The role of the ARNP at Heartlinks Hospice & Palliative Care is an instrumental position supporting the organizational priorities and goals associated with delivering cost-effective, timely and high quality healthcare services. This position is community-based. Needed for pain and symptom management for patients with chronically debilitating life-threatening disease processes. This position is Monday – Friday, 8 am – 4:30 pm. Excellent salary and benefits, including mileage reimbursement.
- Is responsible for providing medical care within the scope of family medicine, healthcare education and care assessments/coordination.
- Is responsible for ensuring that the medical care provided is consistent with the organization’s standards for quality care, and that the appropriate level of care is delivered in a timely manner.
- Provides expertise and medical services in the following areas:
- Patient assessment and evaluation scoring,
- Delivery of high quality care and
- High quality patient encounter documentation.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
- Provides timely initial patient and family assessments for palliative care consults.
- Conducts and facilitates the palliative care consultation meeting with the palliative care team in collaboration with the treating medical team.
- Participates in the assessment, planning, implementation and evaluation of palliative care interventions, including acute and chronic pain and symptom management.
- Provides patient and/or family with health education, counseling and referrals to other health professionals and community resources, as appropriate.
- Evaluates quality outcomes for the PCCS through participation in the development of palliative care quality indicators.
- Works with other staff to develop the palliative care program, including clinical practice guidelines, standards, policies and procedures in support of quality care.
- Assists with the creation and support of marketing and community education program resources.
- Participates in interdisciplinary group meetings.
- Consults with the Hospice Medical Director and informing primary physicians of services provided.
DETAILED PHYSICAL REQUIREMENTS
- May be required to climb 15 stairs, if patient resides in a building where there are no elevators, while carrying a nursing bag containing a computer and nursing supplies and weighing up to 20 pounds.
- Must be able to stand in a patient’s home for at least 40 minutes at a time without sitting in the event adequate seating is not available.
- Must be able to bend over a bed and roll/hold the patient for several minutes at a time in order to assist others or perform duties on their own.
- Must be able to lift, position and/or transfer a patient in a bed, bed-to-chair or chair-to-bed, or assist with lift, position and/or transfer.
- Must be able to lift up to 20 pounds of supplies and equipment needed in all situations.
- Must be able to balance self and transfer a patient successfully with a gait belt and/or able to lower a patient to the floor “purposely” and safely without injury to the patient or self if the patient is unable to maintain weight bearing.
- Must be able to squat to the floor or get on knees on floor to perform wound care and manage dressing changes, such as on feet and legs of patients, as well as performing catheter placement and catheter care, then return to standing position.
- Must have visual acuity and hearing to perform required nursing skills.
- Must be able to enter, exit and operate automobile routinely.
In summary, physical requirements include:
- Prolonged or considerable walking or standing
- Ability to lift, position and/or transfer patients or assist with
- Ability to lift supplies and equipment
- Ability to perform considerable reaching, stooping, bending, kneeling and/or crouching
- Current and valid state Registered Nurse licensure or PA-C license.
- Master’s Degree from an accredited Nurse Practitioner Program or PA-C certification from an accredited PA Program.
- Certified ARNP/PA-C with prescriptive authority, including controlled substances.
- Minimum of six (6) months experience working in palliative care/hospice or two (2) years minimum experience working in hospital-based oncology or equivalent two (2) year experience working with seriously ill patients in an institutional setting.
- CPR certification.
- Current state driver’s license and automobile insurance.
- Visual acuity to carry out tasks. Hearing capability to sense body sounds. Sense of touch to assess by palpation. Ability to smell common odors related to disease process.
- Proven excellence working in an interdisciplinary collaborative team environment.
- Effective interpersonal skills, leadership skills and clinical expertise in the care of patients with life-limiting illness.
- Training and experience in pain and symptom management preferred.
- Board certification as an advanced practice hospice and palliative care nurse or PA-C by a national certifying body and oncology experience preferred.
- Ability to reason, deuce and carry out complex multiple step processes.