Hospice On Call Nurse: Monday - Thursday 5pm to 830am

Hospice On-Call Nurse

JOB SUMMARY:

The Hospice On-Call Nurse is responsible for providing skilled nursing, intervention, and supportive care to patients in their home setting for evening, night, weekend, and holiday on-call duty, in accordance with Peaceful Hearts Hospice, LLC’s plan of care for each patient.

Organization Relationship:

The Hospice On-Call Nurse reports directly to the Director of Patient Care Services (DPCS).

Qualifications:

Education and Experience:

• Must be a currently licensed, in good standing, Registered Nurse in the state of Nebraska.
• Graduate from an accredited school of Nursing.
• Experience of three (3) years as a nurse, preferred.
• Experience of two (2) years in hospice, home health or oncology, preferred.

Responsibilities and Duties:

• Assume responsibility for evening, night, weekend, and holiday on-call duty as scheduled, and preform care consistent with Peaceful Hearts Hospice, LLC policies and procedures.
• Initiate communication with attending physicians, other hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient/family.
• Assume primary responsibility for total census during assigned shift, including assessing, planning, implementing and evaluation phases of the nursing process.
• Maintain regular communication with Registered Nurse Case Manager (RNCM), attending physicians, and DPCS concerning patient/family care needs and response to interventions.
• Respond to medical or emotional crisis and/or death of a patient and make home visit to provide direct care as appropriate.
• Meet regularly with hospice nursing staff to review problems or unique issues from on-call hours, share professional support, and exchange feedback aimed towards enhancing professional growth.
• Attend Interdisciplinary Team (IDT) meetings and facilitate discussion of issues from on-call hours for full staff discussion, consultation, and evaluation.
• Perform specific assignments as directed by DPCS.
• Respond immediately to on-call phone calls, unless with a patient or family member and unable to step away. Ensure appropriate back up has been established.
• Communicate significant findings, problems, changes in condition or environment to the RNCM, DPCS and attending physician.
• Answer all incoming calls in a manner appropriate for the nature of the call. Respond to all calls with a follow-up call and in person visit for assessment, education, personal cares and symptom management when necessary.
• Complete referrals, admissions, and death visits.
• Share in on-call rotation, providing 24-hour/7-day-a-week coverage to patients/families when necessary.
• Cover on call support when needed in the event of another staff members absence.
• Provide appropriate pain/symptom management as prescribed by ordering physician.
• Maintain up-to-date patient records using computerized medical record system so that problems, plans, actions, and goals are accurately and clearly stated, and changes are reflected as they occur.
• Manage and document phone calls from physicians, clinicians, patients, and referral sources, and communicate patient updates/new orders to team.
• Perform specific nursing procedures (treatments, symptom management, wound care, tube feeding/care, bowel regimen, etc.) as ordered by prescribing physician.
• Provide care in all settings, including but not limited to skilled nursing facility, assisted living, independent living, or any home setting.
• Provide emotional support at time of death to family and caregivers.
• Pronounce Time of Death in accordance with county and agency policy, complete necessary documentation and notify MD and family.
• Ensure patient needs are met with adequate supplies and that medications are available.
• Educate patients and families on end-of-life disease processes and symptoms to expect/report.
• Conduct informational meetings with patients and family members after hours and on weekends.
• Compete consents with patient and/or Power of Attorney (POA) when needed.

Company-Wide Responsibilities and Skills/Expectations:

• Ensure the mission, vision, and philosophy of Peaceful Hearts Hospice, LLC is upheld at all times.
• Abide by existing Peaceful Hearts Hospice, LLC policies and procedures.
• Understand each disciplines job function and always maintain an interdisciplinary team approach.
• Role model for all colleagues by setting an example of high standards in dress, conduct, cooperation and job performance.
• Immediately report any work-related employee/patient/facility complaint/conflict to department head.
• Immediately report any accident, incident, lost articles or unusual occurrence to department head.
• Represent the organization to other groups, organizations and the general public.
• Assist to ensure accuracy of public information materials.
• Inform the Owners of current organizational, community, and industry trends.
• Assist in establishing and maintaining effective channels of communication, including integration of technology, as applicable.
• Observe confidentiality and safeguard all patient and employee related information in compliance with HIPPA regulations.
• Participate in agency Quality Assurance and Performance Improvement (QAPI) program as appropriate.
• Establish and maintain an effective working relationship and communication with all segments of the staff, patient/family/caregivers, contractors, physicians, the professional public, the Owners, and governing body.
• Maintain and encourage open communication with employees without allowing personal biases and/or belief to interfere with the relationship.
• Maintain professional licensure at all times. Report any disruption in professional licensure immediately to department head.
• Maintain CEU and on-going education.
• Comply with infection control policies and protocols.
• Promote hospice referrals within the community.
• Participate in agency and community programs as requested to promote professional growth and educate the community on the meaning and benefits of hospice care.
• Knowledgeable of hospice diagnoses and qualifications of hospice care.
• Understand the philosophy of the hospice concept and needs of the terminally ill.
• Educate patient and families on end-of-life disease processes and symptoms to expect/report.
• Participate in group memorial services for staff, the bereaved, and the community.
• Able to work in a highly stressful atmosphere.
• Maintain professional boundaries at all times.
• Available at all times during business hours; unless time off is pre-approved by department head and a replacement is identified.
• Able to work with people from a variety of backgrounds and beliefs.
• Allow all staff and individuals to hold their own beliefs and do not place personal beliefs on another person. Encourage independence and autonomy.
• Able to work independently, make judgements based on assessment and data available and act accordingly.
• Must be flexible, innovative, intuitive, creative, and accept responsibility and possess excellent interpersonal skills.
• Must be able to cope with mental, emotional, and physical stress and demonstrate emotional stability.
• All charting, including all communications, must be completed within 48-hours, 24-hours preferred.
• Actively participates in stand-up, stand-down, and other meetings as assigned.
• Attend All-Staff unless absence is pre-approved by department head.

Working Environment:

The Hospice On-Call Nurse must be actively involved in all areas of patient care. The Hospice On-Call Nurse will primarily be in the field; however, will spend time in the office for meetings, charting, phone calls, etc.

The Hospice On-Call Nurse position requires the ability to utilize a computer, calculator, cell phone, multi-line telephone, and other related office and nursing equipment.

The Hospice On-Call Nurse has access to all patient medical records.

The Hospice On-Call Nurse must have good time management skills.

Transportation:

The Hospice On-Call Nurse must have a valid driver's license, automobile liability insurance and reliable transportation.

Physician/ADA Requirements:

The Hospice On-Call Nurse will exert physical efforts on most days which may include kneeling, squatting, reaching, twisting, climbing, walking, and exposure to temperature and humidity changes, and may include lifting and/or transferring a patient when providing patient care.

The Hospice On-Call Nurse must possess sight/hearing or use appropriate adaptive devices.

The Hospice On-Call Nurse must provide evidence of an annual TB test and other state-required tests and examinations.

Sitting...........................................................................................1-2 hours/day, often more

Standing.......................................................................................4-6 hours/day

Walking........................................................................................4-6 hours/day

Reaching......................................................................................0.5 hour/day, 8 ft higher or lower

Use of telephone.........................................................................1-2 hours/day

Working under pressure..............................................................3-4 hours/day

Use of keyboard/computer, printer, copier................................1-2 hours/day

• Position requires close work, finger dexterity, and good vision, hearing and oral communication

Job Type: Full-time

Pay: $30.00 - $40.00 per hour

Expected hours: 62 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Travel reimbursement
• Vision insurance

Medical Specialty:

• Hospice & Palliative Medicine

Experience:

• Nursing: 1 year (Required)

License/Certification:

• BLS Certification (Preferred)
• RN or LPN (Preferred)

Ability to Relocate:

• Elkhorn, NE 68022: Relocate before starting work (Required)

Work Location: Hybrid remote in Elkhorn, NE 68022

Salary : $30 - $40