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Department: Afterhours

Reports to: Team Leader, Afterhours

Supervises: None

Our Mission: Hospice Austin is a nonprofit organization that eases the physical, emotional and spiritual pain of anyone in our community facing serious illness by providing exceptional care, compassion, and caregiver support.

PRN Afterhours Shift: 4:30 pm to 7:30 am Monday through Friday and 24 hour shifts on Saturday and Sunday.

Position Summary: The Afterhours Visit Nurse provides timely, compassionate, and clinically sound nursing support to hospice patients and families. This role responds to urgent needs, performs focused and comprehensive assessments within scope, assists with transfers to the inpatient unit from local hospitals, accurately completes paperwork and other documentation, and completes assigned visits off a task list maintained by the Team Leads and Triage Nurse. The nurse delivers symptom‐focused care, supports families through changes in condition, and upholds hospice philosophy, regulatory standards, and organizational values.

Duties & Responsibilities: 

1. Nursing Care & Symptom Management

• Performs focused, clinically indicated assessments during patient visits, including vital signs, pain assessment, respiratory evaluation, and other symptom‐specific evaluations.
• Provides immediate comfort‐focused interventions to manage symptoms such as pain, dyspnea, agitation, nausea, fever, and other distressing conditions.
• Initiates appropriate nursing procedures and implements standing orders, symptom management orders (SMOs), and PRN protocols as allowed.
• Evaluates patient and caregiver response to interventions and adjusts the plan as needed to ensure comfort and safety.
• Educates patients, families, and facility staff on symptom management, medication use, expected changes at end of life, and when to seek additional support.
• Assesses caregiver capacity to meet immediate patient needs and escalates concerns appropriately.
• Completes initial assessment and obtains approval to admit from providers for new admissions to hospice service. Ensures accuracy and completion of legal documentation.
• Completes visits within the Hospice Austin service area (Travis, Williamson, Hays, Caldwell, and Burnet counties) as assigned by the Triage Nurse.

2. End‐of‐Life Support & Death Events

• Provides preparation, guidance, and emotional support to families during active dying and imminent changes.
• Pronounces death in accordance with state regulations and agency policy.
• Provides respectful, dignified postmortem care and supports families through the immediate post‐death period.
• Ensures timely communication with funeral homes, facilities, and internal teams as required.

3. Communication & Collaboration

• Communicates changes in patient condition, urgent needs, and interventions to the appropriate care team members.
• Collaborates with pharmacies, DME vendors, and facility staff to resolve urgent needs such as medication access, equipment failure, or safety concerns.
• Escalates safety issues, abuse/neglect concerns, or complex clinical situations to leadership immediately.
• Maintains professional boundaries and demonstrates calm, supportive communication in high‐stress situations.

4. Documentation & Compliance

• Completes all documentation in the EMR promptly, accurately, and in accordance with agency protocol.
• Reports adverse events, falls, medication variances, or safety concerns to the appropriate department within required timeframes.
• Utilizes proper infection control and bag technique during all in‐person visits.
• Ensures all visit notes, communications, and clinical documentation meet regulatory and agency standards.

5. Additional Responsibilities

• Provides psychosocial support to patients and families throughout the course of care.
• May provide nursing care to pediatric patients depending on training and organizational needs.
• Performs other duties as assigned to support safe, high‐quality hospice care.

Education/Experience Requirements:

• Graduation from an approved school of professional nursing as determined by the Board of Nurse Examiners.
• Unrestricted license as a Registered Nurse by the Texas Board of Nurse Examiners.
• Valid Texas driver’s license, auto liability insurance and safe driving record.
• CPR certification from a recognized entity following AHA and OSHA standards.

Preferred Skills:

• One-year previous hospice nursing experience
• Previous hospice or home health experience

As the first hospice in Central Texas, we have end-of-life care expertise that only decades of experience can teach. As Austin’s only nonprofit hospice, we provide care to any person who needs us, regardless of age, diagnosis, or ability to pay. All of our resources go toward services that benefit each patient and family, not to owners or investors.