"Come Grow With Us"

Sharon S. Richardson Community Hospice's Mission is simple: "Our Promise is to provide compassionate care and quality of life to all those in need."

• Your family health insurance costs from $34 to $59 per bi-weekly pay check

Our promise to you:

• Patients and families we serve come first!
• You will never be reprimanded spending too much time assisting a patient or family!
• Pride in serving with a well-regarded community supported organization!
• Considerably less weekend and holiday rotations!
• Quality support to assist you in being your best!
• Very competitive wage

Nurse Practitioner

Sheboygan Falls, WI

Full-time

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Purpose of the Position: The Nurse Practitioner works in collaboration with the Medical Director, Hospice Physicians, Palliative Care Teams to provide Palliative care services to patients and families in a variety of settings. The Nurse Practitioner will also perform procedures for which he or she is privileged to do and will document assessments, evaluations, consultation reports and progress notes. Home visits/evaluations, and inpatient evaluations will be part of the Nurse Practitioners role. Duties are performed with the collaboration of the Medical Director, hospice physician, or attending physician, if any. Successful outcomes of this position include high quality patient care provided in a compassionate, competent and caring manner; clinical program development; skill development for Hospice and Palliative clinical staff, regulatory compliance with proper documentation enhanced community relationships, program visibility; excellent staff and patient satisfaction.

Primary & Essential Duties:

• Performs clinical care which includes bedside evaluation of patients, patients' histories; physical examinations; radiological and laboratory interpretations; follow-up inpatient care; discharge orders, patient instructions and education; and participation in case management.
• Provides services related to hospice and palliative care, assesses patient needs and anticipates service requirements. Coordinates with social workers, case managers and applicable ancillary staff regarding hospice and palliative care services.
• Orders, performs, and interprets laboratory and radiology tests.
• Prescribes medications including controlled substances to the extent delegated and licensed. Orders, treatments and durable medical equipment as indicated. Performs other therapeutic measures as indicated.
• Educates clinical staff, patients and families on applicable disease management and prevention strategies. Adheres to the practice of confidentiality regarding patients, families, staff and the organization.
• Assists with the coordination of admissions and discharges as needed on selected patients.
• Works collaboratively with physicians, and other health care providers to optimize patient care. Consults with Medical Director or designees as needed, informs primary physician of services. Provides written reports to primary physician upon request.
• Prepares and maintains accurate patient records, charts and documents to support sound hospice and palliative practices and reimbursement for services provided. Assists in the development of clinical documentation protocols.
• Initiates reimbursement for services rendered and evaluations.
• Makes visits to hospice and palliative care patients as delegated by the Medical Director (or his or her designees) or Director of Clinical Services.
• As required by agency policy, reports both verbally and in writing significant changes in the patient's condition. Changes are reported to the physician and other appropriate agency personnel. Consults with the clinical supervisor as necessary.
• Maintains regulatory compliance in all areas of position responsibilities. Has an excellent understanding of regulations and accreditation standards.
• Must demonstrate empathy and sensitivity to the needs of the patient and family.
• Prepares concise, legible timely clinical notes, utilizing agency guidelines. Becomes trained on laptop charting.
• Maintains coordination with all other disciplines as needed for patient care.
• Provides appropriate resources in accordance with agency policies and procedures.
• Utilizes appropriate communication lines to problem solve personal and departmental issues.
• Is responsible for his/her continuing education, e.g. professional journals, attending seminars, workshops, assisting in presentation of inservice education and community education.
• Collects and assesses patient care data, develops and implements a plan of care, manages and evaluates outcome of care.
• Performs other duties as required.
• Supports the Agency's Mission and Value Performance Standards.

Professional Development

• Attends Sharon S. Richardson Community Hospice Care in-services and department meetings.
• Attends annual organization trainings.

Personal Qualifications

• Ability to relate to people of diverse cultures and ethnic backgrounds.
• Must demonstrate maturity, initiative, tact and good judgment in dealing with staff, patient and families.
• Knowledge of medications and sterile techniques.
• Knowledge of and appropriate use of safety (personal protective) equipment.
• Strong teaching and leadership skills.
• Basic personal computer skills required. Clinical documentation experience preferred.
• All staff driving on agency business are required to have a valid driver's license, reliable auto, and current auto insurance.
• Current Cardiopulmonary Resuscitation certification.
• Blood-borne Pathogens training

• 
  Proof of TB screening.

Education/Experience

• Previous Hospice and Palliative Care experience preferred.
• Current Nurse Practitioner License for Wisconsin.
• Prefer a minimum one year Nurse Practitioner experience.
• Graduate from NLN accredited school of Nursing.
• Master degree in appropriate field of nursing.

Working Conditions

• Physical Requirements: Frequent ambulation; constant bending, lifting, twisting, pushing and pulling; reposition patients, lift minimum of 30 pounds unassisted; bilateral manual dexterity; climb up and down stairs; Job may include sitting, standing, bending, stretching, stooping, walking, lifting 20 30lbs and repetitive hand motion associated with keyboarding; drive to and from patient homes; able to sit for extended periods of time; manual dexterity to operate computer and other office equipment.
• Mental Requirements: Read, speak, write and understand English; cognitive processes to interpret patient condition and apply appropriate clinical processes in complex situations; ability to add, subtract, multiply, divide and work with fractions; ability to drive and locate patient homes; must function independently without supervision while working in collaboration with the IDT.
• Working/Environmental Conditions: Fast-paced changing environment, with multiple directives from several disciplines; may at times require work in patient homes with no control over environmental conditions. Potentially unsafe and unsanitary home environments. Potential travel in inclement weather. Work assigned throughout the agencies clinical program setting.
• Machines, Equipment, Tools Used: Including but not limited to; automobile; telephone; smart phone; computer, laptop, or tablet; fax machine.
• Exposures: Reasonably anticipated exposure to blood, other body fluids or other potentially infectious materials. Possible exposure to communicable diseases or infections. Reasonably anticipated exposure to hazardous equipment, assorted chemicals, gases/vapors and other pollutants.
• Personal Protective Equipment Required: Assorted gloves; assorted masks, protective eyewear; impervious gowns; impervious aprons; needleless systems as appropriate.