Extended Service Unit (ESU) Registered Nurse (RN) | Full-Time | Evenings, Weekends & On-Call

The Staff Pad · Westover Hills, TX Full Time
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Job Description

The Staff Pad is proud to partner with a leading hospice and palliative care provider in the DFW Metroplex, to recruit a compassionate and dedicated Extended Service Unit (ESU) Registered Nurse (RN). As an ESU Registered Nurse, you'll provide compassionate, after-hours nursing care in patients' homes, ensuring continuity of care during evenings, weekends, and on-call hours. You'll perform admissions, respond to urgent patient needs, collaborate with the interdisciplinary teams, and serve as a trusted resource for patients and families. Schedule: Full-Time |7 on / 7 off rotation| Evenings | Weekends | On-Call | What You’ll Do Key Responsibilities Assess patients' physical, psychosocial, and environmental needs while documenting findings and communicating changes Provide after-hours hospice nursing care in patients' homes Ensure continuity of care and support patients and families outside business hours Respond to scheduled visits and urgent after-hours patient calls Complete after-hours hospice and palliative care admissions Develop, implement, and document individualized care plans Provide clinical guidance to Hospice Aides and LVNs Maintain compliance with clinical and payer guidelines Collaborate with physicians, interdisciplinary team members, patients, and families Follow infection control, safety standards, and regulatory requirements Promote the organization's mission, values, and quality standards Participate in ongoing professional development & perform other duties as assigned What We Are Looking For Qualifications Graduate of an accredited Diploma, Associate, or Bachelor's School of Nursing Current Texas Registered Nurse (RN) license 1 of RN experience in a clinical setting required; Hospice experience strongly preferred Current CPR certification; Current TB testing and Hepatitis consent/declination Ability to pass a criminal background check Reliable transportation, valid Texas driver's license, and current auto insurance Additional Requirements Provide care in patients' homes with local travel required Flexible evening, weekend, and on-call schedule Strong communication, and critical thinking skills Ability to stand, walk, lift up to 50 lbs, and assist with patient mobility Work effectively in varying conditions using strong clinical judgment What You Can Expect Competitive salary and mileage reimbursement Meaningful, patient-focused work with an independent field-based schedule Comprehensive medical, dental, vision, and short term/long term insurance 403(b) retirement plan Generous paid time off, 6 paid holidays, flexible days Training and development opportunities Education Reimbursement Assistance Program A mission-driven, supportive work environment If you're passionate about delivering exceptional care and making a meaningful impact, this is your opportunity to make a difference. Apply today and use your compassion and clinical expertise to provide comfort, dignity, and exceptional care to patients and families when they need it most.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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