Palliative/Hospice Total Care Registered Nurse

January 2, 2020


TRU Community Care
Lafayette, CO, United States


The Registered Nurse (RN) is a professional caregiver who assumes the responsibility and accountability for a group of patients for a designated time frame. The RN renders professional care in accordance with the physician/provider treatment plan and the nursing process of assessment, diagnosis, planning, implementation, and evaluation under the total patient care nursing model. He or She functions as a member of the interdisciplinary team and provides total patient care nursing to assigned patients. The RN addresses physical, psychosocial, and spiritual aspects of care and ensures patient needs are quickly met in holistic, un-fragmented care in collaboration with Social Work, Chaplain, Volunteers, and Physicians. The RN is a clinical practitioner who coordinates and implements patient care specific to the patient population served and ensures that compassionate, engaged care meets or exceeds quality standards. All care is provided in an efficient and safe manner consistent with the Colorado Board of licensure and TRU Community Care standard of care. The RN utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care, cultural, ethnic, spiritual, and educational needs of the patient/family/significant other to develop, implement, and revise the plan of care. The RN performs frequent and accurate assessments, interprets and correlates finding, establishes plan of care, and implements short term goals. The RN observes patient progress, records observations, implements physician and nursing treatment plans, and evaluates outcomes. The RN recognizes the legal responsibilities as specified by law and adheres to those responsibilities. The RN will work 12 hour shifts as scheduled.

- Provides total patient care nursing to meet the patient’s total nursing care need in accordance with the patient’s hospice plan of care, assuring each patient receives treatments, medications, and diet as tolerated. Total Patient Care Nursing is based on the RN providing and being responsible for all patient care interventions without the assistance of a Certified Nursing Assistant (CNA).
- Correctly identifies, communicates, and collaborates on patient problems/priorities/issues based upon assessment data. Establishes measurable patient goals and communicates on-going plan of care appropriately to the interdisciplinary team (IDT). Recognizes changes in the clinical status of the patient and reports findings to the appropriate team member.
- Collaborates with patient/family when developing the plan of care, adjusting communication style as necessary. Establishes priority for patient care based on immediate patient condition and mutually-set patient needs/expectations.
- Assists in assessment of family needs for bereavement services in collaboration with the IDT.
- Completes all electronic documentation at the point-of-care, following the appropriate protocol.
- Significant status changes in patient condition are identified, communicated, responded to, and documented promptly.
- Reports patient/caregiver/employee incidents according to TRU policy.
- Adapts communication style to meet individual needs of the patient. Creates a supportive environment that supports each patient’s dignity, privacy, and cultural preferences.
- Provides medication management per protocol. Recognizes and reports adverse drug reactions and medication variances per policy and procedure.
- Demonstrates responsibility for scope of position/own standard of practice. Maintains required skills, licensure, regulatory requirements, and credentials needed to perform assigned duties.
- Demonstrates effective verbal, written, and electronic communication skills; gives and receives feedback in a timely open manner; engages collaboratively in conflict resolution processes as needed
- Is flexible and responsive in meeting and exceeding the expectations of all customers, both internal and external
- Participates in mandatory educational activities and required meetings
- Is competent using agency information and technology systems

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the RN. The RN functions within the RN scope of practice as defined by the agency. The RN may be requested to perform job-related tasks other than those stated in this description.


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