On-Call Nurse, Weekday Nights

  • SERVICE THE POSITION IS FOR: Hospice of Holland

  • POSITION REPORTS TO: Clinical Care Director

  • DEPARTMENT: 07 – Clinical care

  • HOURS: Scheduled to be on-call Sunday night through Thursday night 8p to 8a, but paid for 40 hours. Typically work 24-30 hours of the 60, which is why we pay the 40. Need to be available for calls and not necessarily up and awake.

Job Description Summary

On Call nurses are assigned specific hours in order to respond to immediate needs.to provide skilled nursing care to hospice patients as a continuum of service.  He/she assesses the emergent needs of patient/family and plans, implements, and evaluates the nursing care in accordance with physician orders and the interdisciplinary plan of care. 

Essential Job Functions

  1. Provides direct Hospice nursing care to patients in order to maintain highest level of comfort and quality of life on an emergent basis.
  2. Assesses changing needs of patient/caregiver and provides appropriate nursing intervention.
  3. Completes initial nursing assessment if needed and establishes/updates individualized patient/family plan of care as patient status and needs change, assuring the patient and family are involved in the process.
  4. Administers medications and treatments as prescribed by the physician.
  5. Educates the patient/family as appropriate per assessment and plan, and encourages their participation.
  6. Records accurate, timely documentation of patient/family contacts and updates the interdisciplinary team.
  7. Consults with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physician’s orders as required.
  8. Communicates as needed with appropriate external service providers.
  9. Ensures that equipment and other necessary items and services are available.
  10. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description.

All employees are required to comply with the policies and procedures of Hospice of Holland, Inc. and with all state, federal, and other regulatory requirements.  They will also comply with confidentiality laws as described in the Notice of Privacy Practices.  

Job Qualifications

Education and Experience

  1. Graduate of an accredited school of nursing and current licensure in the State of Michigan.
  2. Registered Nurse with current licensure to practice professional nursing in Michigan.
  3. Two years of recent clinical experience with one year of Hospice experience preferred.
  4. Demonstrates excellent organization, observation, good nursing judgment and verbal/written communication skills.  Understands hospice philosophy and issues of death/dying.
  5. Demonstrates competency in pain and symptom management.
  6. Has a valid state of Michigan driver’s license with insured reliable transportation.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.  Reasonable accommodations may be made to enable individuals with disabilities.

While performing the duties of this job, the employee is regularly required to sit, talk, and hear.  The employee must also be required to stand, walk and drive.  Specific vision abilities required by this job include close vision, distance vision, and ability to adjust and focus.  The employee must occasionally lift and/or move up to 50 pounds, lift, position and/or transfer patients and lift supplies and equipment.  Considerable reaching, stooping bending, kneeling and/or crouching is also required.  


Quality Orientation ( Attention to Detail) – Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.  

Managing Work (Includes Time Management) – Effectively managing one’s time and resources to ensure that work is completed efficiently.

Initiating Action – Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.

Building Customer Loyalty – Effectively meeting customer needs; building productive customer relationships; taking responsibility for customer satisfaction and loyalty.

Contributing to Team Success – Actively participating as a member of a team to move the team toward the completion of goals.

Decision Making – Identifying and understanding issues, problems and opportunities; comparing data from different sources top draw conclusions; using effective approaches for choosing a course of action of developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences.


General Supervision – Normally receives little instruction or control for day-to-day work.   Receives guidance in terms of assignments and objectives and only the final results of work are typically reviewed.  The employee plans the sequence of detailed steps to accomplish the work using experience and education and solves, through initiative, most problems of detail that come up in the course of work.  Interprets policies and guidelines and applies them to routine situations that arise. Personally responsible for accomplishing prescribed results and objectives, and has considerable freedom while the work is in progress.

Working Conditions

  1. Works on-call and must be able to respond telephonically, or in person to patient needs within the prescribed time-frame anywhere in the service area.
  2. Treats patients in their home setting, which includes skilled nursing facilities, assisted living and nursing homes.
  3. Must drive in various weather conditions, night or day, on roads in varying degrees of repair.
  4. Subject to varying and unpredictable situations.  Handles emergency or crisis situations with limited support.

Continuing Education Requirements

The On Call RN is expected to complete the established orientation program and participate in appropriate continuing education as may be requested and/or required.  In addition, the On Call RN expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. 

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