Hospice Registered Nurse On-Call

• On-call 7 on 7 off schedule.

Purpose:

Responsible for identifying and coordinating care for terminally ill patients and their families in homes, skilled nursing facilities or residential care facilities after normal business hours during the week and / or through the weekend. Frequency of patient/family contacts will be at the discretion of the RN receiving after-hours calls and requests. This RN may also be assigned regular patient care visits as assigned by the RN Case Manager or Team Director. The RN endeavors to utilize teaching, assessment, and intervention skills to provide comfort care and maximize the quality of life for patients and families.

Responsibilities:

• Provides on-call coverage as scheduled:

• Monday through Thursday 4:30 pm to 8:00 am,

• Friday 4:30 pm through Monday 8:00 am, or

• 7 on 7 off: 4:30 pm to 8:00 am during the week and Friday 4:30 pm through Monday 8:00 am, starting Wednesday evening and ending the following Wednesday at 8:00 am.

• On call hours may include holidays unless requested off with holiday float hours or PTO.; May be asked to work outside of typical scheduled shifts.

• Assesses patient/family needs, aware of the physical, emotional, and spiritual aspects and gathers data on social, economic, and cultural factors which may influence health, well-being and quality of life at all stages of care from referral to post death.

• Assists patients, family members and all contacts according to the general performance standards, demonstrating organizational values with all interactions.

• Provides direct care to patients within the RN scope of practice and consistent with organizational, professional and industry standards.

• Evaluates and performs ongoing assessments and revises written plan of care with Interdisciplinary collaboration as the needs and conditions of the patient/family changes.

• Authorizes, coordinates, and supervises care, as prescribed in the Interdisciplinary Plan of Care, with all team members and contracted vendors in order to meet the needs of the patient.

• Documents accurate and ongoing patient information, within the patient medical record. All documentation is complete according to organizational and professional standards. All documentation is completed as it occurs. Documentation includes but is not limited to patient assessments, needs and goals, interventions, patient's response to care, patient/family teaching, and all communications regarding the patient.

• Performs all required clinical skills as defined in orientation and utilizes procedure manual for all procedures.

• Provides after-hours coverage and may assist during times of excessive nursing absenteeism. Takes part, when possible, to meet a patient/family's need for continuous care in time of crisis.

• Coordinates community resources and other agency disciplines participating in patient care.

• Minimizes non-productive time and slow periods with activities to prepare to meet the future needs of the agency.

• Leads, supervises and maintains ongoing effective communication with other hospice personnel involved with patient care. This may involve formal and informal meetings outside of IDG.

• Establishes hospice aide plan of care and directly supervises the care provided by hospice aides per regulations.

• Actively participates in team meetings, committees and quality improvement planning and processes.

Qualifications:

• Current and valid Iowa RN license
• Graduate of an accredited school of nursing
• Home health/hospice experience highly desirable
• Minimum of one-year professional nursing experience preferred
• Strong keyboarding and computer skills with the ability to learn work-related software
• Current American Heart Association Healthcare Provider certification
• Mandatory Reporter of Child and Dependent Adult abuse training certification (within 30 days of hire)
• Must have valid driver's license, auto liability insurance and reliable transportation if driving is required
• Successful completion of pre-employment physical, drug screen, 2-step TB test and background check

Working Conditions:

• Physical requirements: Medium work exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects
• Physical activities: Bending, stooping, squatting, kneeling, fingering and gripping and reaching
• Environment: Hazards (chemicals, infectious diseases), Atmospheric conditions (fumes, odors, dusts, mists, gases)
• Travel: Required between locations
• Time: On Call schedule; after normal business hours or weekend.

These characteristics are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Note: This job description is not intended to be all-inclusive. You may be required to perform other duties to meet the on-going needs of the organization.

EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.

About EveryStep

One of Iowa's oldest nonprofits, EveryStep has provided health care and community services since 1908. Our team of experts are driven by a single purpose - to care for people and connect them with support at every step of their journey. Each year, we help thousands of Iowans cope in times of crisis and move forward with stability, dignity, and hope.

The diversity and breadth of our programs ensure that we can meet a variety of needs at once and provide ongoing assistance over time. More than 30 programs and services:

• Deliver in-home care to people who are ill, injured, or facing the end of life
• Offer compassionate support to families experiencing grief and loss
• Assist new and expecting parents and support the healthy development of young children
• Help Iowans navigate complicated health care and social systems
• Walk alongside refugees and immigrants arriving in our community
• Bring wellness services to places where people are

Serving Iowa from 11 locations, nearly 400 employees and hundreds of volunteers are committed to EveryStep's mission: We empower individuals, support families, and strengthen communities. There is at least one EveryStep program available to residents in every Iowa county. Every program is important and contributes to our mission.

EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.