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OVERVIEW Now Hiring! PRN After Hours On Call Home Health Registerd Nurse Work Schedule 5:00 PM to 8:00 AM Monday through Friday and or 24 hours on Saturday and Sunday $45.00 o $50.00 per hour DOE, four hour minimum pay per day Office Location:Signature Healthcare at Home 459 Stuart Rd Bellingham, WA 98226 Please apply on line for this position here: https://signature-careers.com This position is an RN who works outside of scheduled business hours. This person is responsible to be the field contact for Triage nursing and responds to calls as they come in while on shift. This position is responsible for completing patient visits and any required follow-up for patient/caregiver needs as well as any scheduled visits after business hours. They may plan, organize, and direct Hospice and/ or Home Health care as needed. The nurse builds from the resources of the community to plan and direct services to meet the holistic needs of patients and families with an emphasis on palliative care for hospice patients and rehabilitative care for home health patients. RESPONSIBILITIES Patient Care:

• Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
• Assesses and evaluates patient's status by evaluating patient and family/caregiver needs, as directed and participating in revising the plan of care in collaboration with the attending physician (or approved medical provider), and/or the hospice medical director as the patient status and needs change.
• Works autonomously to initiate appropriate preventive, rehabilitative or palliative care nursing procedures. Administers medications and treatments as prescribed by the physician (or approved medical provider) in the patients plan of care.
• Involves the patient and family/caregiver to address needs and meet related
• Provides health care instructions to the patient as appropriate per assessment and
• Assists in facilitating the patient's efforts toward self-sufficiency or obtaining appropriate caregiving and optimal comfort care or independent level of functioning.

Communication:

• Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements.
• Records pain/symptom management changes/outcomes as
• Communicates with the physician (or approved medical provider) regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians'( or approved medical provider) orders as required.
• Collaborates with the on-call hospice provider to change the patient's level of care as appropriate and indicated (for hospice patients only).
• Communicates with community health related persons to coordinate the care
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician (or approved medical provider) and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group or team.
• Assists the patient and family/caregiver and other team members in providing continuity of
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends required staff meetings and interdisciplinary group meetings or case
• Communicates report of services provided to the agency clinical leadership team and/ or RN Case Manager at the end of each shift.
• Supports the mission, values and goals of Signature Healthcare at

Additional Duties: