Essential Functions:  Clinical/Technical

• At the direction of the patient’s primary care physician, the Medical Director and the Director of Nursing, provide and coordinate quality palliative care to patients/families, including nursing services, medication administration, treatments, diagnostic and preventative procedures
• In coordination with IDT (Inter-disciplinary Team) develop, implement, evaluate and update plan of care for each patient/family
• Assess patients and report to the managing physician reactions to treatments and medications, as well as changes in the patient’s physical or emotional condition
• Assess and respond to clinical and psychosocial needs of patients and families
• Perform nursing procedures such as central line dressing changes, mediport access, tracheotomy care
• Calculate medications and fluids with 100% accuracy
• Assess pain and manage symptoms associated with pediatric patients requiring end-of-life care.
• Coordinate patients’ orders
• Coordinate patient nursing care with other team members including other nursing staff, psychosocial staff, Pharmacist, Medical Director, attending physicians and various community agencies and resources
• Supervise LVNs, CNAs, and volunteers
• Participate in intakes, admissions, transfers and discharges
• Protect patients and employees by adhering to infection-control policies and protocols, medication storage procedures and controlled substance regulations
• Ensure proper operation of DME and other equipment by following manufacturers’ instructions; performs routine maintenance and acts as liaison with equipment providers
• Maintain current clinical knowledge of pediatric palliative care practices through ongoing education and attendance of in-service training sessions

Essential Functions:  Patient Interaction

• Actively participate in the provision of medical, psychosocial and spiritual care for GMCH children-patients and their families
• Meet with patients and families as needed to anticipate changes in medical, psychosocial and spiritual care needs
• Teach, supervise and counsel the patient and family regarding pain and symptom management
• Communicate with patient/family any changes in patient condition or plan of care

Essential Functions:  Team Communication

• Document medical interventions and maintain accurate clinical records in the Medical Record System (NetSmart)
• Attend scheduled Inter-disciplinary Team (IDT) meetings when possible and document discussion and any changes to plan of care in the medical record
• Maintain communication with patient, family and hospital staff when patient is transferred and/or hospitalized
• Maintain patient confidence and protects GMCH operations by keeping all patient information confidential and following HIPAA at all times
• Check GMCH email in order to be apprised of House business and professional tasks and responsibilities

Essential Functions:  Additional

• Demonstrate the basic skills and core competencies of a Registered Nurse, including managing multiple, competing and varied tasks, time management, listening skills, problem solving (clinical and interpersonal), decision making (clinical and interpersonal), delegation of duties and successfully managing work-flow
• Perform tasks in a culturally sensitive manner without regard to any protected category as defined by federal, state or local law
• Provide House tours as requested
• Utilize GMCH resources in a cost effective manner
• Maintain a clean and organized work area to reduce likelihood of health and safety hazards
• Effectively deal with personal psychosocial and bereavement issues related to job duties
• Maintain professional boundaries within Scope of Practice
• Attend in-service training and staff meetings
• Adhere to all state regulations regarding professional license
• Report to work on time for your scheduled hours, ready for work
• Understand and adhere to GMCH compliance standards as they appear in the GMCH Employee Manual, GMCH Policies and Procedures Manuals , GMCH IIPP and Departmental memos
• Ability to communicate accurately and concisely using both written and verbal skills
• Ability to work independently to manage a caseload of patients
• Ability to access, input, and retrieve information from a computer
• Knowledge of office procedures and office machines
• Possess fluency in English
• Possess fluency in Spanish or other language (preferred)
• Perform other duties, as assigned