Registered Nurse On Call PRN

The PRN On-Call Hospice RN provides after-hours nursing support to hospice patients and families, ensuring timely response to urgent needs, symptom management, and coordination of care consistent with the hospice plan of care.

Employment Status

• PRN / As Needed

• Non-exempt or exempt based on agency structure

• On-call shifts (evenings, nights, weekends, holidays)

Primary Responsibilities

• Responds to patient/family calls during assigned on-call hours

• Provides telephonic triage and clinical guidance

• Determines need for and performs urgent visits

• Assesses patient condition and changes in status

• Implements interventions for pain and symptom control

• Administers medications and treatments per hospice plan of care

• Provides end-of-life care and support

• Manages acute symptom crises (e.g., pain, dyspnea, agitation)

• Provides education and reassurance to families during end-of-life transitions

• Coordinates with physician or nurse practitioner as needed

• Communicates with hospice physician/NP regarding changes in condition

• Updates plan of care as appropriate

• Coordinates with pharmacies, DME providers, and other vendors

• Completes timely, accurate documentation of all calls and visits

• Documents assessments, interventions, patient response, and follow-up plan

• Educates on symptom management, medication use, and what to expect

• Reinforces hospice philosophy and goals of care

Qualifications

Required

• Current, unencumbered Registered Nurse (RN) license - Wyoming

• Minimum 1–2 years nursing experience (hospice, home health, or acute care preferred)

• Valid driver’s license and reliable transportation

• Ability to work independently and make clinical decisions

Scheduling Expectations

• Assigned on-call shifts (e.g., evenings 5pm–8am, weekends, holidays)

• Minimum of one weekend per month

Performance Expectations

• Timely response to calls and visits

• Accurate and compliant documentation

• Effective symptom management

• Professional and compassionate patient/family interactions

Compensation Structure

• On-call stipend per shift

• Additional pay per hour for response to calls, visits, etc.

• Mileage reimbursement