Job Requisition Number:31726 Title:NURSE Shift:1 - Day Shift Department: HOSPC TORRANCE Employment Status:Full-Time Location: 2601 AIRPORT DR TORRANCE, California 90505-0000 Salary Minimum:26.88 Salary Maximum:45.00

Description: I. POSITION SUMMARY: The Registered Nurse plans, organizes and directs Hospice care and is experienced in nursing, with an emphasis on community health education / experience. The Hospice nurse builds from the resources of the Interdisciplinary Group (IDG) to plan and direct services to meet the needs of individuals and families within their home environments. May provide patient care to premature infants, infants, pediatrics, adolescents, young, middle and older adults. . PRINCIPAL DUTIES: A. Core Values and Customer Service [50%] 1. Supports and carries out the Core Values on a daily basis, by practicing the Service Excellence Standards as outlined in the ABC?s of Service Excellence, appended to this job description. B. Adheres to Policies and Procedures [8%] 1. Complies with Hospice Administrative Manuals, Hospice Procedure Manual, Hospice Safety Manual, LCMHS Employee Handbook and LCMHS Human Resources Policy Manual. 2. Complies with patient care requirements of all regulatory agencies and accrediting bodies, ncluding working knowledge of policies and standards of practice. LCMHS / TrinityCare Hospice JOB DESCRIPTION CONTINUATION Page 2 of 5 TITLE: Hospice Registered Nurse FACILITY: LCMHS/TrinityCare Hospice EFFECTIVE DATE: July 2003 C. Areas of Emphasis [15%] 1. Completes assessment of patient and family to determine Hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient?s status by: a. Writing and initiating Plan of Care in Collaboration with the IDG. b. Regularly reevaluating patient/family/caregiver needs. c. Revising the Plan of Care as necessary in collaboration with the IDG. 4. Initiates the Plan of Care and makes necessary revisions as patient status and needs change in collaboration with the IDG. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan in conjunction with the patient/family/caregiver and IDG which establishes goals based on nursing diagnosis and incorporates palliative nursing actions. 7. May administer medications and treatments as prescribed by the IDG approved Plan of Care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Fulfills the obligation of requested and/Operating Room accepted case assignments. 11. Participates in on-call duties as defined by the on-call procedures. 12. Maintains productivity standards as set by organization guidelines. D. Documentation / Information Management [13%] 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient?s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the IDG regarding the patient?s needs and reports changes in the patient?s condition; obtains/receives physicians? orders as required. 3. Communicates with Patient Care Manager to coordinate the care plan, when necessary. 4. Provides information and counseling to maintain a safe environment for the patient. 5. Assists the patient/family/caregiver and other team members in providing continuity of care. 6. Works in cooperation with the family/caregiver and Hospice IDG members to meet the emotional needs of the patient/family/caregiver. 7. Attends IDG team meetings to review and revise patient Plans of Care. 8. Submits documentation for the patient medical record within the timeframe set by the organization guidelines. E. Leadership / Supervision [5%] 1. Supervises ancillary personnel and delegates responsibilities when required. 2. Participates in orientation, education and development of team members as directed by supervisor. F. Development [2%] 1. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. G. Performance Improvement [4%] 1. Actively participates in the Performance Improvement Program and participates in and adheres to the LCMHS/TrinityCare Hospice Corporate Integrity Plan. 2. Participates in appropriate continuing education as may be requested and/or required by immediate supervisor. 3. Accepts personal responsibility for other educational activities to enhance job-related skills and abilities. LCMHS / TrinityCare Hospice JOB DESCRIPTION CONTINUATION Page 3 of 5 TITLE: Hospice Registered Nurse FACILITY: LCMHS/TrinityCare Hospice EFFECTIVE DATE: July 2003 H. Budgetary [2%] 1. Follows Core Value for being financially prudent. 2. Ensures that arrangements for medications covered in the Plan of Care, supplies, equipment and other necessary items and services defined in the Plan of Care are available. I. Other duties as assigned with the general scope of job, training and licensure. [1%] II. SUPERVISION: A. Supervises: Certified Home Health Aides B. Supervisory Authority: Makes recommendations regarding CHHA appraisal and assignment to the Patient Care Manager. C. Supervised by: Patient Care Manager III. MINIMUM SKILLS / EXPERIENCE / EDUCATION

Required: Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. A. Required: 1. Graduate of an accredited school of nursing. 2. One to two years of recent acute care experience in an institutional setting. 3. Current RN licensure in the state of California and current CPR certification. 4. Excellent observation, verbal and written communication, problem solving and basic math skills. 5. Nursing skills per competency checklist. 6. Visual acuity and hearing to perform required nursing skills. 7. California licensed driver with an automobile that is in good working order and insured in accordance with state and/or LCMHS/TrinityCare Hospice requirements. B. Preferred: 1. Nursing experience in hospice/palliative care or home health. 2. Working knowledge with computer applications, i.e. Microsoft Word/e-mail. LCMHS / TrinityCare Hospice JOB DESCRIPTION CONTINUATION DESCRIPTION OF EMPLOYEE?S JOB DUTIES Page 4 of 5 INSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe the employee?s job duties. The completed form will be reviewed by the treating doctor to determine whether the employee is able to return to his/her job. This is an important document and should accurately show the requirements of the employee?s job. If the employee needs help in completing this form, the employee may contact the Information and Assistance Officer at the Division of Worker?s Compensation. The phone number can be found in the State Government section of the phone book. EMPLOYEE NAME: (LAST) (FIRST) (M.I.) CLAIM #: EMPLOYER NAME: JOB ADDRESS: TRINITYCARE HOSPICE JOB TITLE: HRS. WORKED PER DAY HRS. WORKED PER WEEK HOSPICE REGISTERED NURSE DESCRIPTION OF JOB RESPONSIBILITIES: (DESCRIBE ALL JOB DUTIES) SEE PAGES 1-3 OF THIS JOB DESCRIPTION. 1. Check the frequency of activity required of the employee to perform the job. ACTIVITY(Hours per day) NEVER0 Hours OCCASIONALLYUp to 3 hours FREQUENTLY3-6 hours CONSTANTLY6-8 hours Sitting X Walking X Standing X Bending (neck) X Bending (waist) X Squatting X Climbing X Kneeling X Crawling X Twisting (neck) X Twisting (waist) X Hand use: Dominant hand (circle): Right Left Is repetitive use of hand required? X Simple grasping (right hand) X Simple grasping (left hand) X Power grasping (right hand) X Power grasping (left hand) X Fine Manipulation (right hand) X Fine Manipulation (left hand) X Pushing Pulling (right hand) X Pushing Pulling (left hand) X Reaching (above shoulder level) X Reaching (below shoulder level) X DWC FORM RU-91 2/95 LCMHS / TrinityCare Hospice JOB DESCRIPTION CONTINUATION Page 5 of 5 2. Please indicate the daily Lifting and Carrying requirements of the job: Indicate the height the object is lifted from the floor, table or overhead location and the distance the object is carried. LIFTING CARRYING Never0 hrs. OccasionallyUp to 3 hrs. Frequently3-6 hrs. Constantly6-8+ hrs Height Never0 hrs. OccasionallyUp to 3 hrs. Frequently3-6 hrs. Constantly6-8+ hrs. Distance 0-10 lbs. X X 11-25 lbs. X X 26-50 lbs. X X 51-75 lbs. X X 76-100 lbs. X X 100+lbs. Physical Therapist.Specific Pt.Specific Describe the heaviest item required to carry and the distance to be carried: 3. Please indicate if your job requires: YES NO (If YES, please briefly describe) a. Driving cars, trucks, forklifts and other equipment? Yes, used in performance of job responsibilities. b. Working around equipment and machinery? Yes, medical equipment is used in performance of job responsibilities. c. Walking on uneven ground? Yes, may occur infrequently in performance of job responsibilities. d. Exposure to noise? Yes, may occur infrequently in performance of job responsibilities. e. Exposure to extremes in temperature, humidity or wetness? Yes, may occur infrequently in performance of job responsibilities. f. Exposure to dust, gas, fumes, or chemicals? Yes, may occur infrequently in performance of job responsibilities. g. Working at heights? No h. Operation of foot controls or repetitive foot movement? Yes, may occur in operation of automobile. i. Use of special visual or auditory protective equipment? Yes, may occur infrequently in performance of job responsibilities. j. Working with biohazards such as: bloodborne pathogens, sewage, hospital waste, etc.? Yes, may occur in performance of job responsibilities.

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