On-Call Registered Nurse - 7 on 7 off
About The Position
The On-Call Registered Nurse organizes and directs hospice care, providing immediate nursing services to patients and families in their homes and communities. The role emphasizes nursing experience and community health education or experience. The nurse covers after-hours calls, including nights and weekends, and works a full-time 7-days-on, 7-days-off schedule. During the seven 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 position includes responding to triage calls, visiting patients when conditions change, and completing weekend admissions. The nurse assesses patients and families, develops and updates individualized plans of care, administers prescribed medications and treatments, provides education and counseling, coordinates care with physicians and the interdisciplinary group, and maintains accurate clinical documentation. The nurse also supports patients and families through crises, promotes safety and continuity of care, coordinates equipment and services, supervises ancillary personnel when needed, and participates in continuing education and quality-improvement activities.
Requirements
- Licensed as a Registered Nurse (RN) in the state where the nurse 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 for after-hours calls, including physical assessments and illness histories.
- Respond to triage calls during assigned shifts, visit patients with changing conditions, and complete weekend admissions.
- Provide professional nursing care using the nursing process.
- Assess and evaluate patient status by initiating, reviewing, and revising plans of care as needed.
- Use health assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, including patients and families in planning.
- Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed in the physician’s plan of care.
- Counsel patients and families about nursing and related needs, and provide health-care instructions appropriate to the assessment and plan.
- Assist patients with activities of daily living and support self-sufficiency and comfort care.
- Remain available for patient-care calls after hours and make appropriate visits as necessary.
- Remain with patients and/or families through crisis periods until the crisis is resolved or relief arrives.
- Complete, maintain, and submit accurate clinical notes about patient condition and care; document pain and symptom management changes and outcomes as appropriate.
- Communicate patient needs and condition changes to physicians and obtain or receive orders as required.
- Coordinate the care plan with community health-related contacts.
- Teach patients and caregivers self-care techniques and provide medication, diet, and other physician-ordered instructions; identify opportunities for health counseling.
- Work with the interdisciplinary group and attend its meetings.
- Provide and maintain a safe environment for patients and help ensure continuity of care with families, caregivers, and team members.
- Support the emotional needs of patients and families in cooperation with caregivers and the hospice interdisciplinary group.
- Ensure arrangements for equipment and other necessary items and services are available.
- Supervise ancillary personnel and delegate responsibilities when required.
- Maintain professional knowledge and skills through continuing education and in-service classes, and take responsibility for personal growth and development.
- Fulfill requested and accepted case assignments.
- Participate in quality assessment and performance improvement teams and activities.
Benefits
- Competitive salary
- Company car with fuel and insurance covered; fleet car option for business and personal use at minimal cost
- Employee-sponsored health benefits
- Comprehensive health, dental, and vision insurance
- Generous PTO accruing immediately
- 401(k) with company matching
- Opportunities for clinical advancement
- Investments in educational development
- On-call support for case managers
- Rewarding work environment with clear expectations and reasonable caseloads
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
