RN Night Operations

Why Work for Us? Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 employees and 150 volunteers delivers compassionate, patient-centered care across a 10,000-square-mile area. We prioritize excellence, empathy, and collaboration. We foster a culture of kindness, respect, and learning while valuing diversity and the well-being of our employees, volunteers, patients, and families.

Hours: 5 pm to 8 am (15-hour shifts), 2-3 shifts per week. Applicable standby pay and shift differentials.

Summary/Objective:

The RN Night Operations provides comprehensive hospice care across multiple settings during the night hours. This dynamic role primarily focuses on field-based, on-call responsibilities, delivering timely and compassionate care to patients and families in their homes. When not actively responding to field calls, the RN will provide meal and rest break coverage, as well as light patient care, at our inpatient Hospice House. Additional duties may include assisting with chart audits to support continuous quality improvement across the organization. These secondary duties support overall care continuity and uphold clinical excellence.

Essential Functions:

Primary Responsibilities-After Hours Field RN Support:

Develop an individualized care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Include the patient and the family in the planning process.

Provide nursing procedures and treatments and/or end-of-life comfort procedures per plan of care. Administer medications and treatments as prescribed by the physician.

Complete and update the ongoing assessments and care plan as the patient’s status changes.

Ensure that arrangements for equipment and other necessary items and services are available.

Provide health care instructions and education to the patient and or family as appropriate per the assessment plan and the patient’s caregivers’ ability to learn. Adapt teaching styles to meet patients’ and families’ needs.

Coordinate patient care with the patient’s case manager. Provide verbal or written updates as necessary.

Communicates with the physician regarding the patient’s needs, reports, and changes in the patient’s condition; obtains/receives the physician’s orders as required.

Communicate with all members of the healthcare team to promote coordinated, efficient care and document coordination of care with all involved with patient care.

Ongoing clinical documentation is completed, accurate, documented, and submitted within 24 hours of the patient visit.

Communicate with facility staff, providing written updates and orders as requested.

Local/regional travel by personal vehicle during the working day, centralized from the Bend office and extending throughout Central Oregon.

Secondary Responsibilities-Hospice House Support and Chart Auditing:

Relief coverage for Hospice House staff during scheduled meal and rest breaks when available, ensuring continuity of patient care and team support. This backup responsibility helps maintain a smooth workflow and supports staff well-being during overnight shifts

Under the direction and delegation of the shift Lead at Hospice House, apply nursing principles and techniques in the treatment of patients. Provide nursing care, emotional support, and education to the patient/family/ caregiver. Maintain strict confidentiality of patient, family, and caregiver information.

Follow the guidelines for universal precautions when providing patient care and demonstrate proper techniques in application of infection control standards.

Maintain records of services performed and of apparent condition of patient, using documentation guidelines and standards set forth by the facility.

Communicate with physicians and others as needed to coordinate and ensure high quality care. Communicate on a regular basis with all staff / volunteers regarding patient status.

Demonstrate a working knowledge of the dying process and recognizes the importance of and maintains professional boundaries.

Provide for a safe environment for patients, guests, visitors, and employees and adhere to all policies, procedures, and regulations regarding patient care, conduct, safety, fire, security, and risk management.

Supports clinical quality initiatives through chart auditing when not actively engaged in field-based patient care. This includes reviewing documentation for accuracy, completeness, and compliance with hospice standards to help ensure regulatory readiness and promote continuous quality improvement across the organization.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Skills & Qualifications:

Graduate of an accredited school of nursing with an unencumbered licensure to practice professional nursing in the State of Oregon.

One to two years of recent medical/surgical care experience in an institutional setting.

Ideal candidates will possess 1-2 years of home health or hospice experience.

Valid CPR Certification.

Current automobile insurance, a valid Oregon driver’s license, and reliable transportation are required for those working in the field.

Ability to pass a reference check, background test, drug screen, and TB test.

Strong communication and interpersonal skills.

Excellent assessment, problem-solving skills, and nursing skills per competency check.

Strong clinical judgment and patient triaging skills are vital; efficient time management with minimal oversight; communication skills (with other care team members, including physicians); positive phone interaction/customer service; and computer skills.

Ability to work independently and collaboratively within an interdisciplinary team.

Compassion, empathy, and dedication to patient care.

Supervisory Responsibility: This position has no supervisory responsibility.

Work Environment:

May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances.

May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations.

Handles emergency or crisis situations.

Physical demands also include the ability to lift patients, assist with ambulation, walking, carrying, and pushing.

OSHA exposure category 1: Position includes tasks that involve exposure to blood, body fluids, tissues.

Required Personal Protective Equipment as conditions warrant: Gloves, gown, mask, mask with shield, goggles, shoe covers, bouffant cap.

Company Perks:

Two medical, dental, and vision plans; insurance starts on the 1st of the month following the hire date!

Generous paid time off.

$25,000 life insurance policy.

Short and long-term disability.

403b retirement savings with employer match, no vesting required!

Employee Assistance Program

Voluntary benefits: Legal Shield, AFLAC & MASA Transportation.