Visit Nurse PRN Day Shift - Facilities Team

HOSPICE AUSTIN•Austin, TX

54d•Hybrid

About The Position

This PRN (as needed) position involves providing direct nursing care and symptom management to patients in various facilities within the Hospice Austin service area. The role focuses on ensuring patient comfort, safety, and dignity, particularly during end-of-life care. The Visit Nurse will conduct assessments, implement interventions, educate patients and families, and collaborate with the care team and external resources. Accurate and timely documentation in the EMR is crucial, along with adherence to agency protocols and regulatory standards. The position requires strong communication and interpersonal skills to effectively interact with patients, families, facility staff, and other healthcare professionals in potentially high-stress situations.

Requirements

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

Nice To Haves

One year previous nursing experience
Previous hospice or home health experience

Responsibilities

Performs focused, clinically indicated assessments during patient visits, including vital signs, pain assessment, respiratory evaluation, and other symptom‑specific evaluations.
Provides immediate comfort‑focused interventions to manage symptoms such as pain, dyspnea, agitation, nausea, fever, and other distressing conditions.
Initiates appropriate nursing procedures and implements standing orders, symptom management orders (SMOs), and PRN protocols as allowed.
Evaluates patient and caregiver response to interventions and adjusts the plan as needed to ensure comfort and safety.
Educates patients, families, and facility staff on symptom management, medication use, expected changes at end of life, and when to seek additional support.
Assesses caregiver capacity to meet immediate patient needs and escalates concerns appropriately.
Completes initial assessment and obtains approval to admit from providers for new admissions to hospice service.
Ensures accuracy and completion of legal documentation.
Completes visits within the Hospice Austin service area (Travis, Williamson, Hays, Caldwell, and Burnet counties) as assigned by the Team Lead.
Provides preparation, guidance, and emotional support to families during active dying and imminent changes.
Pronounces death in accordance with state regulations and agency policy.
Provides respectful, dignified postmortem care and supports families through the immediate post‑death period.
Ensures timely communication with funeral homes, facilities, and internal teams as required.
Communicates changes in patient condition, urgent needs, and interventions to the appropriate care team members.
Collaborates with pharmacies, DME vendors, and facility staff to resolve urgent needs such as medication access, equipment failure, or safety concerns.
Escalates safety issues, abuse/neglect concerns, or complex clinical situations to leadership immediately.
Maintains professional boundaries and demonstrates calm, supportive communication in high‑stress situations.
Completes all documentation in the EMR promptly, accurately, and in accordance with agency protocol.
Reports adverse events, falls, medication variances, or safety concerns to the appropriate department within required timeframes.
Utilizes proper infection control and bag technique during all in‑person visits.
Ensures all visit notes, communications, and clinical documentation meet regulatory and agency standards.
Provides psychosocial support to patients and families throughout the course of care.
May provide nursing care to pediatric patients depending on training and organizational needs.
Performs other duties as assigned to support safe, high‑quality hospice care.