About The Position

The On-Call Registered Nurse organizes and directs hospice care, with an emphasis on community health education and experience. The nurse provides services to meet the needs of patients and families in their homes and communities, covering nights and weekends on an on-call basis. The schedule is described as 7 on and 7 off. The nurse assesses patients and families, develops and revises plans of care, provides nursing treatments and education, coordinates with physicians and the interdisciplinary group, and supports continuity of care. On-call duties include responding to triage calls, making visits for changing patient conditions, completing weekend admissions, and remaining with patients or families through crisis periods as needed.

Requirements

  • Graduate of an accredited school of nursing.
  • One to two years of recent acute care experience in an institutional setting.
  • One to two years of recent home care experience.
  • Current nursing licensure in the state.
  • Current CPR certification.
  • Excellent observation, verbal communication, written communication, problem-solving, and basic math skills; nursing skills per competency checklist.
  • Able to walk or stand for prolonged or considerable periods.
  • Able to lift, position, and/or transfer patients and lift supplies and equipment.
  • Able to reach, stoop, bend, kneel, and/or crouch considerably.
  • Visual acuity and hearing sufficient to perform required nursing skills.
  • Licensed driver with an automobile insured according to state and/or organization requirements and in good working order.

Responsibilities

  • Respond to calls from Triage during assigned shifts, visit patients whose conditions change, and complete weekend admissions.
  • Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs for after-hours calls.
  • Conduct physical assessments and obtain histories of current and previous illness.
  • Provide professional nursing care using the nursing process.
  • Assess and evaluate patient status, initiate and revise plans of care, and reassess patient and family/caregiver needs.
  • Use 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.
  • Administer medications and treatments as prescribed in the physician’s plan of care.
  • Counsel patients and families on 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 after-hours on-call assignments and make appropriate visits as needed.
  • Remain with patients and/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 care with community health-related persons and the hospice interdisciplinary group.
  • Teach patients and families/caregivers self-care techniques and provide medication, diet, and other instructions as ordered.
  • Maintain a safe environment and help ensure continuity of care with patients, families/caregivers, and team members.
  • Support the emotional needs of patients and families/caregivers in cooperation with the hospice interdisciplinary group.
  • Attend interdisciplinary group meetings.
  • Ensure arrangements for equipment and other necessary items and services are available.
  • Supervise hospice aides and delegate responsibilities when required.
  • Maintain and develop professional knowledge and 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

  • Two medical plan choices
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Customized mental health support program
  • Employee Assistance Program
  • Paid time off
  • Paid holidays
  • 401(k) retirement plan with up to 4% employer matching
  • Flexible Spending Account (FSA)
  • Company-paid basic life insurance
  • Company-paid AD&D
  • Company-paid short-term disability
  • Company-paid long-term disability
  • Growth opportunities and local and regional career opportunities
  • Opportunity to work one-to-one with patients and impact their lives and families
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