Registered Nurse Care Coordinator

To provide quality, compassionate care to patients and families by providing wholistic care to alleviate end-of-life

symptoms, provide education on disease trajectory, and aggressive support in the home and community nursing facilities.

 •Evaluate physical needs of the patient using a holistic approach

• Coordinate medication administration, education and assure accuracy

• Evaluate the need for other services

• Communicate patient/family information to the interdisciplinary team

• Coordinate the development of the plan of care with goals defined by the patient/family and the hospice team,

updating at least every 14 days and as changes occur

• Provide nursing services according to the plan of care

• Make referral to other services as needed in coordination with the medical social worker

• Supervision of home health aide

• Teach the primary caregiver/family by role model, repetition, and reinforcement

• Provide ongoing supervision along with assessment of continuing needs for patient/family teaching

• Instruct caregivers in hospice emergency responses and changes to anticipate

• Make regular visits as determined by the IDG and as needed

• Provide the patient/family with information concerning the disease process, the regimen of treatment process,

and alternative methods of care

• Respond to questions honestly and realistically

• Help the patient/family make informed choices

• Promote independence and responsibility throughout the course of the disease

• Provide emotional support

• Actively listen to patient and family concerns

• Support individual coping mechanisms

• Provide services at the time of death

• Assist with bereavement follow-up by attending receiving or funeral services as appropriate

• Evaluate the effectiveness of nursing interventions on a regular basis and whenever changes occur in the

patient/family situation

• Communicate with physicians as needed and as required by regulations

• Maintain current knowledge and competency in providing care to terminally ill patients and their families

• Provide on-call services as scheduled

• Assist with nursing care on patient care unit as directed by supervisor

• Assist with assessing patient appropriateness for continued services

• Assist with visits to palliative care patients as needed

KNOWLEDGE, SKILLS & ABILITIES:

• Ability to work a flexible schedule

• Willingness to work with patients/families regardless of race, color, creed, age or sexual orientation. Must

respect their beliefs and philosophy with an attitude of openness.

• Ability to work effectively with others in a supervisory role

• Strong communication skills

MINIMUM QUALIFICATIONS:

Education:

? Current NC license as a registered nurse

? Active patient contact or completion of a nursing refresher course within the past three years

Experience:

? Not applicable

Licensures & Certifications: (if applicable):

? CPR certification