Home Hospice RN
Wauwatosa, WI
PRIDE Health
3x12 hrs, Days
Referral Bonus

Job Opportunity: RN Hospice (Home-Hospice Care Operations)

Job Type

• Contractor
• Contract Length: 13 weeks

Job Description

• Provide hospice nursing care in the Milwaukee territory, primarily in patients' homes and community settings such as Assisted Living Facilities, Group Homes, Nursing Homes, and occasionally hospitals.
• Weekend program: Saturdays and Sundays, 8 AM to 8 PM.
• Not a case management position; no caseload.
• Visit types include daily end-of-life visits, PRN symptom management visits, and occasional stable routine visits.

Patient Population

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

Patient Ratios

• Field/Remote RN caseload: 13-15 patients.
• Visits per day: 5-6 visits per 8-hour shift.
• Inpatient hospice RN ratio: 1 nurse to 6-9 patients depending on shift.

Required Qualifications

• Registered Nurse (RN) license in the state of practice.
• BLS certification.
• Minimum 2 years of RN experience (except for inpatient hospice facility which may accept 1 year).
• First-time travelers are accepted.
• Prior travel experience is not required.

Skills and Competencies

• IV skills, chest tube maintenance/pleurex drain care, catheter insertion, tube feedings.
• Triage skills and wound care including wound vac.
• 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 using EMR platforms.
• Independent critical thinker and problem solver with good judgment on when to seek assistance.
• Flexibility to work in both field and inpatient settings.
• Experience with palliative sedation in inpatient hospice.

Technology and Equipment

• EMR systems: EPIC Hyperspace/ClinDoc or Remote Client depending on role.
• IV pumps: PCA pump, Alaris IV pump, Curlin pump, Joey enteral pump, Sapphire pump depending on location.
• Medication dispensing: Pyxis system in inpatient facility; hospice home program patients/families generally administer medications except IVs/injections managed by RN.

Orientation

• Individualized based on discipline and needs.
• May require reporting to inpatient hospice facility for orientation.
• Typical RN orientation includes equipment pick-up, online training, 2 days EPIC training, and 3-5 precepted shifts for visit nurses.

Additional Information

• Scrub color: Navy blue.
• Parking: Ground lot parking at inpatient facility; home team members park at patient residence locations.
• Support available includes receptionist, charge nurse, nurse educator, hospice manager, team lead, preceptor, and hospice physician.
• Phlebotomy may be infrequently required.
• Respiratory therapy support available via DME division.

This position is ideal for RNs with hospice experience seeking a weekend field nursing role with a focus on end-of-life care in community settings.