Registered Nurse (RN) - On-Call Nights & Weekends / 7 On & 7 OffnnJob DetailsnnLevelnnExperiencednnJob LocationnnLa Crosse WI - West Salem, WInnPosition TypennFull TimennEducation Levelnn2 Year DegreennJob CategorynnNursennThe On-Call Registered Nurse organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse directs the immediate services necessary to meet the needs of individual and families within their homes and communities. This position would help cover call for nights and weekends.nnEssential Job Functions/ResponsibilitiesnnAvailable to receive and respond to calls from Triage during assigned shifts making visits to patients with changing conditions, and completing week end admissions.nnCompletes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs for after-hours calls. Provides a complete physical assessment and history of current and previous illness.nnProvides professional nursing care by utilizing all elements of nursing process.nnAssesses and evaluates patient’s status by:nnWriting and initiating plan of carennRe-evaluating patient and family/caregiver needsnnParticipating in revising the plan of care as necessarynnInitiates the plan of care and makes necessary revisions as patient status and needs change.nnUses health assessment data to determine nursing diagnosis.nnDevelops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.nnInitiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.nnCounsels the patient and family in meeting nursing and related needs.nnProvides health care instructions to the patient as appropriate per assessment and plan.nnAssists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.nnAfter hours on-call responsibilities included remaining available for all calls related to patient care and making all appropriate visits as necessary.nnRemaining with patient and or family through a crisis period until resolved and or relived.nnCompletes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.nnCommunicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.nnCommunicates with community health related persons to coordinate the care plan.nnTeaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.nnProvides and maintains a safe environment for the patient.nnAssists the patient and family/caregiver and other team members in providing continuity of care.nnWorks in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.nnAttends interdisciplinary group meetings.nnEnsures that arrangements for equipment and other necessary items and services are available.nnSupervises ancillary personnel and delegates responsibilities when required.nnAssumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.nnFulfills the obligation of requested and/or accepted case assignments.nnActively participates in quality assessment performance improvement teams and activities.nnWe offer amazing benefits including growth opportunities! We have career opportunities both locally and regionally and many of our leaders have grown from within the company and truly understand how vital each role is in creating quality care.nnThe opportunity to work 1-1 with our patients, impacting their life and their families.nnTwo medical plan choicesnnDental, vision and life insurance benefitsnnCustomized Mental Health Support ProgramnnEmployee Assistance ProgramnnPaid time off and paid holidaysnn401k Retirement Plan with up to 4% employer matchingnnFlexible Spending Account (FSA)nnCompany-paid Basic Life Insurance, AD&D, Short Term and Long-Term DisabilitynnnVoq (voice to text dictation) - not available at all locationsnnQualificationsnnGraduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care.nnCurrent licensure in State and CPR certification.nnManagement experience not required. Responsible for supervising hospice aides.nnExcellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.nnProlonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.nnMust be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.