Pioneer Medical Center is seeking a PRN Registered Nurse to join our Hospice team. We are, essentially, the county hospital for Sweet Grass County, Montana. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, miners, tradespeople and retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded other places. Big Timber is a stable, vibrant and welcoming small town. Our schools are good and welcoming and to new students, with a lot of community & parent support. Our housing prices are very reasonable. Look through our website, the FB groups "Big Timber Community" and "Big Timber Buzz", or call our HR Director at 4O6.93two.46O3 for more information about the area and this role.

Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

The Job Description:




JOB TITLE: Hospice RN On-Call

REPORTS TO: Hospice RN Case Manager SUPERVISES: Hospice Health Aide Director of Nursing



The On-Call RN is responsible for the holistic nursing care of the patient after hours. Maintains excellent relationships with all primary constituencies…patient and families, employees, Interdisciplinary Team (IDG) members, and providers.




  1. Provides skilled nursing care in response to patient/family calls after normal working hours.
  2. Assesses the patient’s and/or family’s needs with particular attention to pain and symptom management.
  3. Implements nursing intervention based on nursing assessment of patient.
  4. Notifies and/or consults with patient’s attending provider, as appropriate.
  5. Obtains and implements provider orders.
  6. Assess patient outcome(s).
  7. Facilitates hospice transfer to inpatient setting, notifying hospital or skilled nursing facility admissions department/supervisor, and/or emergency room of hospice patient’s identity.
  8. May accompany patient/family on transfer to inpatient setting, advocating patient’s desire for palliative care.
  9. Answers patient/family questions and concerns relative to hospice care and services, condition changes, and plan of care.
  10. May attend death, and provides emotional support, post mortem care and assists with the patient discharge.
  11. Actively participates with the IDG in development of care plan as appropriate.
  12. Teaches, supervises and counsels patient/family regarding physical care, symptom management and pain control.
  13. Documents clearly and concisely in a timely manner, nursing care rendered, patient/family observations, teaching plans, consultations, etc.
  14. Assist with the admission process as directed by the DON or designee
  15. Maintains professional and educational knowledge base.

16. Adheres to the organization’s Standard of Conduct and all other policies and procedures.


  1. Sensitivity of the dynamics of death, dying, and bereavement.
  2. Commitment to the hospice philosophy or care.
  3. Current Montana driver’s license and mechanism for transportation.
  4. Effective verbal, nonverbal, and written communication skills and leadership qualities.
  5. Personal qualities enabling him/her to work effectively with patients, families, staff, and providers.
  6. Utilizes proper body mechanics while performing all physical care. Ability to lift fifty (50) pounds and perform personal care on a patient who weighs up to two hundred fifty (250) pounds.
  7. Physical and emotional health necessary for the accomplishment of the job.

8. A desire for continued personal and professional growth and development.


  1. Professional knowledge of nursing theory and practice acquired through an accredited school of nursing.

2. Current Montana state license to practice as a registered nurse


Patient care visits in home, nursing home, and hospital settings.

Category I: Task that may involve exposure to blood, body fluids and/or tissues.

Prepared On: 8-1-2011

Reviewed & Accepted: Mary Ann Finnan, Hospice Program Manager

Effective : 8-1-2011

Employee Signature: ______________________ Date: __________________

The above is intended to describe the general content of and requirements of the performance of this job. It is not intended to be construed as an exhaustive statement of duties, responsibilities, and requirements.

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