On-Call Registered Nurse - 7 on 7 off

Moments Hospice•Oshkosh, WI
•$75,000 - $90,000•Onsite

About The Position

The On-Call Registered Nurse organizes and directs hospice care, providing the immediate services needed by patients and families in their homes and communities. The role emphasizes nursing experience and community health education or experience, and includes after-hours calls, patient visits for changing conditions, and weekend admissions. The position is full-time on a 7-days-on, 7-days-off rotation. During the on-call week, hours are Monday through Thursday, 5:00 p.m. to 8:30 a.m., and Friday, 5:00 p.m. through Monday, 8:30 a.m. The nurse remains available for patient-care calls, makes visits as needed, and supports patients and families through crisis periods. The nurse assesses patients and families, develops and updates plans of care, provides and coordinates nursing services, administers prescribed medications and treatments, educates patients and caregivers, and documents care and changes in condition. The role works closely with physicians, community health contacts, caregivers, and the hospice interdisciplinary group, and includes supervising ancillary personnel when required. Moments Hospice describes a supportive work environment with reasonable caseloads, on-call support for case managers, opportunities for clinical advancement, and investment in educational development. A fleet car benefit option is available for business and personal use at a minimal cost; the posting also lists a company car with fuel and insurance covered.

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 for after-hours calls, including physical assessments and illness histories.
  • Receive and respond to calls from Triage 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, write and initiate plans of care, reassess patient and caregiver needs, and participate in revising plans as necessary.
  • Use assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, involving patients and families in planning.
  • Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed by the physician.
  • 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 calls related to patient care during on-call hours and make appropriate visits as needed.
  • Remain with patients or families through crisis periods until the crisis is resolved or relief arrives.
  • Complete, maintain, and submit accurate clinical notes, including documentation of patient condition, care provided, and pain or symptom management outcomes.
  • Communicate patient needs and changes in condition to physicians and obtain or receive orders as required.
  • Coordinate the care plan with community health-related contacts and work with the hospice interdisciplinary group.
  • Teach patients and caregivers self-care techniques and provide physician-ordered medication, diet, and other instructions; use opportunities for health counseling.
  • Maintain a safe environment for patients and support continuity of care with families, caregivers, and team members.
  • Work with caregivers and the hospice interdisciplinary group to address patients’ and families’ emotional needs.
  • Attend interdisciplinary group meetings.
  • Ensure necessary equipment, items, and services are arranged and available.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Maintain and develop professional knowledge and 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

  • Competitive salary of $75,000–$90,000 per year.
  • Company car with fuel and insurance covered; the posting describes a fleet-car benefit option for business and personal use at a minimal cost.
  • Comprehensive health insurance.
  • Dental insurance.
  • Vision insurance.
  • Generous PTO accruing immediately.
  • 401(k) with company matching.
  • Opportunities for clinical advancement and educational development.
  • On-call support for case managers.
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