Nurse Practitioner PRN Resource

Overview: Building Better Together.

Bringing passion and purpose to all we do We have a bold vision to reimagine care.

And that’s possible because of every individual team member.

AccentCare believes investing in people and their opportunities produce more satisfying careers, personal growth, and better patient outcomes.

In addition, we emphasize training and hiring a diverse workforce with the lived experience and skills to deliver culturally competent, inclusive care.

Responsibilities: 1.

Develop and implement clinical plans of care for adult patients with chronic and terminal illnesses.

2.

Perform patient assessment, history and physical; recommendations on aggressive symptom-management.

3.

Develop plans to meet patient and family physical and psychosocial needs 4.

Monitor patient progress; update the Team Director and team members; consult regarding discharge planning; and patient/family teaching 5.

Maintain patient medical records according to established standards and documents in a systematic, accurate and succinct format 6.

Maintain communication with the supervisory physician(s) and attending physician to review patient records and care plans on a routine basis 7.

Refer patients to Physician or to specialized healthcare resources for consultation or treatment as appropriate 8.

Initiate communication with attending physicians, other hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient/family.

9.

Provide patient/family education and counseling including instructing the family and/or patient caregiver on: How to administer medication and recognize side effects.

How to perform personal care and oral hygiene.

How to assist in lifting, moving, ambulation and exercise.

How to prepare for the events preceding death 10.

May provide appropriate support at time of death 11.

Assist in making home health aide assignments, prepare written instructions for the aide and supervise the aide in the home 12.

Participate in continuing education and/or continuing medical education as required by licensing body 13.

Prescribe medication as permitted by the state and/or the state Board of Nursing 14.

Serve as a resource to hospital, facility staff and/or physicians on palliative care issues.

15.

Participate in hospice orientation and ongoing education programs 16.

Supervise and delegate to members of the care team as appropriate17.

Other duties as assignedPre-Hospice1.

Face-to-face clinical and needs assessment at intake, preferably in the patient’s home setting, inclusive of the patient’s medical, emotional, spiritual, social, and practical needs2.

Face-to-face reassessment done when needed and at least every 60 days Plan of care development based on these assessments and incorporating the patient’s and family’s priorities3.

Conduct follow-up with the patient and family, through telemedicine, telephone calls, writing or in-person, between assessment visits, as needed4.

Consult and involve appropriate member of the Pre-Hospice team to provide follow up whenever possible and as appropriate5.

Complete a hand-off of the patient at time of discharge, whether to primary care, hospice or any other discharge destination6.

Clinical supervision of the care plan including all medicine orders7.

Collaborate with the rest of the Pre-Hospice team including alerting the team to changes and newly identified patient needs as they arise Qualifications: 1.

Master’s degree, required2.

Current and unencumbered advanced practice nursing license in state(s) practicing3.

Current and valid CPR certification required4.

Certified by a nationally recognized advanced nursing practice organization5.

Minimum one-year experience, required in California6.

Previous experience in hospice, home health, general medical surgical or patient population specific (i.e.: geriatrics, pediatric, etc.) nursing7.

Demonstrates familiarity with policies of the agency and state(s) and federal regulations pertaining to nursing services.8.

Demonstrated expertise in pain/symptom management and advanced care planning9.

Must have reliable automobile, valid driver’s license, and the minimum state required liability auto insurance10.

Commitment to AccentCare’s philosophy of care, TRUE HOPE values, vision and mission statements as an exemplary role model for all staff