The RN is a professional registered nurse who functions as a
primary nurse and has responsibility and accountability for quality
nursing care in assessing, planning, implementing, educating and
evaluating a designated group of patients. The RN is responsible
for providing skilled professional nursing care to assigned
terminally ill patients in their place of residence, as prescribed
by the physician and in compliance with the standards of the
Missouri Nurse Practice Act and the policies of St. Luke's Hospice.
Mission: Faithful to our Episcopal-Presbyterian heritage and its
ministry of healing, St. Luke's Hospital is dedicated to improving
the health of the community. Using talents and resources
responsibly, our medical staff, employees and volunteers provide
care for the whole person with compassion, professional excellence,
and respect for each other and those we serve. Core Values: Human
Dignity, Justice, Excellence, Compassion, and Stewardship. Human
Dignity: Demonstrates respect for the dignity and needs of
patients, visitors, physicians, and co-workers. Justice: Honors
each person's rights and responsibilities by working as a team
player to provide positive patient outcomes. Excellence:
Demonstrates creativity and inventiveness in improving the ways in
which work-related tasks are performed. Also strives for excellence
in the services that he/she provides. Compassion: Demonstrates
caring beyond 'It's My Job' and utilizes positive interpersonal
skills. Stewardship: Demonstrates honesty and acts with integrity.
Also demonstrates the ability to work in a safe, cost-effective and
efficient manner. Communication Standards: Promotes and provides
courteous and effective communication with internal and external
I. Assessment Planning:
Demonstrates the ability to appropriately assess the patient by:
Admission assessment and history started at initial contact and
completed within 24?-48? of admission. Seeks and obtains sufficient
information necessary to function effectively in Hospice setting
where patient/family/caregivers is requiring care. Provides
professional skilled nursing care to terminally ill patients which
includes initial nursing assessment, ongoing assessment of
patient/family/caregivers for physical, psychosocial and spiritual
needs and reporting to physicians when appropriate. Assists
patient/family/caregivers with issues related to death and dying.
Performs procedures and treatments using proper techniques and
complies with standard nursing policies and procedures. Uses
equipment properly to administer prescribed treatments
B. Documentation: Prepares current and accurate records showing
treatments, teaching and training observations, patient responses
in accordance with St. Luke's Hospice policy and procedures. The
nurse may accept verbal and telephone orders from the physician
involving any changes in original treatment plan, but they must be
followed with written orders.
C. Paperwork: Completes paperwork and record in a timely manner.
Efficient with time, charting and reporting off to next shift.
II. Interdisciplinary Team & Plan of Care:
Develops plan of care in collaboration with physician's orders
and interdisciplinary team. Establishes realistic and measurable
goals, updating them when necessary. Evaluates plan of care
frequently. Consults with physician, patient and interdisciplinary
team regarding coordination of treatment, goal development and
response to treatment.
B. Identifies need for other disciplines.
C. Attends and participates in interdisciplinary team meetings.
Performs C.N.A. supervisory visits, and maintains supervision over
C.N.A. assignment sheet.
Communicates with the patient's physician obtaining and
implementing orders for medication and treatment changes -
particularly in relation to pain management as prescribed.
Instructs and explains plan of care to patient and
family/caregivers, teaching as needed. Instructs and encourages
patient efforts toward self-sufficiency and optimal comfort
B. Uses additional services when appropriate.
A. Maintains clean, safe environment while performing tasks.
B Identifies and reports any safety needs or unsafe
V. Other Job Related Duties
A. Participates in QI (Quality Improvement) activities.
B.Participates in in-services, committees, workshops and
seminars and other continuing education.
C Observes Policy and Procedures.
D. Maintains proper dress code and personal hygiene.
E. Has flexible work habits, and interacts effectively with
F. Participates in on call rotation.
G. Practices cost containment with time and supplies.
H. Assists Bereavement with phone calls, filing and bereavement
visits when needed.
I. Assists with chart audits at St. Luke's Hospice when needed.
Performs other work duties as assigned Scheduling Expectations:
Employee is expected to work a set Monday through Friday schedule
unless an emergency occurs. Employee is expected to take turns in
the On Call rotation on the weekdays and weekends. Employee is
expected to give enough notice for vacations to be granted. It is
required to give at least a 2 hours notice when calling in sick
when at all possible. In the event of an emergency please notify
your supervisor immediately. Flexibility in shift, or day of week
may be necessary to meet the 24 hour day, 7 day per week operation.
Maintains acceptable attendance record per facility policy Meets
annual compliance guidelines: Maintains confidentiality and support
the basic right of privacy Attends annual compliance training
Demonstrates safe workplace behaviors for self, co-workers and
patients Uses appropriate body mechanics Use of facility provided
safety devices/equipment Attends annual safely training Completes
annual Employee Health requirements (PPD, etc.) Provides Patient
Education Provides information and education to patients, families
and visitors as appropriate to position
Current licensure as a Registered Nurse in the state of Missouri
Nursing Diploma or Associates in Nursing Required.
BSN or completion of BSN within 5 years of hire date is
A minimum of one year of general nursing experience required,
with recent Hospice experience preferred. Experience with issues
related to death/dying and bereavement preferred. Complies with
accepted professional standards and practice. Understands Hospice
philosophy; principles related to death, dying and pain management.
Demonstrates ability to communicate Hospice services to physicians
and hospital communities. Complies with St. Luke's Hospice status
requirements. Has excellent observation, good nursing assessment
and communication skills. Is self directed with the ability to work
with little supervision. Has ability to provide good written
documentation in a timely manner. Is flexible and cooperative in
fulfilling role obligation and has ability to work within an
interdisciplinary team. Must be a licensed driver.
Employee is required to sit, stand and walk frequently, and to
lift up to 50 lbs. frequently and over 50 lbs. occasionally. Job
requires occasional bending, kneeling, reaching forward and
overhead, and lifting floor to waist and waist to overhead.
Procedures require use of both hands for grasping, pushing/pulling
and fine manipulation; driving requires use of at least one foot.
Employee must possess the ability to make accurate and appropriate
judgments in assessing patient needs through on-site assessment and
verbal reports. Employee is occasionally exposed to temperature
changes, confinement to small areas, dust, noise, fumes, radiation
and CRT terminal work. Employee has regular contact with agency
staff members, physicians, hospital staff and general public.
Contact frequently involves problem resolution. Employee regularly
handles confidential information. Employee may be expected to
document care and services into an electronic medical record. If
utilizing an electronic medical record employee is required to
synchronize data at the beginning and end of each work day. This
may be done from the employee's home, a public domain or from the
office. The most significant of duties are included but this does
not exclude occasional work assignments not mentioned or
developmental duties. Job Relationships:Interacts with patients,
coworkers, St. Luke's staff, and physicians. Takes direction from:
Provides direction to: Supervised by:Clinical
Faithful to our Episcopal-Presbyterian heritage and its ministry
of healing, St. Luke's is dedicated to improving the health of the
communities we serve.
Using talents and resources responsibly, we provide high
quality, safe care with compassion, professional excellence and
respect for each other and those we serve.
As an independent healthcare network, we create healthy
communities in the region through our commitment to high quality,
safe and personalized services.
We accept and treat all persons as being created in the image of
We respond with caring to the needs of others as if they were
members of our family.
We honor each person's rights and responsibilities in light of
the common good.
We set and strive to attain high standards of performance and
We use our talents and resources wisely, with honesty and
FACES - Friendly - Available - Caring - Efficient - Safe
Communication Standards: Promotes and provides courteous and
effective communication with internal and external customers.