Why Covenant

Every member of the Covenant Care team is dedicated to making moments count for our patients and their families. When your goal is to help others live their lives to the fullest, your life becomes fuller too. We promise.

Ready to join our family?

Whether caring for patients directly or serving in administrative roles to support those who do, our associates enjoy a supportive environment and flexible schedule with professional advancement opportunities. Covenant Care’s team culture is founded upon mutual respect and trust.

We recognize and celebrate the value of each staff member’s unique contributions, which ensure excellence in compassionate care to the patients and families we serve.

I. Position: Licensed Practical Nurse, Mon-Thurs, On-Call

II. Position Description

The Interdisciplinary Group Night LPN is a professional nurse specially trained in the Hospice concept to provide on-call service for the personal, physical, emotional and social needs of the patient-family unit. The night LPN will be responsible for evaluating and responding to the patient’s/caregiver’s needs via telephone contact, home visits, and/or facility visits for assessment, symptom management, treatment, teaching and coordination of care.

III. Qualifications

A minimum of two (2) years of clinical nursing experience. Experience must be in Hospice or in a medical/surgical setting, a hospital, oncology or geriatric facility. A current LPN license in the State of Alabama or Florida as applicable depending on assignment. . Reliable transportation, valid state of Alabama or Florida driver’s license, as applicable depending on assignment, and current automobile liability insurance and insurability under the company liability insurance are required. Must possess current CPR certification.

IV. Job Relations

Reports to: Clinical Manager or Director, Branch Operations

V. Main Duties and Responsibilities

A. Responsible for providing on-call services for personal, physical, and emotional needs of the patient/family unit.

Responds to calls received from patients/caregivers within fifteen minutes. Visits are to be made with first call PT/PCG verbalize distress and if PT/PCG calls a second time. Uses nursing assessment skills and appropriate questions to accurately evaluate problems/needs.

3. Completes assessment of patient/family unit during visits.

4. Perform treatments/interventions in accordance with the Plan of Care and physician’s orders.

5. Provides emotional support to patient/caregiver.

6. Teaches patient/caregiver as appropriate to Plan of Care.

Attends patients deaths facility and home patients per the PIC guidelines and

completes death paperwork.

8. Follows Standard Precautions.

Makes follow-up visits/phone calls to patients and caregivers when the patient has been experiencing any change or problem, and/or when the primary nurse makes recommendations. Arranges for needed medications and supplies. Makes visit to assess patient after a fall. Makes a visit to provide support to patients hospitalized during the shift.

B. Coordinates appropriate care, communicates and collaborates with Interdisciplinary Group.

1. Notifies Clinical Manager, Assistant Regional Director or Branch Office Manager, and team members by leaving accurate and detailed messages in voice mail boxes prior to going off duty.

2. Leaves message as per policy after death attendance.

Accurately completes documentation of visits and phone contacts, and submits documentation in a timely manner per policy. Calls physician as necessary for changes in Plan of Care. Initiates continuous care when needed as per policy. Follows policy if inpatient care is required.

C. Actively seeks ways to develop professionally.

1. Develops basic knowledge of Hospice Medicare/Hospice Medicaid and other reimbursement mechanisms.

2. Develops areas of expertise in hospice nursing skills.

3. Pursues professional growth through academic and continuing educational programs.

4. Attends Hospice in-services.

D. Competently performs all basic nursing skills (see attached “New Employee Nursing Skills List”).

Completes Clinical Competency orientation within the 90-day probationary period.

Determines the patient is hospice appropriate, documents to the patient's terminality, and establishes and maintains the care plan for medically necessary assessments and services. This applies to determinations and consultations with members of the IDG, including the Attending Physician or Hospice physician, in all circumstances in which the level of care is to be assigned as Short-term Inpatient Care or Continuous Care, and includes all actions required in Covenant’s policies and procedures regarding the placement or removal of a patient from those categories of care.

As a member of the Interdisciplinary Group, is responsible for determining and documenting the level of care status of patients, and in particular, inpatient level of care, to ensure the patient is appropriate and meets the criteria for short-term care needed to manage pain and symptoms in an inpatient facility. This responsibility includes appropriate management and documentation with the patient’s change in status either to short-term inpatient care or removed from that status, and all monitoring of the care during the inpatient period. This same requirement applies to management and documentation of patients who are placed on a Continuous Care level of care. Strict compliance with all rules and regulations, including Covenant Hospice’s policies and procedures, is required.

H. Demonstrates self-directed behavior.

1. Accepts responsibility and accountability for own actions.

2. Demonstrates ability to solve problems independently.

3. Seeks supervision appropriately.

4. Organizes workload efficiency.

5. Accepts criticism non-defensively.

6. Handles changes appropriately.

7. Functions effectively in emergency situations.

8. Seeks additional responsibilities as appropriate.

I. Participates in total agency program.

1. Promotes a positive image of the Hospice concept throughout the community.

2. Coordinates and participates in community projects.

3. Demonstrates appropriate dress and grooming.

4. Uses chain of command for problem solving.

5. Uses supplies and equipment appropriately and in a cost-effective manner.

6. Displays courtesy, tact, and patience.

7. Maintains a good attendance record.

8. Notifies agency of absences according to policy.

9. Keeps neat and legible written documents.

10. Participates in agency QA as appropriate.

11. Complies with Compliance Program.

Attends mandatory general staff meetings, and other meetings as requested by

supervisor.

J. Performs other duties as may be assigned by the Clinical Manager or Branch Office Manager.

K Required to comply with all Covenant Hospice Policies, Procedures and Personnel Policies, including those specifically addressing disaster preparedness and response.

L. Works effectively with volunteer services to identify patient/family needs that can be met by volunteers; offers volunteer services to patients and families, as needed, throughout their length of stay; requests volunteer services to meet identified needs; documents volunteer interventions in the Plan of Care.

VI. Special Demands/Physical Requirements

This position frequently requires medium to heavy lifting. Normally, such lifting will include, but is not limited to, assisting with transfer/repositioning of the patient either in the home or nursing facility. This position is also mentally demanding because of the continual need of assessing and evaluating certain clinical aspects of the patient’s care. This position requires considerable time traveling in a motor vehicle in connection with performing the essential functions of the position.

Contact the Human Resources Department at 850.365.9659 for more information. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.