Travel Nurse RN - Hospice
Colchester, VT
Prime Staffing
3x12 hrs

ID: 63884833 Shift: 12H Night Description: Facility Name: UVMHN Home Health Hospice Total # of Facility Beds: NA Unit Name: We have a total hospice census of about 100 with 21 beds in an inpatient setting (McClure Miller Respite House MMRH) 80 in home/ SNF/ALF setting 21 @MMRH Unit Specialty: Home Health Hospice Total # of Unit Beds/Suites/Deliveries: See above Teaching Facility: ? Y ? N Teaching Hospital Experience Required: ? Y ? N Trauma Level: N/A Prior Travel Experience Required: ? Y ? N Minimum # Years Clinical Experience Required: 3-5 Minimum # Years Clinical Experience in Specialty Required: 3 Certifications Required: BLS Certifications Preferred: Note any others Nurse Patient Ratio by shift:Nurses in home setting carry caseloads of 12-14 patients. At MMRH day nurses care for 5-7 patients (all levels of care) and overnights shift up to 11. Circulate/Scrub as applicable: NA Ancillary Assistance: CNA/ PCT: ? Y ? N #staff per shift: 4 Unit clerk/Secretary: ? Y ? N #staff per shift: Other: #staff per shift: Advanced Practice on the unit: we have a NP FT for our Program-most of clinical work is at MMRH # Days of Orientation: 2-3 Specialty Testing for Unit/Facility: ? U ? F onboarding online prior to arrival Patient Care Modality: Hospice/End of Life-Complex symptom management and education Dress Code Scrubs/color: Business casual or non-hospital scrubs-non institutional colors Shoes: closed toe/supportive Jewelry: limited, cannot interview with precautions Hair/Beard: neat/tidy Nail Polish: no Documentation System: Net Smart (part of orientation training) * Oasis is not required for Hospice (just HH) Medication System: NA Floating Required: ? Y ? N To what units/facilities: Not currently, although it is best when RN trains across settings Describe the rotation: between home hospice and MMRH Charge required: ? Y ? N Scheduling: MMRH: 7-7:30 (12 hrs.) 8a-4:30 M-F home hospice W/E rot Shift Hours: will postRotation Schedule: MMRH-1 weekend shift/pay-Rotation home hospice Self-Scheduling no Call Requirements: coverage rarely needed but could cover on call team Holiday Requirements: if needed Patient Population (Diagnoses): Terminally ill (6 moth or less) - Age Range: adults primarily-at times pediatrics in home setting Special Equipment: CADD pumps for patient-controlled analgesia, joey, feeding pumps, gomco suction pumps, portable oral suction units, BiPap, CPAP, cough assist machines, nebulizer machines, IV pumps for continuous infusions, glucose monitoring, COAGUCHECK for INR monitoring, laptops, and agency issued work phone issued. Respiratory available 24/7 for support ? Y ? N Anesthesia available 24/7 for support ? Y ? N Who manages ventilators: N/A Unit Specific Procedures and Protocols: Pain management, starting pain continuous infusion, subcutaneous site insertion and maintenance central line care including PORT/IVAD, PICC, and other central lines, Palliative sedation, tracheostomy management and care, rectal tube management, wound care protocol, ostomy and other drain management, venipuncture for labs/specimens. Additional Unit Specific Information: End of life care assessment and care planning requiring strong comprehensive assessment skills. Symptom assessment and management with high level of critical thinking skills. Comfort initiating and participating in goals of care discussions and planning with patients, family, and team. Medication management and administration (IV, Subcutaneous, oral, sub-lingual, rectal, and other routes. Strong communication skills and ability to teach patients and caregivers aspects of end-of-life care. Generally, a traveler case manager is assigned a geographic area, not full territory. When they cover a weekend rotation-they would be expected to make visits throughout our service area- Chittenden & Grand Isle Countries. We have had travelers that float. Manager will post/express a need and be clear about expectations if outside of our norm. Strict protocol in place with following guidelines with use of app to call patients/families. Requisition Comments and Notes:Assignment for 13-16 weeks Rates are tiered based on mileage - measured by direct line not driving distance. Travel (101 miles+), Radius (51-100 miles), Local (50 miles or less)RN for Hopsice. The position is Monday night 5pm through the following Monday morning 8am. Each night from Monday to Monday is 5pm-8am. 7 nights on in a row, 7 nights off in a row. You start from home, you are making visits as assigned if there is overflow from dayshift towards. The earlier part of the shift or PRN if a visit need is determined by the triage nurse. You do not need to remain awake all 15 hours, but you must remain reachable and able to respond should need arise. Meaningful work, meaning patient care is on average 40 - 50 hours in this week. For pay purposes, this position will show a schedule that will allow for pay to be 36 hours per week for a total of 72 hours per pay period in two weeks. Requirements: AHA BLS required A minimum of 3 years of prior community hospice experienceWill need excellent typing skills as they have a narrative heavy EMR Hospice/End of Life-Complex symptom management and education Symptom assessment and management with high level of critical thinking skills Comfort initiating and participating in goals of care discussions and planning with patients, family, and team Medication management and administration (IV, Subcutaneous, oral, sublingual, rectal, and other routes)Additional Information: IVS to OFFERMonday to Sunday Bi-weekly Orientations on Monday No block schedules for any reason This facility requires ALL work history information (bed count, EMR, facility type, etc.) to be complete in order to submit Please ensure all employment gaps over 30 days are explained Covid and Flu declinations accepted- please have either proof or declinations in packet Disclaimers: Public Transportation is NOT accessible in this area, please ensure you have reliable transportation, personal vehicle or rental vehicle are strongly recommended Vehicles should be equipped with all season or snow tires during the months of November AprilFloat Required: NoCertifications: BLS Guaranteed Hours: Contract Weeks:91