Visit Nurse Day Shift PRN (50998)

Hospice Austin; Austin (TX); On-site; USD 55,104 - 77,145; Full time

Job summary

Hospice Austin is seeking a Visit Nurse to provide daytime nursing support to hospice patients and families in the Spicewood/Austin area. The role focuses on timely assessments, symptom management, admissions coordination with providers, and adherence to hospice philosophy and regulatory standards.

You will perform focused assessments, educate families, document in EMR, and work within a defined service area.

Qualifications

• Graduation from an approved school of professional nursing.
• Unrestricted Texas RN license.
• Valid Texas driver’s license with insurance and clean driving record.
• CPR certification.

Responsibilities

• Performs focused patient assessments including vital signs and symptom evaluation.
• Delivers symptom management and comfort-focused interventions.
• Initiates orders and follows standing protocols as allowed.
• Documents thoroughly in the EMR and ensures regulatory compliance.
• Educates patients and families on care plans, end-of-life expectations, and safety.

Education

RN license (Texas)

Job description

Location: Spicewood - Austin, TX 78759

Position Type: PRN

Shift: M-F 8A-5P

Position Summary

The Visit Nurse provides timely, compassionate, and clinically sound nursing support to hospice patients and families during daytime business hours (8:00 am to 5:00 pm). This role responds to urgent needs, performs focused and comprehensive assessments within scope, performs initial admission visits with provider collaboration on admission approvals, accurately completes consents and hospice election documentation, and completes assigned visits off a task list maintained by Team Leads. The nurse delivers symptom‑focused care, supports families through changes in condition, and upholds hospice philosophy, regulatory standards, and organizational values.

Essential Functions

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 Team Lead.

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.

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.

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.

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.

Qualifications

• 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.

Preferred Skills

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