Registered Nurse (RN)
About us
Topkare Hospice Inc. is located in San Diego County, CA. We are professional, supportive and customer-centric.
Our work environment includes:
- Supportive leadership team
- Hands-on Medical Director support
- Wellness events for staff
Passionate about end-of-life care? Interested in a modern, holistic approach to healthcare? Do you want to be a part the change, creating a new way to think about end-of-life and hospice care?
Our goal is to positively transform the end-of-life experience, so that all patients and families affected by a life-limiting illness are given the opportunity to experience meaningful, personalized, supported and compassionate care.
We value our employees and believe that every single person in our organization is necessary to carry out our vision. Come work with us and experience a fresh and new culture within the hospice industry, while also making a meaningful impact within our community. We prioritize holistic care and well-being not only for our patients and families, but for our valued staff as well.
We are nurse-owned and operated, and we are ready to make a positive impact on end-of-life care in our community through the patients and families we serve.
The registered nurse plans, works autonomously, organizes and directs the hospice plan of care and is experienced in nursing, with emphasis on palliative care and end of life. The professional nurse builds from the resources of the community and the interdisciplinary team to plan and direct services to meet the needs of individuals and families within their homes and communities.
Essential Job Functions/Responsibilities:
1. Completes an initial, comprehensive, and ongoing assessment of the patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illnesses.
2. Provides professional nursing care by utilizing all elements of the nursing process.
3. Assesses and evaluates the patient’s status by:
A. Writing and initiating a 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 when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
1. Completes, maintains, and submits accurate and relevant clinical notes regarding the 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-cal