Position Summary: The Palliative Care Registered Nurse leads hospital-based palliative care efforts and initiatives to improve clinical care of patients with serious or advanced, progressive illnesses and improve the experience of their families. Clarify specifics of role in collaboration with Chief Medical Officer to tailor to unique needs of facility. In doing this, PCN supports nursing, medical staff, administration and whole-hospital efforts to advance palliative care goals.
Position Requirements: A. Licensure/Certification/Registration: Current Colorado Registered Nurse License Education: Graduate of an accredited School of Nursing. B. Experience: 5 years clinical nursing experience in hospital or acute care setting. C. Knowledge/Skills/Abilities: Demonstrates good organizational skills. Provides safe and appropriate patient care within the Values & Standards of Nursing Practice at SMC. Displays appropriate judgment and problem solving skills. Communicates positively and professionally with all internal and external customers.
Degree of Supervision Required: Under supervision of Director/Designee.
Orientation Period: Based on experience and continuous assessment of progress of Director. Orientation includes formal nursing department orientation, minimum of 2-4 days during first 2 weeks of employment.
Duties A. Receive and triage inpatient palliative care consultation requests with referring clinicians B. Scope of practice according to Hospice & Palliative Nursing Association Standards a. Demonstrates critical thinking, analysis and judgement in all areas of palliative care and hospice, including effective pain & symptom management. b. Incorporates ethical principles and advocacy in care of patient and family, including identification and advocacy of patient wishes and care preferences. c. Professionalism in palliative care – participates in hospice & palliative care organizations, participates in evaluation and improvement of palliative care practice, and contributes to improved quality of palliative care services. d. Collaboration – actively promotes communication and collaboration between patients, families, medical care teams, and community. e. Systems thinking – identifies and utilizes system resources necessary to enhance quality of care. f. Cultural Competence – recognizes diversity and individual preferences; also demonstrates competence in spiritual and psychosocial aspects of care. g. Facilitates learning and education h. Communication – uses effective verbal, nonverbal and written communication including therapeutic communication skill set. C. Review clinical care data, including medical history and medication use, laboratory and imaging data, and care notes to collate an accurate clinical summary. D. Attend ICU, Oncology, and other clinical multidisciplinary Rounds in conjunction with MD/NP or individually to represent the palliative care team. E. Membership on hospital committees and meeting attendance to represent palliative care and participate in multidisciplinary care. F. Provide generalist level primary palliative care consultations with supervision of MD/NP to clarify goals of care, assess pain and symptom burden, conduct advanced care planning discussions or completion of MOST form medical order set for discharge. G. Coordinate care with outpatient community-based supportive care providers in conjunction with case management and social work. H. Facilitate hospital-based nursing education in palliative care and symptom management. I. Collect data to further efforts or palliative care in hospital and participate in data review and program growth efforts J. Training of palliative care team members K. Multidisciplinary Collaboration with chaplaincy, CNA's, RT, PT/OT, volunteer therapies, patient advocacy and others aiming to deliver quality supportive and palliative care. L. Participate in HCA Palliative Care Program efforts in collaboration with PC RN Coordinators and team members at other hospitals involved in program. M. Work collaboratively with other palliative care team members within facility and across facilities involved in HCA Palliative Care Program to further palliative care efforts and collaboration in the interest of palliative care growth. N. Know the limits and boundaries of RN scope of practice and function in role within the team. Call upon NP or physician involvement and collaboration appropriately and promptly.
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