use that will enable these senses to function adequately to fulfill the requirements of the job.
Ability to negotiate level and unlevel surfaces with or without the use of assistive devices.
Ability to lift, push, pull or move patients, equipment, supplies, etc. in excess of 50 pounds with or without the use of adaptive/assistive devices.
Able to perform job-related duties which require lifting, standing, bending, transferring, stooping, stretching, walking, pushing, partial or complete assistance with the activities of daily living without assistance from another health care worker.
Able to work independently.