Hospice Pool/Float Nurse (80% FTE)
Description

Iowa City Hospice is seeking a Hospice Pool / Float Nurse to be a part of our interdisciplinary team.  


Iowa City Hospice Nurses have a passionate understanding for the hospice philosophy. They combine their acute/crisis symptom management education with interpersonal communication skills to provide care for patients and families in physical and emotional crisis situations.


If your care goals include making a focused difference in the quality of life for patients & family members through pain control and end of life symptom management while working with a dynamic interdisciplinary team, then we would like to speak with you about our current nurse employment opportunities.


Our Hospice Nurses:

  • Assess home care and physical needs of the patient, regardless of the home location.
  • Identify and coordinate patient/family care with other members of the Interdisciplinary Team and health care community as needed.
  • Communicate with the primary physician regarding patient change in status and pain and symptom control.
  • Teach and counsel patients/families on care giving techniques.
  • Facilitate admission of hospice patient/family when necessary.
  • Document observations, treatments, and other pertinent information into an IPad electronic medical records system.

Schedule: Monday through Friday, 8 AM-5 PM, plus holiday rotations and occasional night/weekend call shifts.

  

EMPLOYMENT STATUS:  Full Time: Exempt, salaried; Part Time: Hourly, non-exempt

REPORTS TO:  Hospice Nurse Manager 

SUPERVISES:  Hospice Aides assigned to specific cases.

WORKS CLOSELY WITH:  Managers, Clinical Staff, Quality Manager, Intake Coordinator.

SCHEDULE:  Monday through Friday, 8 AM – 5 PM with one hour hunch. Schedule includes participating in holiday rotations and night/weekend call shifts. Schedules are based on business and patient care needs during the weekdays and subject to change.

General Description: Responsible for providing nursing care to patients as part of an interdisciplinary team.

SKILLS/KNOWLEDGE: Employee will demonstrate expertise in defined specialty area, ability to communicate effectively in the English language both verbally and in writing. Employee will demonstrate organizational skills necessary to manage workload and productivity expectations. Employee will demonstrate the ability to work independently, able to maintain confidentiality in all matters, including employee information, client information and agency matters. The employee will demonstrate initiative in recognizing unmet needs and assuring a timely and appropriate response. The employee will demonstrate skill and knowledge in providing education and treatment of acute and chronic symptom management. The employee will demonstrate the ability to maintain and update professional knowledge base and the ability to assimilate and utilize agency information regarding policy and procedure changes. The employee will demonstrate competence in professional decision-making skills within the parameters of the Nurse Practice Act, including the ability to make appropriate assessments, problem-solve, prioritize, complete Plans of Care and evaluate their effectiveness. The employee will demonstrate the ability to use technology effectively and appropriately, including client care equipment, I-Pad and communication devices (smart phones, voicemail, and electronic mail). 

WORK ENVIRONMENT/EQUIPMENT: Employee will perform the duties in both inside and outside environmental conditions. Visits are conducted in patient homes requiring employee to drive from location to location during the work period within the service territory including Iowa City, small towns and rural areas. Atmospheric conditions – fumes, odors, dust, poor ventilation, or smoking. The ambient noise level in this environment can flex, is generally low. The duties include using office machinery including extensive use of computers, copiers, etc. The driving requirements include in-town and highway driving in good and inclement weather. All professional staff will use IPads to document work in client home and/or hospital settings.

PHYSICAL/COGNITIVE DEMANDS: PHYSICAL DEMANDS: The duties include performing skilled physical assessments and various skilled nursing activities, use of equipment for client care, computer and smart phone knowledge for documentation and communication. These duties require fine motor coordination/dexterity, the ability to grasp, vision with or without corrective aids adequate for fine motor tasks, client assessment, and driving. The job requires the physical demands of occasional lifting greater than 50 lbs., reaching, pushing, walking, going up and down stairs, driving, etc., with or without the use of assistive/adaptive devices. Must have the ability to lift 35 lbs. from floor to counter 3 times (to simulate lifting into trunk of car). Ability to carry 35 lbs up and down a flight of stairs, Push/pull 35 lbs on a 2 wheel cart. The job requires the ability to sit for long periods in a car and may require the physical demands of climbing up/down stairs, walking, hearing, kneeling, standing, pushing, grasping, lifting, talking etc. Requires visual acuity to operate motor vehicle, view electronic devises (I-phone, I-Pad, computer terminal) reading data and figures, visual inspection of patients. Cognitive ability to solve practical problems; variety of variables with limited standardization; interprets instructions.

Essential Job Functions (including but not limited to): To be performed satisfactorily with or without reasonable accommodation. The following duties are normal for this position. While this list is intended to be an accurate reflection of the job, it is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned by the employer.

1. Complete the initial and ongoing patient assessment and ensure that orders for treatment and services are obtained to meet the needs of the patient.

2. Provide care that is in accordance with accepted nursing standards of practice and agency policies and procedures.

3. Ensure electronic medical record accurately reflects visit schedule per agency expectations. 

4. Attend morning huddle with Team Coordinator via phone at 8:10 AM

5.  Ensure the patient’s medication list is accurate through reconciliation with the facility or home medication lists every visit. 

6. Ensure nursing care and services provided are in accordance with the patient’s plan of care and goals are based on the patient’s identified needs for the palliation and management of symptoms.

7. Diffuse conflict with respectful, calm collaboration

8. Maintain open, approachable manner. 

9. Treat others fairly and respectfully.

10. Supervise care delegated to a Licensed Practical Nurse and nurse aide(s).

11.  Communicate with the primary physician and team coordinator per agency policies and processes

12.  Document all care provided on the patient’s clinical record in accordance with agency documentation requirements

13. Participate in facility patient care conferences via telehealth, or in person, in coordination with interdisciplinary team

14. Gather data to assist in recertification process.

15. Demonstrate exceptional written, electronic and verbal communication standards. 

16. Establish and maintain strong relationships with the agency’s care partners.

17. Train patients, care partners and caregiver about symptom management, the safe administration of drugs and care giving techniques.

18.  Adhere to the practice of confidentiality regarding patients, families, staff and the organization.

19. Participate in Iowa Care Community’s success by ensuring access to our exceptional care. 

20. Support and promote Iowa City Hospice’s mission

21. Provide excellent interdisciplinary patient care through collaboration, communication, and coordination with the interdisciplinary team, team coordinator and facility care partners.

22. Perform other duties as assigned


Requirements

Licensure:  Current Iowa Nursing License (RN or LPN)

Education: Associate degree with relevant experience 

Experience: Two years of hospice, long term care, assisted living or hospital related work experience preferred

Driving:  Proof of license and current insurance coverage

Criminal background check:  All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General’s Excluded Provider List. 

Vaccination: New employees will be required to signify if they have received COVID and Hepatitis B Vaccination previously, consent to receive it now, or request accommodation. New employees will be required to take a 2-step TB test or to provide documentation of a recent TB Test and complete the second step during orientation. 

Additional Training: Continuation of employment in this position requires obtaining current CPR, Mandatory Reporter Certifications and Advanced Certified Hospice and Palliative Nurse (ACHPN®) certification in hospice and palliative care, by the 3rd year of employment.