UnityPoint Health RN-Palliative Care (PRN) in Cedar Rapids, Iowa
Description of Position:
Provide a “snapshot” or the principal purpose or focus of the position, consisting of no more than three to five sentences. This summary should provide enough information to differentiate the major function and activities of the position from those of other positions.
The Palliative Care Nurse is responsible for performing initial and readmission consults for Palliative Care patients, following patients and families during hospitalization. Palliative Care customers include patients with life-threatening or serious and complex illness, their families and caregivers, physicians and the community. The Palliative Care Team members include representation from nursing, social services, spiritual care, the physician and the patient and family. The Palliative Care Nurse works closely with the Palliative Care Team in meeting the unique needs of each individual patient and family. Responsibilities include supporting and providing education to the healthcare team and clinical practice in palliative care. This may include the areas of inpatient, outpatient and the Palliative Care Clinic
St. Luke’s C.A.R.E delivery model (Continuity, Accountability, Relationship-based, Evidence-based) reflects a commitment to compassionate, competent care delivered by the interdisciplinary team. Care is provided through a therapeutic relationship with the patient and family. A spirit of inquiry is encouraged and supported. Evidence-driven protocols are utilized to assure reliable and consistent care.
Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.
% of Time
Performs Patient Care Functions as Required
· Responds to physician requests for inpatient palliative care consults.
· Notifies the Palliative Care Team’s Medical Director or designee of consults requested by the referring physician.
· Completes the initial palliative care assessment of the patient/family needs for palliative care including symptom control, psychosocial and spiritual needs.
· Facilitates patient/family conferences as related to palliative care, as appropriate.
· Assists patients and families in identifying patient goals for care.
· Participates in physician rounds as requested and participates as a regular member of multidisciplinary rounds, as appropriate.
· Facilitates communication between Palliative Care Services and primary medical service and/or inpatient nursing unit to plan, deliver and evaluate care.
· Serves as a resource to medical staff and nursing staff in the provision of Palliative Care Services.
· Assesses patient discharge needs and preferences; works with team to facilitate appropriate referrals.
· Collaborates with Medical Social Services to assess patient financial issues, reimbursement issues and/or psychosocial needs.
· Provides support, counseling, and information to patients and families dealing with end-of-life issues or with issues related to life-threatening or serious and complex illness.
· Facilitates spiritual support for patient/family by the Spiritual Care Department, as appropriate.
· Facilitates family counseling for patient/family by Family Counseling Department, as appropriate.
· Assesses need for patient and family education. Provides health teaching and counseling, as appropriate. Facilitates referrals to appropriate resources.
· Partners with the healthcare team to achieve the patient care outcomes and goals of care.
· Participates in the development of the Palliative Care interdisciplinary plan of care and attends interdisciplinary team meetings weekly.
· Assists with special projects and/or other duties as assigned or requested.
· Participates in St. Luke’s Hospital structure as related to appropriate committees/work groups/ performance improvement and strategic planning.
· Facilitates ethical discussions related to care decisions, as requested.
· Supports the St. Luke’s Hospital mission, vision and values.
Communication and Handoffs
· Demonstrates good verbal and written communication skills with patients, families, healthcare team members and other customers. Verbal communication is clear and precise. Written communication is legible, if handwritten, and done in a timely manner using approved abbreviations.
· Computer documentation is done in accordance with hospital and unit policies.
· Real-time documentation is utilized.
· A critical component of our C.A.R.E. Model is the relationship between the patient and the caregiver. That relationship is built by time, communication and demonstrating compassion.
· Assists in assessing, developing, and evaluating patient/family educational materials on palliative care.
· Provides internal education to nursing, medical social services, spiritual care and other departments within St. Luke’s Hospital. Facilitates education to providers and medical staff in cooperation with the Palliative Care Nurse (RN) Program Manager.
· Provides external education on palliative care to external agencies and community groups.
· Conducts systematic follow-up with patients after discharge from St. Luke’s Hospital as needed.
· Models behavior that invites colleague interaction and demonstrates mutuality.
· Builds partnerships that support and promote Palliative Care strategies.
· Supports organizational efforts of establishing and maintaining relationships with communities, benefactors and other employees.
· Goals and expectations are reviewed each shift to verify priorities.
· Handoffs are done with attention to detail and with safety as a high priority. Tools such as SBAR are consistently utilized to assure that critical information is clearly communicated, shared and updated with each handoff. SBAR handoffs are utilized to communicate patient treatment and assessment information, patient education needs, goals of care and other quality care measures.
NEED TO CATEGORIZE THESE
· Supports evidence-based clinical practice and questions the rationale and scientific basis for clinical practice and/or changes in practice.
Complies with changes in clinical practice and standards.
Participates in data collection when the opportunity is presented.
Supports/participates in interpretation of clinical literature and uses to validate and/or change clinical practice.
· Demonstrates flexibility and self-direction in meeting patient and unit needs by responding as a team player.
· Assesses and provides for educational opportunities for patients, families and other healthcare team members based on adult teaching-learning concepts and health literacy principles.
Assists in the orientation of new associates by acting as a resource and mentor to associates. Collaborates with unit leadership, as appropriate. Serves in preceptor role, as appropriate.
Participates in the education experiences of students.
· Provides professional nursing leadership through compliance with established unit routines, policies and procedures.
· Assists in creating a positive work environment that contributes to safety and positive clinical outcomes. Supports recruitment and retention of staff to assure an adequate workforce for clinical care.
· Assumes accountability for own competence, clinical performance and professional growth.
Continually maintains and strives to enhance personal technical and clinical competence in all job-related duties.
Specialty certifications encouraged.
Participates in appropriate professional organizations.
· Participates in mandatory education and unit staff meetings per established guidelines.
· Encouraged to make and support improvement in unit and hospital practices through participation in shared governance and performance improvement activities at the unit and hospital-wide level.
· Complies with established safety goals, infection prevention and risk management policies and procedures.
· Performs other duties as deemed necessary to meet the hospital’s mission, to give the healthcare we’d like our loved ones to receive.
Basic UPH Performance Criteria
· Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
· Demonstrates ability to meet business needs of department with regular, reliable attendance.
· Employee maintains current licenses and/or certifications required for the position.
· Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
· Completes all annual education and competency requirements within the calendar year.
· Is knowledgeable of hospital and department compliance requirements for federally-funded healthcare programs (e.g., Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Demonstration of UPH Values and Standards of Behaviors
Consistently demonstrates UnityPoint Health’s values in the performance of job duties and responsibilities
· Leverage the skills and abilities of each person to enable great teams.
· Collaborate across departments, facilities, business units and regions.
· Seek to understand and are open to diverse thoughts and perspectives.
Own The Moment:
· Connect with each person treating them with courtesy, compassion, empathy and respect
· Enthusiastically engage in our work.
· Accountable for our individual actions and our team performance.
· Responsible for solving problems regardless of the origin.
· Commit to the best outcomes and highest quality.
· Have a relentless focus on exceeding expectations.
· Believe in sharing our results, learning from our mistakes and celebrating our successes.
· Embrace and promote innovation and transformation.
· Create partnerships that improve care delivery in our communities.
· Have the courage to challenge the status quo.
Identify items that are minimally required to perform the essential functions of this position.
Preferred or Specialized
Not required to perform the essential functions of the position.
· Must have successfully completed an accredited nursing program.
· RN required.
Bachelor of Science in Nursing preferred.
· Writes, reads, comprehends and speaks fluent English.
· Understanding of end-of-life care, grief and loss, and alleviation of suffering.
· Hospice and Palliative Care Certification preferred.
· Two years’ current clinical experience in oncology, chronic disease management, hospice care or palliative care preferred.
· Valid driver’s license when driving any vehicle for work-related reasons.
· RN licensure in the State of Iowa.
· Current BCLS certification.
· Demonstrated excellence in clinical knowledge of pain and other symptom management.
· Assumes responsibility for maintaining clinical expertise in palliative care.
· Must have knowledge of end-of-life and palliative care.
· Must be familiar with ethical principles and comfortable in applying them to clinical situations.
· Ability to participate in an interdisciplinary team.
· Must be a teacher and educator, facilitator, and decision-maker.
· Effective verbal and written communication skills.
· Must be able to successfully complete basic computer course through in-hospital training; develops and maintains necessary computer skills including Word and Excel.
· Use of usual and customary equipment used to perform essential functions of the position.
· Must be able to work well with all customers, coworkers and interdisciplinary team members.
· Must demonstrate a cooperative, courteous and dependable working performance.
· Must possess high integrity and maintain confidentiality at all times.
· Collaboratively interacts with St. Luke’s Hospital associates, physicians, patients, families and community in a professional manner.
· Participates in multidisciplinary improvement initiatives. Develops and nurtures collaborative multidisciplinary relationships.
· Maintain flexibility with scheduling of hours and travel as needed.
· Adapt positively and constructively to a constantly changing healthcare environment.
· He/she meets regularly with the Palliative Care Team to apprise of decisions made and actions taken, collaborates in problem-solving, and reports plans and/or progress of Palliative Care patients.
Requisition ID: 2021-93978
Street: 1026 A Ave NE
Name: 1010 UnityPoint Health CR St Lukes Hospital
Name: Palliative Care- IP
FTE (Numeric Only; Ex. 0.01): 0.01
FLSA Status: Non-Exempt
Scheduled Hours/Shift: PRN - As Needed
External Company URL: http://www.unitypoint.org