Essential Functions: Assessing the patient's and the family/caregiver's physical, psychosocial, bereavement, environmental, safety and developmental needs; Developing an individualized plan of care, in conjunction with the hospice interdisciplinary team based on assessment, identification of needs, and patient and family/caregiver goals and preferences; Providing care to patients and families/caregivers through the utilization of interventions and evaluation of outcomes of care; Performing ongoing assessments and revision of the plan of care, with interdisciplinary collaboration, in response to the changing needs of the patient and family/caregiver; Providing comprehensive assessment of pain/symptoms and developing individualized symptom management plan; Anticipating, preventing, and treating undesirable symptoms; Providing support, instruction, and education to the patient/family/caregivers; Documenting nursing assessments, identified problems, measurable goals of care, limitations to provision of care, care interventions and response to care; Coordinating all patient and family/ caregiver services with the hospice interdisciplinary team and other health care providers; Consulting and collaborating with the hospice interdisciplinary team and others involved with the patient's care; Developing the hospice aide plan of care and providing direct and indirect supervision of aide at least every 14 days; Maintaining the dignity of the patient; Recognizing and supporting the patient's and family/caregiver's spiritual and cultural beliefs; Providing holistic, family - centered care across treatment settings to ensure continuity of care; Participating in the hospice program's quality assessment performance improvement program; Assessing the ability of patient and family/caregiver to safely administer medications and perform treatments; Reporting abuse and neglect in accordance with state laws and regulations and Guthrie policy. Position Summary: Under the direction of the interdisciplinary team, the Hospice Nurse works under the general direction of the Hospice Medical Director and the attending Licensed Independent Provider (LIP) in the provision of skilled nursing assessment, planning and care to maximize the patient's comfort at end of life and support the patient's families/ primary caregivers.