Visit Nurse Afterhours Part Time

HOSPICE AUSTIN•Austin, TX

34d•Onsite

About The Position

The After Hours Visit Nurse provides timely, compassionate, clinically sound nursing support to hospice patients and families from 4:30 p.m. to 7:30 a.m. The nurse responds to urgent needs, performs focused and comprehensive assessments within scope, assists with transfers to the inpatient unit from local hospitals, completes required paperwork and documentation, and performs visits assigned from a task list maintained by Team Leads and the Triage Nurse. The role delivers symptom-focused care, supports families through changes in condition, and upholds hospice philosophy, regulatory standards, and organizational values. The nurse reports to the Team Lead Afterhours and does not supervise others. The position involves courteous, respectful, cooperative, and professional interactions with patients, families, physicians, referral sources, visitors, and coworkers to promote teamwork and positive relations. The position is based at the Spicewood Location in Austin, Texas, and is listed as 24 hours / 0.6 FTE, part time, on the after-hours shift. Assigned visits are within the Hospice Austin service area of Travis, Williamson, Hays, Caldwell, and Burnet counties.

Requirements

Graduate from an approved school of professional nursing as determined by the Board of Nurse Examiners.
Hold an unrestricted Registered Nurse license from the Texas Board of Nurse Examiners.
Have a valid Texas driver’s license, auto liability insurance, and a safe driving record.
Hold CPR certification.

Nice To Haves

One year of previous nursing experience.
Previous hospice or home health experience.

Responsibilities

Perform focused, clinically indicated assessments during visits, including vital signs, pain, respiratory, and other symptom-specific evaluations.
Provide immediate comfort-focused interventions for symptoms such as pain, dyspnea, agitation, nausea, and fever.
Initiate appropriate nursing procedures and implement standing orders, symptom management orders, and PRN protocols as permitted.
Evaluate patient and caregiver responses to interventions and adjust the plan as needed to support comfort and safety.
Educate patients, families, and facility staff about symptom management, medication use, expected end-of-life changes, and when to seek additional support.
Assess caregiver capacity to meet immediate patient needs and escalate concerns appropriately.
Complete initial assessments and obtain provider approval to admit new patients to hospice service.
Ensure legal documentation is accurate and complete.
Complete assigned visits within the Hospice Austin service area.
Prepare, guide, and emotionally support families during active dying and imminent changes.
Pronounce death in accordance with state regulations and agency policy.
Provide respectful postmortem care and support families during the immediate post-death period.
Communicate with funeral homes, facilities, and internal teams as required after a death.
Communicate patient condition changes, urgent needs, and interventions to appropriate care team members.
Collaborate with pharmacies, DME vendors, and facility staff to address urgent medication, equipment, or safety needs.
Immediately escalate safety issues, abuse or neglect concerns, and complex clinical situations to leadership.
Maintain professional boundaries and communicate calmly and supportively in high-stress situations.
Complete EMR documentation promptly and accurately in accordance with agency protocol.
Report adverse events, falls, medication variances, and safety concerns to the appropriate department within required timeframes.
Use proper infection control and bag technique during in-person visits.
Ensure visit notes, communications, and clinical documentation meet regulatory and agency standards.
Provide psychosocial support to patients and families throughout care.
May provide nursing care to pediatric patients depending on training and organizational needs.
Perform other duties as assigned to support safe, high-quality hospice care.