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Visit Nurse PRN - Afterhours & Weekends

HOSPICE AUSTIN•Austin, TX
•Onsite

About The Position

The Afterhours 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 carries out visits assigned from a task list maintained by Team Leads and the Triage Nurse. The role provides symptom-focused care, supports families through changes in condition, and follows hospice philosophy, regulatory standards, and organizational values. The nurse performs visits across Hospice Austin’s service area of Travis, Williamson, Hays, Caldwell, and Burnet counties. The position reports to the Team Leader and does not supervise others. The nurse works with patients, families, physicians, referral sources, visitors, coworkers, pharmacies, DME vendors, and facility staff, maintaining courteous, respectful, cooperative, and professional interactions. Responsibilities include assessment and symptom management, end-of-life and post-death support, collaboration and communication with care partners, timely and accurate electronic documentation, and compliance with agency and regulatory standards. The nurse may provide care to pediatric patients depending on training and organizational needs and performs other assigned duties supporting hospice care.

Requirements

  • Graduation from 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 clinically indicated assessments during patient visits, including vital signs, pain, respiratory status, and other symptom-specific evaluations.
  • Provide comfort-focused interventions for symptoms such as pain, dyspnea, agitation, nausea, and fever.
  • Initiate 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 for comfort and safety.
  • Educate patients, families, and facility staff about symptom management, medication use, expected end-of-life changes, and when to seek support.
  • Assess caregivers’ ability to meet immediate patient needs and escalate concerns appropriately.
  • Complete initial assessments and obtain provider approval to admit new hospice patients; ensure legal documentation is accurate and complete.
  • Complete assigned visits throughout the Hospice Austin service area.
  • Guide and emotionally support families during active dying and imminent changes.
  • 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, or safety needs.
  • Immediately escalate safety issues, suspected abuse or neglect, and complex clinical situations to leadership.
  • Maintain professional boundaries and communicate calmly and supportively in high-stress situations.
  • Complete EMR documentation promptly and accurately according to agency protocols.
  • Report adverse events, falls, medication variances, and safety concerns within required timeframes.
  • Use proper infection-control practices and bag technique during in-person visits.
  • Ensure visit notes, communications, and clinical documentation comply with regulatory and agency standards.
  • Provide psychosocial support to patients and families throughout care.
  • Provide nursing care to pediatric patients when appropriate to training and organizational needs.
  • Perform other assigned duties in support of safe, high-quality hospice care.

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