Registered Nurse On-Call (RN) 7 On 7 Off

Overview

The 7/7 salaried On‑Call Registered Nurse provides hospice nursing care based on patient and organizational needs, including patient visits, admissions, urgent night and weekend needs, and covering for other nursing staff.

Essential Functions and Skills

• Receive and respond to calls from Triage during assigned shifts, making visits to patients with changing conditions and completing weekend admissions.
• Complete comprehensive and ongoing assessments of patients and families to determine hospice needs for after‑hours calls.
• Provide a complete physical assessment and history of current and previous illnesses.
• Deliver professional nursing care using all elements of the nursing process.
• Assess and evaluate patient status by:
  • Writing and initiating the Plan of Care
  • Re‑evaluating patient and family/caregiver needs
  • Participating in revising the plan of care as necessary
• Initiate and revise the plan of care as patient status and needs change.
• Use health assessment data to determine nursing diagnoses.
• Develop a plan of care that establishes goals based on nursing diagnoses and incorporates palliative nursing actions, involving the patient and family in the planning process.
• Initiate appropriate preventive and rehabilitative nursing procedures.
• Administer medications and treatments as prescribed by the physician.
• Counsel patients and families to meet nursing and related needs.
• Provide health‑care instructions to patients as appropriate per assessment and plan.
• Assist patients with activities of daily living and facilitate efforts toward self‑sufficiency and optional comfort care.
• Remain available for all after‑hours calls related to patient care and make appropriate visits as necessary.
• Stay with patients and/or families through crisis periods until resolved or relieved.
• Complete, maintain, and submit accurate clinical notes regarding patient condition and care, recording pain/symptom management and outcomes.
• Maintain compliance with HIPAA regulations, treating all patient information as confidential and using protected health information on a minimum‑necessary basis.

Qualifications

• Current Registered Nurse (RN) license in the state(s) of practice.
• Multistate license holders may practice in other states without additional licenses, provided the RN license remains in the primary state of residence; Minnesota, Michigan, and Illinois are not in the Nursing Licensure Compact.
• Graduate of an accredited school of nursing.
• Ability to pass background, consumer report, and drug testing.
• Valid state driver’s license, automobile in good working order, required insurance, and an acceptable driving record.
• Preferred: 1+ years recent hospice/home‑care experience.
• Preferred: 2+ years nursing experience.

Physical Requirements

• Push/pull and lift/carry up to 30 lb; occasionally up to 50 lb.
• Adapt to a variety of work conditions to ensure the highest quality of patient care in a home setting.

Schedule

On‑Call RN works from 5:00 PM to 8:00 AM Monday‑Thursday, and 24 hours on weekends (Friday‑Sunday), following a rotating schedule of 7 days on and 7 days off.