Home Hospice RN
Wauwatosa, WI
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: RN Hospice - Home Hospice Care Operations

Position Details

• Employment Type: Contractor
• Contract Length: 13 weeks
• Work Schedule: Weekend program, every Saturday and Sunday from 8 AM to 8 PM
• Work Setting: Primarily remote/field work in the Milwaukee territory, visiting patients in their homes, family homes, Assisted Living Facilities, Group Homes, Nursing Homes, and occasionally hospice patients in hospitals.

Patient Population

• Hospice patients with life expectancy of 6 months or less if disease runs its normal course.
• Common diagnoses: approximately 40% cancer, 60% other medical issues.

Caseload and Visits

• RN caseload: 13-15 patients.
• Visits per day: 5-6 visits per 8-hour shift.
• Visit types: daily end-of-life visits, PRN visits for symptom management, and occasionally stable routine visits.
• This is not a case management position and does not carry a case load in the traditional sense.

Experience Requirements

• RN Experience: Minimum 2 years of RN experience required (except for inpatient hospice facility where 1 year is acceptable).
• Prior Travel Experience: Not required; first-time travelers are accepted.

Certifications Required

• Current state RN license.
• BLS certification.

Skills and Competencies

• IV skills, chest tube maintenance/pleurex drain, catheter insertion, tube feedings.
• Triage skills, wound care, wound vac management.
• Comfortable managing PIV, midline, central lines.
• Competency in end-of-life care including pain and symptom management (pharmaceutical and non-pharmaceutical).
• Experience with opioids and opioid equianalgesic dosing.
• Proficient in documentation on EMR platforms.
• Independent critical thinker and problem solver, with good judgment on when to seek assistance.
• Flexibility to work in various settings; inpatient facility provides palliative sedation.

Technology and Equipment

• EMR systems: EPIC Hyperspace/ClinDoc or Remote Client, depending on role.
• IV pumps used include PCA pump, Alaris IV pump, Curlin pump, Joey enteral pump, and Sapphire pump depending on location.
• Medication dispensing: Pyxis system at inpatient facility; hospice home program medications generally administered by family/patient/caregiver except IVs/injections managed by RN.

Orientation

• Orientation tailored to individual needs and discipline.
• May include reporting to inpatient hospice facility for equipment pick-up and training.
• Typical RN orientation includes 1 day for equipment and supplies, 2 days EPIC training, and 3-5 precepted shifts for visit nurses.

Additional Information

• Scrub color: Navy blue.
• Parking: Ground lot parking available at inpatient facility; home team members park at patient residence locations.
• Support staff such as receptionist, charge nurse, nurse educator, hospice manager, and team lead are available depending on location.
• Occasional phlebotomy may be required (peripheral stick or through a port/line).
• Respiratory therapy support available via durable medical equipment division.
• Hospice and attending physicians available for consultation.

This role is ideal for RNs with hospice experience seeking weekend field work in a supportive environment with a focus on end-of-life care.