RN - Hospice

Beth Israel Deaconess Hospital - Plymouth

Job Description

- Graduate from School of Nursing
- Experience is required

Hospice RN Evenings

Reports To: Clinical Supervisor/Clinical Director

Position Summary: In accordance with Agency goals, coordinates patient/caregiver case load during off-shift hours (4:00PM -12AM)

Essential Functions:

1. Shares in implementing patient/caregiver plan of care during evening hours.

2. Accesses all pertinent information from the Hospice EMR (PTCT)

3. Triages all calls, makes pro-active visits, makes visits to attain symptom management in response to all patient/family calls

4. Maintains the same level of service to patients and families during the evening shift as is expected during routine business hours

5. Arranges equipment and medication procurement as needed

6. Collaborates with patient's primary MD and/or the Hospice Medical Director as needed

7. Understands the requirements and limitations of providing hospice care in skilled nursing facilities, assisted living facilities and group homes.

8. Is able to access relevant psychosocial information about home situations that may impact care delivery

9. Communicates with the Administrator On-Call to report potential problems or request additional resources

10. Communicates with social work and chaplain as needed, initiates request for Vigil Volunteer as needed

11. Performs RN Pronouncement, in all settings except acute care hospitals

12. Provides support to families at the time of death in all settings

13. Makes pro-active visits to patients who are at high risk, are new to hospice, or are on GIP level of care in hospitals or skilled nursing facilities

14. Maintains regular and timely communication to other team members, by phone and through timely documentation in the Hospice EMR (PTCT)

15. Provides RN visits to patients during regular business hours on a rotating basis to improve continuity in patient care and to increase team collaboration

16. Completes Admissions to hospice as needed

17. Provides coverage for Intake/Referral as needed

18. Completes chart audits, quality data extraction, medication reconciliation and patient data input and completes documentation of those activities per shift.

19. Other duties as assigned by the Clinical Director


Current Massachusetts professional RN license

Hospice and/or home care experience preferred

Recommended requirements

BS Degree or matriculation towards a BSN

CHPN preferred

Knowledge and Abilities

Knowledge of pain and symptom management at end-of-life

Demonstrated ability to manage all aspects of terminal care/expertise in hospice philosophy

Demonstrated ability to assess and respond to the needs of patients and families in a variety of settings

Ability to provide won transportation evenings and nights

Demonstrated to manage multiple crisis situations simultaneously with limited resources

Strong organizational and communication skills

Ability to function independently and triage care

Ability to read, write and speak English


Work is done while sitting with intermittent standing and walking and occasional bending, lifting, pushing and pulling and handling light materials. Requires sustained visual attention and concentration. Potential exposure to blood, body fluids, and other infectious materials. Physical effort required to lift, carry, push and pull light to heavy equipment, objects or supplies. Physical strength to transfer patients weighing as much as 100 to 250 lbs.

The above is intended to describe the general content of and requirements for performance of this job. It is not to be considered as an exhaustive statement of duties, responsibilities, or requirements of this position and does not limit the assignment of additional duties at the discretion of the Supervisor.

Employment Type

Full time


40-hpw, E (8-hr shifts) w rotating wkends & holidays