Hospice Home Health RN
Charlotte, NC
Access Healthcare
5x8 hrs, Days

Registered Nurse Travel/Contract Opportunity

Location: Charlotte, North Carolina
Contract Length: 13 weeks

Job Summary

• Home Health/Hospice and Skilled Nursing setting
• Caring for primarily geriatric patients with 6 months or less to live
• Average daily census: 63 patients; approximately 5 visits per day
• Shift: 8-hour days, 8:00 AM – 5:00 PM
• Call requirement: Yes (on-call rotation on weekends)
• Float requirement: None
• Scheduling: Per unit needs
• Orientation: 40 hours plus hospital orientation
• Scrubs: Not provided; RNs wear all navy blue

Required Qualifications & Skills

• Experience: Minimum 2 years in specialty (Registered Nurse)
• Traveler Experience: 1st time travelers accepted (prior travel experience NOT required)
• Certifications: BLS required
• Work Setting Skills: Home Health/Hospice and Skilled Nursing
• End of Life Care Skills: After treatment (survivorship), cultural awareness
• Medication Administration & Pain Management:

  • WHO Analgesic Ladder, adjuvant therapy, breakthrough dosing
  • Pediatric dosage calculations, medication tolerance, pain assessment
  • Pharmacologic and non-pharmacologic pain interventions
  • Proper disposal of medications
  • Types of pain (somatic, visceral, neuropathic) and treatment
  • Utilization of pain scales (verbal, nonverbal)
• Professional Knowledge & Skills:

  • Goal setting with patient/family
  • Intake assessment/interview
  • Medicare state regulations
  • Patient/family education and support
  • Positioning/preventive shearing and pressure ulcers
• Symptom Assessment/Management:

  • Altered mental status, anorexia/cachexia, aphasia
  • Constipation/diarrhea, nausea/vomiting
  • Pressure ulcer staging

Preferred Qualifications & Skills

• End of Life Care: Death pronouncement, death/dying counseling, spiritual needs identification, perideath family care, postmortem care
• Ethical and Legal Issues: Advanced directives, medical futility, medical abandonment, organ donation, palliative sedation, withholding/withdrawing treatment
• Medication Administration & Pain Management: Equianalgesic dosing of opioids, PCA pump management
• Phlebotomy/IV Management: Phlebotomy skills, starting/maintaining IVs, care of peripheral IVs/central lines/ports
• Professional Knowledge: Durable Medical Equipment (DME) authorization of necessity
• Symptom Assessment/Management: Ascites

Additional Information

• Unit systems used: EPIC Remote Client, SBAR
• No RTO (Return to Office) after booking allowed; call-offs or additional RTO may lead to cancellation
• Interview required via Zoom before offer

This role is ideal for RNs with hospice and home health experience who are comfortable managing complex symptom and pain management in end-of-life care. Prior travel experience is not required.