On-Call RN (7 on / 7 off)

St. Croix Hospice•Cedar Falls, IA
•Onsite

About The Position

The 7/7 salaried On-Call Registered Nurse provides hospice nursing care based on patients’ and the organization’s needs. Duties may include patient visits, admissions, responding to urgent patient needs at night and on weekends, and covering for other nursing staff. The nurse works from 5:00 PM to 8:00 AM Monday through Thursday and 24 hours on weekends Friday through Sunday, following a rotating schedule of seven days on and seven days off. The role includes assessing patients and families, developing and revising plans of care, delivering nursing treatments and medications as prescribed, providing counseling and health-care instructions, and supporting patients’ daily living and comfort. The nurse remains available for patient-care calls during assigned shifts, makes visits as needed, supports patients and families through crises, and maintains accurate clinical documentation while complying with HIPAA requirements.

Requirements

  • Current Registered Nurse (RN) license in the state or states of practice.
  • Graduate of an accredited school of nursing.
  • Ability to pass a background check, consumer report, and drug test.
  • If driving: valid state driver’s license, automobile in good working order, automobile insurance meeting state and organizational requirements, and an acceptable driving record.

Nice To Haves

  • At least 1 year of recent hospice or home-care experience.
  • At least 2 years of nursing experience.

Responsibilities

  • Receive and respond to calls from Triage during assigned shifts, visit patients with changing conditions, and complete weekend admissions.
  • Assess patients and families to determine hospice needs for after-hours calls, including completing physical assessments and reviewing illness histories.
  • Use the nursing process to provide professional nursing care.
  • Write, initiate, evaluate, and revise plans of care based on patient and family needs and changes in patient status.
  • Use assessment data to determine nursing diagnoses and develop goals and palliative nursing actions, involving patients and families in care planning.
  • Initiate preventive and rehabilitative nursing procedures.
  • Administer medications and treatments prescribed by the physician.
  • Counsel patients and families about nursing and related needs and provide health-care instructions as appropriate.
  • Assist patients with activities of daily living and support self-sufficiency and comfort.
  • Remain available for patient-care calls during on-call shifts and make visits as necessary.
  • Remain with patients and/or families through a crisis until it is resolved or the nurse is relieved.
  • Complete, maintain, and submit accurate clinical notes, including pain and symptom management and changes or outcomes.
  • Maintain HIPAA compliance, protect confidential patient information, and use protected health information on a minimum-necessary basis.
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