On-Call Registered Nurse - 7 on 7 off

Moments Hospice • Grand Rapids, MN

22h • Onsite

About The Position

The On-Call Registered Nurse organizes and directs hospice care, providing immediate services to patients and families in their homes and communities, with an emphasis on community health education and experience. This full-time position covers nights and weekends on 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 when needed, and completes weekend admissions.

The nurse assesses patients and families, develops and updates individualized plans of care, provides nursing interventions and education, coordinates care with physicians and the hospice interdisciplinary group, and maintains accurate clinical documentation. The role includes remaining available for patient-care calls during assigned shifts and supporting patients and families through crises until resolved or relieved.

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, and the vehicle may be used for business and personal purposes at 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, 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.
• Perform physical assessments and obtain histories of current and previous illnesses.
• Receive and respond to Triage calls during assigned shifts, make visits for changing patient conditions, and complete weekend admissions.
• Provide professional nursing care using the nursing process.
• Assess and evaluate patient status; write and initiate plans of care, reevaluate patient and caregiver needs, and participate in plan revisions.
• Use assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, including the patient and family in planning.
• Initiate preventive and rehabilitative nursing procedures.
• Administer medications and treatments prescribed by the physician in the plan of care.
• Counsel patients and families regarding nursing and related needs, and provide health care instructions as appropriate.
• Assist patients with activities of daily living and support self-sufficiency and comfort care.
• Remain available for patient-care calls during assigned on-call shifts and make appropriate visits as necessary.
• Remain with patients and/or families through crisis periods until resolved or relieved.
• Complete, maintain, and submit accurate clinical notes regarding 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 personnel.
• Teach patients and families or caregivers self-care techniques, and provide physician-ordered medication, diet, and other instructions.
• Work in coordination with the interdisciplinary group and attend interdisciplinary group meetings.
• Maintain a safe environment for patients and help provide continuity of care with families, caregivers, and team members.
• Coordinate with families, caregivers, and the hospice interdisciplinary group to address 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 and develop professional knowledge and practice skills through continuing education and in-service classes.
• Fulfill requested and/or accepted case assignments.
• Participate in quality assessment and performance improvement teams and activities.

Benefits

• Company car with fuel and insurance covered; vehicle available for business and personal use at minimal cost.
• Comprehensive health, dental, and vision insurance.
• Generous PTO accruing immediately.
• 401(k) with company matching.
• Opportunities for clinical advancement and educational development.
• On-call support for case managers.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed