Registered Nurse - Hospice House Overnights

At Granite VNA, the largest home health and hospice provider in New Hampshire, we believe in delivering high quality specialized care in a comfortable environment. Our Hospice House Registered Nurses (RNs) are at the heart of our mission, providing skilled, compassionate care to patients and their families in a peaceful and supportive environment. If you are searching for a new role that blends both your clinical expertise with meaningful connections – and offers a predictable schedule— join our team!

Why Nurses Choose Granite VNA:
· A supportive leadership team who leads with compassion and integrity
· Autonomy and purpose
· Collaboration with a team full of dedicated, knowledgeable and supportive professionals
· Competitive pay and generous benefits
· Ongoing professional development and opportunities for career growth

This is full time 32 hours per week position. Monday - Thursday 11p-7a. Applicable shift differentials available.

Position Overview

Reporting to the Hospice House Clinical Supervisor, the Registered Nurse provides comprehensive case management for patients admitted to the Hospice House. Coordinates resources to plan, organize, implement and evaluate operating routines necessary to achieve residents’ well-being and organizational objectives

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Collect accurate and current data in partnership with the patient and family in the following areas:
• Health histories
• Physical assessment, nutritional needs
• Emotional, spiritual and social needs
• Cultural and religious factors affecting health
• Risk factors that affect health
• Strengths that maintain and promote safety and comfort.
• Explain the Hospice services, philosophy and limitations during the admission process and provide ongoing reinforcement. Interpret the Hospice as a service of Granite VNA.
• Consult with patient/family/interdisciplinary team (IDT) in developing a comprehensive plan of care upon admission.
• Revise the interdisciplinary plan as goals and objectives are achieved and/or changed every 14 days as needed.
• Record nursing interventions and patient/family responses in a systematic and concise form and according to program policy and procedures.
• Supervise Hospice LNAs and LPNs according to agency policy and State and Federal regulations
• Respond to the changing needs of the patient and families during the care of the patient.
• Provide input into the bereavement needs of the patient and family upon the patient’s admission and at IDT meetings thereafter. Provide appropriate support to patients and caregivers throughout the grief process. Serves as the primary nurse and an advocate for the patient and family to achieve Hospice care goals.
• Serves as the primary nurse and an advocate for the patient and family to achieve Hospice care goals.
• Teach the patient and family self-care concepts and skills, and assist in modifying the environment to encourage their use.
• Validate observations, insights and new data with colleagues, supervisor, families and patients.
• Participate in the evaluation of care through record audit and other methods of peer review.
• Request team meetings/family conferences when needed to clarify service goals and patient/family needs.
• Incorporate appropriate changes in practice suggested by self-evaluation, client’s evaluation, peer review and professional development activities.
• Actively participate in patient care conferences, support meetings and staff meetings by attending, presenting and offering input.

Other Job Functions

• Understands and demonstrates the agency’s safety policies and procedures.
• Adheres to the Agency’s standard of professional appearance and the Agency’s dress code policy.
• Adhere to the Agency’s policy and procedures regarding confidentiality and patient rights.
• Attends in services/conferences required for position/program annually. Assumes responsibility for necessary competencies.
• Performs job duties in a safe manner in order to prevent injury to yourself and others

1. Graduate of an accredited nursing program; BSN preferred
2. Must have a minimum of 2 years acute care nursing experience
3. 3 to 4 years of recent experience as an RN in home health or hospice medical/surgical in an acute or skilled long-term care setting; 2 years oncology experience and IV Infusion Therapy experience preferred
4. Certification in Hospice and Palliative Care; preferred