On-Call Registered Nurse - 7 on 7 off

Moments Hospice•Saint Paul, MN

About The Position

Moments Hospice is hiring an on-call registered nurse to organize and direct hospice care for patients and families in their homes and communities. The nurse provides immediate services to meet individual and family needs, with an emphasis on community health nursing. This full-time position covers nights and weekends on a seven-days-on, seven-days-off schedule. During the seven days on, hours are Monday through Thursday from 5:00 p.m. to 8:30 a.m., and Friday at 5:00 p.m. through Monday at 8:30 a.m. The role includes responding to triage calls, making necessary patient visits, and completing weekend admissions. Moments Hospice describes a supportive work environment with reasonable caseloads, on-call support for case managers, clinical advancement opportunities, and educational development. A company vehicle with fuel and insurance covered is offered for business and personal use at a minimal cost to the employee.

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 and meet responsibilities while maintaining 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 during after-hours calls.
  • Conduct physical assessments and obtain histories of current and previous illnesses.
  • Remain available to receive and respond to triage calls during assigned shifts, make visits for changing patient conditions, and complete weekend admissions.
  • Provide professional nursing care using all elements of the nursing process.
  • Assess and evaluate patient status, write and initiate plans of care, reassess patient and caregiver needs, and participate in revising care plans as necessary.
  • Use health assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, including patients and families in the planning process.
  • Initiate preventive and rehabilitative nursing procedures.
  • Administer medications and treatments prescribed by the physician in the plan of care.
  • Counsel patients and families about 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 their self-sufficiency and comfort care.
  • Remain available for patient-care calls after hours, make appropriate visits, and stay with patients or families through crisis periods until resolved or relieved.
  • Complete, maintain, and submit accurate 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 orders as required.
  • Coordinate the care plan with community health-related personnel.
  • Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; recognize opportunities for health counseling.
  • Work with the interdisciplinary group, attend its meetings, and support continuity of care with patients, families, caregivers, and team members.
  • Maintain a safe patient environment and ensure arrangements for equipment and other necessary items and services are available.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Maintain and develop professional knowledge and practice skills through continuing education and in-service classes.
  • Fulfill requested or accepted case assignments.
  • Participate in quality assessment and performance improvement teams and activities.

Benefits

  • Company vehicle with fuel and insurance covered, for business and personal use at a 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 and educational development.
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