REGISTERED NURSE - Shenandoah House RN (PRN)

Augusta Health Fishersville, VA 22939, US

We are currently seeking a Registered Nurse (RN)
to join the Hospice care staff in the Shenandoah House at Augusta Health.

Overview

At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley.

Learn more about career opportunities on our Careers Page.

Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority.

Why Join Augusta Health?

We believe in taking care of the people who care for our community. That’s why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being, career development, and work-life balance. Whether you're launching your career or bringing in years of experience, we provide the tools, resources, and encouragement to help empower you to reach your full potential — personally, professionally, and financially.

Explore our Benefits, current Hiring Incentives, and our Taking Care of Us initiative — which embraces Belonging, Respect, Inclusion, Diversity, Growth, and Equity (B.R.I.D.G.E.) — to see how we invest in our team members and culture.

Total Rewards & Benefits (may vary by position)

Comprehensive insurance package including medical, dental, and vision coverage
Retirement savings plans and financial wellness support programs
Generous paid time off and flexible scheduling to promote work-life balance
Career development programs including clinical ladders, shared governance, and advancement opportunities
Personalized onboarding with dedicated preceptors and ongoing educational support
Tuition reimbursement and access to onsite childcare
Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
Competitive pay with shift/weekend differentials
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

Full details are available on our Benefits Page.

Job Summary

The Registered Nurse (RN) is responsible for the delivery of patient care for assigned patients on a specific shift working at the Shenandoah House. Coordinates with the Hospice Care Manager on the nursing plan of care as well as carrying out provider orders and nursing standards of care using the nursing process. Collaboration with the hospice IDT, medical director, and providers to ensure quality care at end of life. Also directs and guides other members of the patient care team.

This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.

Essential Job Duties

Medications
- Completes 5 Rights with 100% compliance. Knowledge of medications used.
- Knowledge and use of high-risk medications.
- Ability to perform calculations for mixtures/solutions.
- Follows policy for bar code scanning with high level of compliance.
Implement
- Implement clinical and technical aspects of care in accordance with established standards, policies, and practice guidelines.
  - Observed to anticipate patient’s potential complications and need for appropriate preventive measures.
  - Demonstrates strong clinical skills in technical aspects of care, pain management, systems assessment, and patient satisfaction.
  - Demonstrates proficiency in starting IVs and phlebotomy and follows hospital policy and procedure.
  - Maintains patient safety.
  - Maintains patient confidentiality.
  - Provides patient education appropriate to age and knowledge level of patient.
  - Demonstrates proficiency in computer applications necessary to perform the job.
  - Coordinates care through use of interdisciplinary services as needed.
Personal Safety
- Consistently uses Personal Protective Equipment including eye protection when appropriate.
- Maintains organization and safety in the physical environment of care.
- Demonstrates knowledge of proper body mechanics.
- Utilizes Safe Patient Handling devices correctly to minimize risk of injury.
- Disposes of sharps and infectious waste appropriately.
- Maintains calm and safe approach with those patients that display violent or aggressive behavior.
Patient Safety
- Demonstrates knowledge of patient two unique identifiers.
- Utilizes SBAR approach to patient hand off communication.
- Follows policy and procedure in the administration of medication.
- Abides by policies/procedures for Isolation.
- Consistently follows CDC guidelines for hand hygiene.
- Knowledgeable of their role in patient evacuation plan.
- Utilizes Safe Patient Handling Equipment appropriately
- Documents appropriately by not using an abbreviation from standard "......Do Not Use Abbreviation List..."...
- Implements fall preventions.
- Assure patient rounds by policy.
- Involve family in prevention measures.
- Demonstrates appropriate use of restraints.
- Provides written plan of care based on patient problems/diagnosis.
- Assures intervention list up to date.
- Labels all specimens appropriately at bedside.
- Completes "Time Out" and documentation for all invasive procedures.
Assess/Plan- Assess and develop individualized needs and plan of care:
- Assessments are complete and appropriate for patients age, special care needs, and patient's knowledge level, psychosocial, emotional, physical, and spiritual status.
- Reassessment is timely and performed as patient condition warrants.
- Consults with and educates the patient and family regarding disease process, end-of-life care, nutrition, and dietary needs. Prioritize any needs with the members of the IDT. Provide training to other team members as needed.
- Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patients and family, and return demonstration if appropriate.
- Responsible for improving patient outcomes and comfort at end-of-life.
- Responsible for fiscal utilization of services/supplies per patient.
- Documentation of assessment is timely.
- Communicates assessment data as necessary to interdisciplinary team members including attending provider and hospice medical director.
- Informs physician/provider and other team members of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care.
Personal Growth
- Assumes responsibility for own personal education and developmental needs.
- Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education.
- Displays positive attitude and flexibility toward work unit.
- Cooperates with interdisciplinary team members and other units to meet the needs of the patient.
- No complaints from patients/family, other units, providers, or team members.
- Attends 50% of staff meetings.
- Attends in-services as required or requested by clinical coordinator.
QI- Participate in quality improvement processes.
- Participates in team member engagement projects.
- Assist Clinical Manager on quality improvement projects when requested.
- Knowledge of unit PI projects.
- Participation in hospice QAPI plan and meetings as needed.
- Provides suggestions for cost containment.
- Assist unit in ACHC preparedness by maintaining environment and practicing within established standards.
- Knowledge of state and federal hospice regulations and ACHC standards as it relates to everyday work practices.
- Awareness of patient/family satisfaction goals to meet individual patient needs on a daily basis.
Leadership- Demonstrates effective skills to be a leader within the unit.
- Able to function as a team leader ensuring optimal patient care while supervising the work of other nurses and supportive nursing staff.
- Demonstrates ability and knowledge to be a resource and mentor for other staff.
- Minimizes absences and reports to work in a dependable manner.
- Communicates effectively with physicians utilizing SBAR approach.
- Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations.
- Maintains responsible attitude towards management and cost containment.
- Serves on organizational committees as requested by Department Director.
- Participating in Clinical Ladder is encouraged.
- Attaining certification in hospice and palliative care (CHPN) is highly encouraged.
- Mentor, educate, and support new team members and students.
Evaluation- Evaluate patient outcome:
- Updates plan of care based on continuing assessment of patient outcomes.
- Documentation reflects nursing interventions, patient responses, as well as follow through with patient outcomes.
- Responsible for improving patient outcomes and comfort at end-of-life.
- Responsible for fiscal utilization of services/supplies per patient.
- Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process, seeking feedback from patient and family, and return demonstration if appropriate.

Required Qualifications

Education: Nursing Diploma and/or Associate Degree in Nursing.
Licensure/Certification:
- Current and valid Registered Nurse in the Commonwealth of Virginia or from a state that is part of a compact agreement with Virginia.
- CPR-Basic Life Support Healthcare Provider certification (BLS HCP)
Experience: Requires at least one year of recent Medical/Surgical/ICU experience.
Driver's License: Yes
- To drive an Augusta Health Vehicle, must also be 21 years old and Motor Vehicle Record (MVR) must be approved by Risk Management.
Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications

Education: BSN, MSN
Licensure/Certification: Certified Hospice and Palliative Nurse certification (CHPN) preferred.
Experience: Hospice experience
Prior experience in a hospital, healthcare system, or related service-oriented environment
Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

Competencies, Knowledge, Skills and Abilities

Unit and annual competencies to be completed each year
HIPPA - no breaches of confidentiality. No related complaints voiced on patient/family satisfaction surveys. No related complaints voiced by fellow care providers of observed incidences.
Knowledgeable of location and content of departmental policies and procedures
Nurse Practice Act-Scope of Practice
Basic computer skills
National Patient Safety Goals
Clinical competence in all aspects of the unit
Ability to work under stressful situations to meet patient and family needs

About Augusta Health

Augusta Health is an independent, nonprofit, mission-driven health system located in Fishersville, Virginia, in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center—a 255-bed facility—and Augusta Medical Group, which operates 40 practice locations and four urgent care centers. Our commitment to excellence, innovation, and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.

Discover more about our history, values, and community impact on our About Us Page.

Equal Opportunity Statement

Augusta Health recruits, hires, and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.

We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.

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