Weekend On Call RN

Weekend On Call RN Harmony Hospice (2) Chicopee, MA Job Details Part-time | Full-time 1 day ago Qualifications RN License Full Job Description The On-Call Registered Nurse provides after-hours clinical support to hospice patients and families to ensure continuous access to care, symptom management, and crisis intervention. This role supports the hospice's obligation to provide 24-hour nursing availability as required by regulation. Essential Duties + Responsibilities Provide telephonic triage for patients, caregivers, and facilities Conduct urgent visits for symptom management, death pronouncement, and crisis intervention Implement standing orders and physician directives Perform comprehensive assessments during urgent visits Manage pain, respiratory distress, agitation, nausea, and other end-of-life symptoms Adjust care plan interventions in collaboration with physician Communicate after-hours events to primary case managers and IDG Coordinate pharmacy, DME, and emergency services when necessary Facilitate transitions in level of care Provide education regarding symptom expectations and medication use Offer emotional support and anticipatory guidance Support families during active dying phase Complete timely, accurate documentation supporting interventions and level of care Document triage calls, visits, medication changes, and physician communication Ensure handoff notes are completed for next business day Follow response time standards and escalation protocols Adhere to medication management and controlled substance procedures Complete incident reports when required Follow infection control and safety guidelines Maintain availability during scheduled on-call shifts Participate in rotation scheduling and coverage planning Ensure readiness of supplies and equipment for after-hours visits Demonstrate understanding of 24/7 coverage requirement Participate in chart audits and education related to documentation Contribute to QAPI initiatives related to after-hours utilization Qualifications Graduate of accredited nursing program Active RN license required in the state of practice Hospice experience strongly preferred Experience with triage and crisis care Knowledge & Skills o Symptom management o Emergency protocols o Documentation under time constraints o Family education Independent decision-making Emotional resilience Communication Ability to drive at night/weekends Ability to lift patients and provide patient assistance Capability to rapidly respond