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About the Role
The Afterhours Visit Nurse provides timely, compassionate, and clinically sound nursing support to hospice patients and families during after-hours shifts. This role responds to urgent needs, performs focused assessments, assists with patient transfers, and completes necessary documentation while upholding hospice philosophy and standards.
Responsibilities
- Provides timely, compassionate, and clinically sound nursing support to hospice patients and families.
- Responds to urgent needs and performs focused and comprehensive assessments.
- Assists with transfers to the inpatient unit from local hospitals.
- Accurately completes paperwork and other documentation.
- Completes assigned visits off a task list.
- Delivers symptom-focused care and supports families through changes in condition.
- Upholds hospice philosophy, regulatory standards, and organizational values.
- Performs focused, clinically indicated assessments during patient visits.
- Provides immediate comfort-focused interventions to manage symptoms.
- Initiates appropriate nursing procedures and implements standing orders, symptom management orders (SMOs), and PRN protocols.
- Evaluates patient and caregiver response to interventions and adjusts the plan as needed.
- Educates patients, families, and facility staff on symptom management, medication use, and end-of-life changes.
- Assesses caregiver capacity to meet immediate patient needs and escalates concerns.
- Completes initial assessment and obtains approval to admit from providers for new admissions.
- Ensures accuracy and completion of legal documentation.
- Completes visits within the Hospice Austin service area as assigned.
- Provides preparation, guidance, and emotional support to families during active dying.
- Pronounces death in accordance with state regulations and agency policy.
- Provides respectful, dignified postmortem care and supports families.
- Ensures timely communication with funeral homes, facilities, and internal teams.
- Communicates changes in patient condition, urgent needs, and interventions to the care team.
- Collaborates with pharmacies, DME vendors, and facility staff to resolve urgent needs.
- Escalates safety issues, abuse/neglect concerns, or complex clinical situations to leadership.
- 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.
- 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.
- 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.
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.
Skills
- Previous nursing experience
- Hospice or home health experience
Location
- Spicewood - Austin, TX
Work Type
- PRN
- After hours
Experience Level
- One year previous nursing experience
Education Level
- Graduation from an approved school of professional nursing
Salary/Compensations
- Undisclosed
About the Company
- All comments, actions and behaviors have a direct effect on the public’s perception of Hospice Austin.
- Interactions with patients, family members, physicians, referral sources, visitors, co-workers, etc. must be in a manner that is courteous, respectful, cooperative and professional.
- This behavior should promote an atmosphere of teamwork and positive relations.