determine hospice needs. Provides a complete physical assessment and history of current
and previous illness (es).
Provides professional nursing care by utilizing all elements of nursing process.
Assesses and evaluates patient's status by:
A. Writing and initiating plan of care
B. Regularly re-evaluating patient and family/caregiver needs
C. Participating in revising the plan of care as necessary
Uses health assessment data to determine nursing diagnosis.
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.
medications and treatments as prescribed by the physician in the physician's plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
self-sufficiency and optional comfort care.
coordinate patient care for assigned caseload.
condition and care given. Records pain/symptom management changes/outcomes as
patient's condition; obtains/receives physicians' orders as required.
Communicates with community health related persons to coordinate the care plan.
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.
Provides and maintains a safe environment for the patient.
Assists the patient and family/caregiver and other team members in providing continuity of
Members to meet the emotional needs of the patient and family/caregiver.
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services
Supervises ancillary personnel and delegates responsibilities when required.
Assumes responsibility for personal growth and development and maintains and upgrades
professional knowledge and practice skills through attendance and participation in
continuing education and in-service classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities.