RN On-Call

Guardian Healthcare · Richardson, TX Full Time
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Job Description

On-Cal l Registere d Nur s e – H o spice JOB DESCR I P T ION SUM M ARY The On-Call regi s t e red n urse p rovides home hea l th c a re an d i s exper i en c ed i n nursin g , w i t h emphasi s on community health educ a tion/exper i ence. The professional nurse bui l ds fr o m the resources o f the c o mm u nity t o pr o vide serv i ces to meet the nee d s o f individuals and f a mi l ies w i thin their h o me s and c ommunitie s . ESSENT I AL JOB FUNCTIONS/RESPONSIBILITIES Patient Car e 1. Completes i nitial, comp r ehensive, and ongoing a s sessments o f patient and fami l y t o determine hospice needs. P rovides a c o mplete physical asses s ment and history o f current. and previou s il l ness (e s ). 2. Provides professional nursing car e b y util i zing al l element s of the nursing pro c ess. 3. Assesses and evaluate s patient’ s s tatu s b y : A. Contribute s to the plan of c a r e. B. Participating i n revis i ng the plan of care a s nece s sar y 4. Uses health a sses s ment data t o determine nursi n g diagnos i s. 5. Contribute s t o th e c a re plan that e s tabl i shes goals, base d on nurs i ng diagnosis and incorporat e s pal l iative nursing a c t i ons. I n cludes the patient and the fami l y in the planning proces s . 6. Initiate s appropr i ate p re v entive and rehabi l itative nursing procedure s . A d minister s medicat i ons and tre a tm e nts a s pr e scribed b y the physi c ian i n th e physic i an’s plan of care. 7. Counsel s the patient an d fami l y i n m e eting nurs i ng and related nee d s. 8. Adhering to the organiz a tion’s documentatio n an d care proced u re s and s tandards o f personal and p rofessional conduct. 9. Provides healt h care instruction s t o the pat i ent a s appro p riate per a s ses s ment and plan. 10. Assists the patient and/or c a regiver/f a mi l y w ith t h e act i v i t i e s of dai l y l iving, prov i sion and education, and fac i litate s th e patient ’s efforts tow a rd maintaining independence for a s l ong as possible and optional comfort c a re. 11. RN w i ll act as Cas e Manager unti l a C ase Manager is assigned b y Cl i nical Supervisor or designee and assumes responsibi l ity to coordinate patient car e for assigned patient. Communication 1. Completes, maintains, and subm i ts a c cur a te and relevant cl i nical note s regarding patient’ s condition and c a re given. Rec o rds pain/sympt o m management changes/ o utcomes a s appropriate. 2. Communicat e s w ith the physician regardin g th e patient’s need s and report s change s i n th e pat i ent’s conditio n ; o b tains/receive s physic i ans’ order s as required. 3. Teaches the p a tient an d fami l y/c a regiver self-car e technique s as ap p ropr i ate. Pr o vides medicat i on, diet and o t h er instru c tions a s ord e red by the physi c ian and r e cognizes and util i zes opportun i ties f o r health counseling w i th p atients and famil i es/car e givers. Work s in concert w i th the interdis ci plinary group. 4. Provides and maintain s a safe enviro n ment f o r t h e patient. 5. Assists the patient and fami l y/caregiv e r and other team m e mbers in p rov i ding c

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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.

About This Employer

Guardian Healthcare is a Branch Agency located in Richardson, TX at 1500 N Greenville Ave, Ste 270.

View Full Guardian Healthcare Profile → See all openings at Guardian Healthcare →

Employer profile provided by DFW Senior Living Guide

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.

Facility Snapshot

Facility Type Branch Agency

1500 N Greenville Ave, Ste 270, Richardson, TX 75081

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