RN After Hours Nurse -4:00 P.M. to Midnight M-F (not a triage only position)

Job Description Summary: The Registered Nurse (RN) is responsible for providing over the phone and direct patient care to terminally ill patients after regular business hours and/or on weekends. Responsibilities include triaging phone calls, making visits to patients and families, assisting with after-hours admissions, following the plan of care, providing treatments, providing on-going support to the patient’s caregivers, and working collaboratively with the members of the team to help meet positive patient care outcomes. Essential Job Functions/Responsibilities: • Answers afterhours phone calls, assesses needs of all agency patients or family by completing a nursing assessment, provides education over the telephone and coordinates on-call staff to provide appropriate care • Performs a short evaluation of the patient situation to estimate severity of illness and/or injury including learning about chief complaint and obtaining vital sign and mental status information; and determines urgency of seeing the patient based on the assessment and familiarity with patients’ condition and history • Provides direct patient care as defined in the scope of practice, including specialized duties related to end of life care, by utilizing all elements of the nursing process; provides basic nursing services in accordance with the Interdisciplinary Care Plan; initiates and applies preventative and therapeutic nursing procedures and techniques; fulfills the obligations of case assignments; uses and prepares equipment and supplies effectively, adhering to aseptic technique when indicated • Responds to patient’s medical or emotional crisis and/or death of patient and makes home visits to provide direct patient care as needed • Provides accurate medication administration, nursing documentation such as: medical records, authorization forms, laboratory requisitions. Implements pain management assessment and documentation. • Provides appropriate pain/symptom management, administers medicine within scope of practice and as directed by the RN Case Manager; evaluates patient’s response to treatment/medications, and communicates with RN Case Manager as appropriate • Reports to the Case Manager/RN services rendered and contact made after completion of visit; communicates anticipated needs, changing and/or unmet needs of patient and/or caregivers; observes the patient for changes in condition and reports changes to RN Case Manager • Assists the patient with activities of daily living and facilitates the patient’s efforts towards self-sufficiency and optimal comfort care • Contacts interdisciplinary team as necessary to report any identified needs • Reports, documents and communicates patient observations in EMR system; provides accurate and timely documentation of patient contact and services to reflect the Plan of Care • Receives report from the Clinical Manager or designee at designated time • Provides a safe environment for the patient, ensuring all needs can be met appropriately • Provides continuous care, as needed • Adheres to HNCO payroll, billing and documentation policies and procedures • Assumes responsibility for on-call duty as scheduled (including holiday rotation) and consistent with HNCO policies and procedures • Participates in HNCO quality assessment performance improvement initiatives and activities • Participates in personal and professional development • Attends HNCO meetings, trainings, seminars and HNCO sponsored events. • Performs all other duties as assigned Position Qualifications: Experience and Education: • Graduate of an accredited school of nursing (BSN preferred) • One to two years recent acute care, home care, and/or hospice care experience, preferred • One to two years of telephone triage experience, preferred Required Certification/Licensure: • Current RN licensure in the state of Ohio • CHPN certification, preferred • Current CPR certification • Valid Ohio driver’s license with current automobile insurance • Reli