Hospice On-Call Registered Nurse
Concho Hearts Hospice • Spring, TX8d • Onsite
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Hospice On-Call RN – PRN (Nights, Weekends & Holidays)
Concho Hearts Hospice•Spring, TX
•Onsite
About The Position
Concho Hearts Hospice is hiring a compassionate, dependable, and experienced PRN On-Call Registered Nurse to serve Spring, Texas, and surrounding communities. The RN provides after-hours nursing coverage during assigned nights, weekends, and holidays, responding to patient and family calls and making in-person visits when clinically indicated. The work includes assessing patient needs, managing end-of-life symptoms, providing nursing interventions, and offering education, reassurance, and emotional support to patients and families. The nurse collaborates with physicians, the triage team, clinical leadership, and the interdisciplinary team to coordinate care and maintain continuity. The role requires accurate and prompt documentation, on-call reporting, and handoff communication with the daytime clinical team. PRN hours and assignments depend on patient and staffing needs and are not guaranteed. The position serves patients in their homes, assisted living communities, and nursing facilities. Concho Hearts Hospice is locally owned and operated and describes its mission as providing compassionate care wherever patients call home.
Requirements
- Active Texas Registered Nurse (RN) license or qualifying Nurse Licensure Compact (NLC) license.
- Previous hospice nursing experience.
- Strong clinical assessment, critical-thinking, and symptom management skills.
- Knowledge of end-of-life care, comfort medications, and hospice philosophy.
- Ability to independently assess patient needs and respond appropriately.
- Excellent communication, documentation, and time-management skills.
- Compassionate, dependable, and responsive to patient and family needs.
- Comfortable traveling to patient homes, assisted living communities, and nursing facilities after hours.
- Ability to remain calm and professional during urgent or emotionally challenging situations.
- Current CPR certification.
- Valid driver's license, reliable transportation, and current auto insurance.
- Availability for assigned night, weekend, and holiday coverage.
Nice To Haves
- Previous hospice on-call or after-hours nursing experience.
Responsibilities
- Provide after-hours nursing coverage during assigned nights, weekends, and holidays.
- Respond promptly to patient and family calls about changes in condition, symptoms, and urgent care needs.
- Complete in-person nursing visits when clinically indicated.
- Assess patient conditions and provide appropriate nursing interventions.
- Manage pain, shortness of breath, anxiety, agitation, and other end-of-life symptoms.
- Communicate with physicians and obtain necessary orders.
- Provide education, reassurance, and emotional support to patients and families.
- Respond to falls, changes in condition, and other urgent clinical concerns.
- Assist with actively dying patients, end-of-life care, and death visits as needed.
- Coordinate with the triage team, clinical leadership, and interdisciplinary team.
- Accurately and promptly document patient calls, visits, assessments, interventions, and follow-up needs.
- Complete required on-call reports and communicate patient updates to the daytime clinical team.
- Provide thorough handoff communication to ensure continuity of care.
- Follow hospice regulations, clinical standards, and company policies.
Benefits
- Competitive PRN compensation.
- Mileage reimbursement.
- Flexible PRN scheduling based on coverage needs.
- Supportive clinical and leadership team.
- Collaborative interdisciplinary team.
- Meaningful one-on-one patient care.
- Opportunities for professional growth.
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