Private Duty Overnight Nurse; RN​/LPN

Job Description

Private Duty Overnight Nurse (RN/LPN)

Schedule: 8:00 PM – 8:00 AM | 12-Hour Overnight Shifts
Location: Private Residences – Michigan and Florida
Travel: Required, including domestic and overnight travel
Employment Type: Private Household Employment

Position Overview

We are seeking an experienced, compassionate, and highly dependable Private Duty Nurse (RN or LPN) to provide overnight care for a private individual.

The ideal candidate must be attentive, proactive, organized, and experienced in caring for individuals with complex medical needs, including mobility limitations and medication management.

This position requires someone who can work independently, exercise sound clinical judgment, maintain professional boundaries, and communicate effectively with the individual's healthcare providers, nursing team, and household staff.

The position also requires flexibility to travel with the employer, including between residences in Michigan and Florida.

Primary Responsibilities

Medication Management and Administration

• Administer all prescribed evening medications according to physician orders and established medication schedules.
• Administer all scheduled morning medications before the conclusion of the 7:00 AM shift, when due and authorized.
• Maintain accurate medication administration records (MAR).
• Monitor for adverse medication reactions, side effects, or changes in medical condition.
• Document and report medication refusals, discrepancies, and requests for additional medications.
• Maintain appropriate medication security and storage.

Medication Safety and Professional Boundaries

• Administer medications strictly according to physician orders and the established care plan.
• Never administer additional, unauthorized, or early doses of medications solely at the patient's request.
• Follow established protocols for controlled substances, PRN medications, and medication requests.
• Refer medication requests outside existing orders to the appropriate prescribing physician or authorized medical provider.
• Immediately report medication-related concerns to the designated nursing supervisor or care manager.
• Maintain professional boundaries and adhere to all established medication safety protocols, regardless of patient requests or outside influence.

Overnight Nursing Care and Monitoring

• Monitor the individual's overall health, safety, and comfort throughout the overnight shift.
• Provide assistance with mobility, transfers, repositioning, and toileting as needed.
• Observe and document changes in physical condition, cognition, behavior, or other medical concerns.
• Follow established fall-prevention and safety protocols.
• Respond promptly and appropriately to medical concerns or emergencies.
• Maintain a safe and organized patient care environment.
• Remain awake, attentive, and available to provide care throughout the scheduled shift.

Personal Care and Morning Assistance

• Assist with bathing or showering as needed, following established safety precautions.
• Provide assistance with dressing, grooming, and personal hygiene.
• Assist with getting out of bed, mobility, and transfers as appropriate.
• Help prepare the individual for the day while promoting dignity, comfort, and as much independence as possible.
• Ensure that scheduled morning medications and necessary care activities are completed before the conclusion of the shift.
• Communicate any outstanding care needs to the incoming day-shift nurse.

Communication and Documentation

• Maintain complete and accurate daily nursing notes.
• Document medications administered, care provided, observations, and changes in condition.
• Follow established nursing documentation and shift handoff procedures.
• Provide thorough communication to the incoming nurse regarding overnight events and medical…