On-Call Registered Nurse - 7 on 7 off

Moments Hospice•Neenah, WI
•$75,000 - $90,000•Onsite

About The Position

The On-Call Registered Nurse organizes and directs hospice care, providing the immediate nursing services needed by patients and families in their homes and communities. The role emphasizes nursing experience and community health education or experience, and covers nights and weekends. It is a full-time position with a 7-days-on, 7-days-off schedule. During the 7 days on, hours are Monday through Thursday, 5:00 p.m. to 8:30 a.m., and Friday at 5:00 p.m. through Monday at 8:30 a.m. The nurse responds to after-hours calls, visits patients whose conditions change, and completes weekend admissions. The role includes patient and family assessments, developing and revising plans of care, administering prescribed medications and treatments, providing education and counseling, coordinating with physicians and community health contacts, and collaborating with the hospice interdisciplinary group. The nurse documents clinical care, supports continuity and safety, supervises ancillary personnel when required, and participates in continuing education and quality-improvement activities.

Requirements

  • Licensed as a Registered Nurse (RN) in the state where the employee works.
  • Proficiency with electronic medical records (EMR) software.
  • Excellent planning, organizing, and communication skills.
  • Ability to solve problems autonomously, meet responsibilities, and maintain high standards.
  • Valid driver’s license and a reliable vehicle with current insurance.

Responsibilities

  • Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs arising from after-hours calls, including physical assessments and histories of current and previous illness.
  • Remain available to receive and respond to Triage calls during assigned shifts, visit patients with changing conditions, and complete weekend admissions.
  • Provide professional nursing care using all elements of the nursing process.
  • Assess and evaluate patient status by writing and initiating plans of care, reevaluating patient and family or caregiver needs, and participating in revisions as necessary.
  • Use health assessment data to determine nursing diagnoses.
  • Develop care plans with goals based on nursing diagnoses and palliative nursing actions, including patients and families in the planning process.
  • Initiate appropriate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed by the physician.
  • Counsel patients and families on nursing and related needs, and provide health care instructions as appropriate to the assessment and plan.
  • Assist patients with activities of daily living and support self-sufficiency and optimal comfort care.
  • Remain available for all after-hours calls related to patient care and make appropriate visits as necessary.
  • Remain with patients and/or families through crisis periods until resolved or relieved.
  • Complete, maintain, and submit accurate and relevant clinical notes; record pain and symptom management changes and outcomes as appropriate.
  • Communicate patient needs and changes in condition to physicians and obtain or receive physician orders as required.
  • Communicate with community health-related contacts to coordinate the care plan.
  • Teach patients and families or caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; use opportunities for health counseling.
  • Work in concert with the interdisciplinary group and attend interdisciplinary group meetings.
  • Provide and maintain a safe patient environment.
  • Assist patients, families or caregivers, and team members in maintaining continuity of care.
  • Work with families or caregivers and the hospice interdisciplinary group to meet patients’ and families’ emotional needs.
  • Ensure arrangements for equipment and other necessary items and services are available.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Maintain professional knowledge and practice skills through continuing education and in-service classes, and assume responsibility for personal growth and development.
  • Fulfill requested and/or accepted case assignments.
  • Participate in quality assessment performance improvement teams and activities.

Benefits

  • Competitive salary of $75,000–$90,000 per year.
  • Company car with fuel and insurance covered; the fleet car benefit option allows business and personal use at minimal cost.
  • Comprehensive health, dental, and vision insurance.
  • Generous PTO accruing immediately.
  • 401(k) with company matching.
  • Employee-sponsored health benefits.
  • Opportunities for clinical advancement and educational development.
  • On-call support for case managers.
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