Hospice Registered Nurse

REGISTERED NURSE - HOSPICE JOB DESCRIPTION 

JOB SUMMARY 

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on  
community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. 

DUTIES & RESPONSIBILITIES  

Patient Care 
1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs.  Provides a complete physical assessment and history of current and previous illness(es). 
2. Provides professional nursing care by utilizing all elements of nursing process.  
3. Assesses and evaluates patient’s status by: 
a. Writing and initiating plan of care 
b. Regularly re-evaluating patient and family/caregiver needs  
c. Participating in revising the plan of care as necessary 
4. Uses health assessment data to determine nursing diagnosis. 
5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing 
actions.  Includes the patient and the family in the planning process. 
6. Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and 
treatments as prescribed by the physician in the physician’s plan of care. 
7. Counsels the patient and family in meeting nursing and related needs. 
8. Provides health care instructions to the patient as appropriate per assessment and plan. 
9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency 
and optional comfort care. 
10. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. 

Communication 

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care 
given.  Records pain/symptom management changes/outcomes as appropriate. 
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; 
obtains/receives physicians’ orders as required. 
3. Communicates with community health related persons to coordinate the care plan. 
4. Teaches the patient and family/caregiver self-care techniques as appropriate.  Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling 
with patients and families/caregivers.  Works in concert with the interdisciplinary group. 
5. Provides and maintains a safe environment for the patient. 
6. Assists the patient and family/caregiver and other team members in providing continuity of care. 
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the 
emotional needs of the patient and family/caregiver.  
8. Attends interdisciplinary group meetings. 

Additional Duties 
1. Participates in on-call duties as defined by the on-call policy. 
2. Ensures that arrangements for equipment and other necessary items and services are available. 

3. Supervises ancillary personnel and delegates responsibilities when required. 

4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service 
classes. 
5. Fulfills the obligation of requested and/or accepted case assignments. 
6. Actively participates in quality assessment performance improvement teams and activities. 

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.  The employee may be requested to perform job-related tasks other than those stated in this description. 

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

1. Graduate of National League for Nursing accredited school of nursing. 
2. Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 
3. Management experience not required.  Responsible for supervising hospice aides. 
4. Registered nurse with current licensure to practice professional nursing in the state. 
5. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per 
competency checklist. 
6. Shows ability to organize and prioritize workload independently. 
7. Prolonged or considerable walking or standing.  Able to lift, position, and/or transfer patients.  Able to lift supplies and equipment.  Considerable reaching, stooping, bending, kneeling, and/or crouching.  Visual acuity 
and hearing to perform required nursing skills. 
8. Maintains a current CPR certification. 
9. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, 
patients, etc.) is an essential function of the job.  Must have and maintain a valid driver’s license, maintain automobile insurance coverage and have access to an automobile. 
10. Self-directed and able to work with minimal supervision. 

 PHYSICAL REQUIREMENTS 

1. Employees are asked to sign a statement indicating whether they can perform the essential functions of their 
position. Requests for accommodation will be considered on an individual basis. 
2. Typical functions of this role include standing, sitting, and walking a majority of the time. There are occasions 
when kneeling, stooping, bending, or reaching may be necessary. 
3. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in 
which the employee must be able to lift or move up to 50 lbs. 
4. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, 
depth perception and ability to adjust focus.