Visit Nurse PRN Day Shift - South Austin Area

HOSPICE AUSTIN•Austin, TX

54d•Onsite

About The Position

The Visit Nurse provides timely, compassionate, clinically sound nursing support to hospice patients and families during daytime business hours, stated as 8:00 a.m. to 5:00 p.m. The nurse responds to urgent needs, performs focused and comprehensive assessments within scope, completes initial admission visits in collaboration with providers on admission approvals, completes consents and hospice election documentation, and conducts assigned visits from a task list maintained by Team Leads. The role delivers symptom-focused care, supports families through changes in condition, and upholds hospice philosophy, regulatory standards, and organizational values. Visits are performed across the Hospice Austin service area of Travis, Williamson, Hays, Caldwell, and Burnet counties as assigned by the Team Lead. The position provides end-of-life support, including guidance to families during active dying, pronouncement of death in accordance with state regulations and agency policy, postmortem care, and communication with funeral homes, facilities, and internal teams. The nurse collaborates with care team members, pharmacies, DME vendors, and facility staff; completes timely and accurate EMR documentation; and follows infection-control, reporting, and other agency requirements. The role may include nursing care for pediatric patients, depending on training and organizational needs, and other duties as assigned.

Requirements

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

Nice To Haves

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

Responsibilities

Perform focused, clinically indicated assessments, including vital signs, pain assessment, respiratory evaluation, and symptom-specific evaluations.
Provide comfort-focused interventions for symptoms such as pain, dyspnea, agitation, nausea, fever, and other distressing conditions.
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 promote 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 for new hospice admissions and obtain provider approval to admit.
Ensure legal documentation is accurate and complete, including consents and hospice election documentation.
Complete assigned visits within the Hospice Austin service area.
Prepare and guide families during active dying and imminent changes, providing emotional support.
Pronounce death according to state regulations and agency policy, provide dignified postmortem care, and support families after death.
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 resolve urgent medication, equipment, and 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 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.