Registered Nurse - Hospice

Registered Nurse/HospiceLocationCharlotte, NCOnsite FlexibilityOnsiteContract DetailsPosition Type: ContractContract Duration: 13 weeksStart: As soon as possiblePay Rate: $50.00–$51.00 / Hour (USD)Shift / Schedule: 40 hours; 8-hour days, 8:00 AM – 5:00 PM Monday–Friday with on-call rotation Friday, Saturday, Sunday 8:00 PM – 8:00 AM. The outpatient nurses rotate 2 evening shifts on call 8:00 PM–8:00 AM Saturday and Sunday every 4–5 weeks to cover patient PRN and death visit needs. A nurse triage service screens incoming calls according to protocols and will contact the nurse if a visit is needed.Travel Requirements: Not required. Mileage paid at IRS standard.Work Authorization: Must be legally authorized to work in the U.S. without company sponsorship.Job SummaryThis is a hospice nursing position serving patients with 6 months or less to live, primarily geriatric patients. The role involves home health and skilled nursing settings with an average daily census of 63 and 5 visits per day. Locals are approved at the travel rate. RTO (Return To Origin) after booking is not allowed and cannot be worked out onsite. Any call-offs or additional RTO on unit could possibly result in contract cancellation and DNR (Do Not Return).Key ResponsibilitiesProvide compassionate end-of-life care to hospice patients and their familiesPerform intake assessments and patient/family interviewsProvide patient and family education and supportAssess and manage symptoms including altered mental status, anorexia and cachexia, aphasia, constipation/diarrhea, nausea/vomiting, and pressure ulcer stagingAdminister medications and manage pain using WHO Analgesic Ladder, adjuvant therapy, breakthrough dosing, and pediatric dosage calculationsAssess pain using appropriate pain scales (verbal and nonverbal) and implement pharmacologic and non-pharmacological pain interventionsDemonstrate cultural awareness and support end-of-life care including treatment survivorshipSet goals with patients and familiesPerform positioning and implement preventive shearing and pressure ulcer protocolsProperly dispose of medicationsMaintain knowledge of Medicare state regulationsParticipate in on-call rotations to cover patient PRN and death visit needsDocument care in EPIC system using SBAR communication formatCoordinate with nurse triage service for incoming call screeningRequired SkillsMinimum 2 years nursing experienceUnit will accept 1st time travelersHome Health/Hospice and Skilled Nursing setting experienceEnd-of-Life Care skills including after treatment (survivorship) and cultural awarenessMedication administration and pain management skills: WHO Analgesic Ladder, adjuvant therapy, breakthrough dosing, calculation of pediatric dosages, medication tolerance, pain assessment, pharmacologic and non-pharmacological pain interventions, proper disposal of medications, types of pain (somatic, visceral, neuropathic) and treatment, and utilization of pain scales (verbal, nonverbal)Professional knowledge and skills: goal setting with patient/family, intake assessment/interview, Medicare state regulations, patient/family education and support, and positioning/preventive shearing and pressure ulcersSymptom assessment and management skills: altered mental status, anorexia and cachexia, aphasia, constipation/diarrhea, nausea/vomiting, and pressure ulcer stagingBLS certificationPreferred SkillsEnd-of-Life Care skills: death pronouncement, death/dying counseling, identification of spiritual needs, perideath care of family, and postmortem careEthical and Legal Issues skills: advanced directives, medical futility, medical abandonment, organ donation, palliative sedation, and withholding/withdrawing treatmentMedication administration and pain management skills: equianalgesic dosing of opioids and PCA pump managementPhlebotomy/IV Management skills: phlebotomy skills, starting and maintaining IVs, and care and management of peripheral IVs, central lines, and portsProfessional knowledge and skills: DME authorization of necessitySymptom assessment and management skills: ascitesEpic experience, particularly home health hospice Epic experienceEducation RequirementsBLS (Basic Life Support) certification requiredWork Environment / Physical RequirementsNo float requirementOn-call rotation required: Friday, Saturday, Sunday 8:00 PM–8:00 AM rotations with other RNs in the department. A designated RN covers weeknight call Monday–Thursday; volunteers may cover when she is off for PTO.Weekend on-call requirementsRNs must wear all navy blue scrubs (not provided by facility)Orientation: 40 hours unit orientation in addition to hospital orientationUnit systems: EPIC Remote Client, SBARImportant NotesRTO (Return To Origin) after booking is NOT allowed and cannot be worked out onsite. Any call-offs or additional RTO on unit could possibly result in contract cancellation and DNR (Do Not Return).Locals are approved at the travel rate (same rate as travelers).Unit will accept first-time travelers.Manager requires a Zoom interview with any and all candidates before offering the position. Please provide candidate interview availability for the next 72 hours when submitting.About GTTGTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. As a Native American-owned, economically disadvantaged corporation, we highly value diverse and inclusive workplaces. Our clients are Fortune 500 banking, insurance, financial services, and technology companies, along with some of the nation's largest life sciences, biotech, utility, and retail companies across the US and Canada. We look forward to helping you land your next great career opportunity!Job Number26-04260