01 October 2021
On Call Field RN

On-Call Field Nurse
Corpus Christi, TX
$35 - $38 per hour

Position Overview:
This position will be responsible for providing end-of-life care and hospice services to patients in their home or community setting after regular business hours, weekends, and/or holidays.

Essential Duties:
Assume primary responsibility for the patient/family case load that includes assessing, planning, implementing, and evaluating care needs during on-call hours.
Initiate communication with physicians and other staff members to coordinate optimal care and use of resources for the patient/family.
Make patient visits to wherever the patient calls home; as indicated by need.
Obtain data on physical, psychological, social and spiritual factors that may influence patient health status and incorporate that into the plan of care.
Teach appropriate interventions, medications, effects and side effects to patient, caregiver, volunteers and other as appropriate.
Anticipate, prevent and treat undesirable symptoms or secondary symptoms.
Assist in determining the need to change the level of care being provided for hospice patients based on assessment and collaboration with attending physician and/or hospice medical director.
Perform after hours admission, death visit, continuous care initiation and follow ups as needed throughout the shift.
Provide appropriate support at the time of death, including disposition of medications, notification to funeral home, etc. according to agency policy.
Report on-call activities to the RN Triage Nurse throughout and at the end of the call shift.
Implement care to achieve outcomes of comfortable and safe dying, self-determined life closure and effective grieving for patient and family.
Maintain documentation relating to care coordination including phone calls, communication, visits, and other pertinent clinical information.
Responsible for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards.
Identify and address comfort care needs.
Support, instruct and educate the patient, family, and caregiver.
Maintain the dignity of the dying patient.
Support the patients and family's unique spiritual and cultural beliefs.
Provide holistic, family-centered care across treatment settings to improve the quality of life.
Consult and collaborate with the interdisciplinary team and others involved in the patients care
Comply with all administrative and departmental policies and procedures.
Make sure all documentation is completed on a timely manner.
Demonstrates, maintains and upholds expectations set forth in the organizational Code of Conduct.
Availability to work across Texas service areas based on company needs.
Accomplishes individual and team goals and objectives established by supervisor.
Other duties as assigned by Management.
Schedule subject to change based on company needs.

Responsibilities:
Adhere to all OCSA policies and procedures.
Cover PTO for alternate rotating on call staff nurse.
Maintain absolute confidentiality of all information pertaining to patients, families, and staff and adhere to all HIPAA rules.
Display a positive and professional image and attitude in all relationships with patients, families, peers and in the community.
Serve as an ambassador for the company at all times.
Demonstrate ongoing responsibility for self-education.
Assume responsibility for the promotion of the hospice concept in the community and with other agencies and professionals.
Participate in the Quality Assessment Performance Improvement Program (QAPI), as requested.
Maintains patient and personal safety regarding occupational health and safety.

Minimum Qualifications:
Graduate of an accredited school of nursing; minimum of ADN, Bachelor’s Degree in Nursing preferred.
Current State of Texas RN license.
Two years recent (within the past five years) nursing experience in acute, long-term care or home care/hospice, with at least one in hospice or homecare preferred.
Must be able to work independently, have demonstrated patient care planning and patient teaching skills and strong written and verbal communication skills.
Pass drug test and background check.
Current CPR certification.
CEU’s – HIV, Domestic Violence, Medical Errors, Alzheimer’s (4 hours), Laws & Rules, Impairment in the Workplace, Human Trafficking.
Belief in the hospice concept.
Ability and willingness to work a flexible full-time or part-time schedule that frequently includes weekends and holidays and after hours.
Must be able to provide own transportation to various locations in service areas as required by duties.
Must be able to use facsimile, write and transcribe information accurately.
Valid Texas Driver’s License and daily access to a reliable and insured vehicle.

Lifting Requirements:
X Heavy Work – Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

Benefits and Perks:
Medical / Health Plan
Medical GAP
Dental Insurance
Vision Insurance
Life Insurance
Disability
Term Life AD&D
Long-Term Disability
Short-Term Disability

At ttg, "We believe in making a difference One Person at a Time," ttg OPT