RN on Demand
Private Nursing Services
PEACE OF MIND STARTS HERE
Welcome
Family owned & operated RN on Demand has one goal in mind: Providing you with the peace of mind that comes from safeguarding your health. Employing scientific and ethical principles, your personal beliefs and values guide our nursing practice as we ensure you receive the care that you deserve.
Whether your needs are few or many, RN on Demand is committed to providing quality nursing services in either your private residence or an assisted living facility. Working closely with your primary care physician, home health, and other members of your healthcare team, our licensed nursing staff makes weekly house calls monitoring your physical and emotional wellbeing. Together, you and your private nurse will create an individualized service plan that will be used to promptly identify and address subtle changes in your health. Assessment results, recommendations, and interventions implemented during these weekly visits will be shared with you, your primary care provider, and a designated family member or medical power of attorney, as appropriate.
Our committed nurses can attend provider appointments where they can help translate medical processes, procedures, and treatments into understandable language. We will make sure your voice is heard and your questions are answered enabling you to make informed decisions about your healthcare. Attending diagnostic testing or helping you prepare for annual exams, advocating on your behalf and in accordance with your life-care wishes, maintaining your safety, independence and autonomy are our highest priorities. Transportation to and from appointments is also available for clients who are ambulatory and/or able to stand and pivot.
Unparalleled in our area, private nursing services provided by RN on Demand offer you peace of mind.
Our Story
This beautiful lady is my 86 year young mother who lives out of state and alone in her private home. A retired nurse in relatively good health, she is determined to remain independent for as long as possible. In the past, her independence and autonomy were both threatened as she struggled to navigate doctor visits, sometimes unwarranted diagnostic testing, post surgical care, her medications and emergency situations. When my siblings and I were not able to reach her on the phone or go with her to the hospital during a medical crisis, we relied heavily on the kindness of her neighbors, friends, and even her housekeeper to check on her wellbeing. The overwhelming anxiety of not knowing where she was or what was happening to her often sent one of us frantically scrambling to be by her side. What we needed was a local patient advocate who was familiar to her: Someone who knew her medical history and would honor her life-care wishes. A registered nurse myself, these personal experiences inspired me to create my own nursing business with your family in mind. RN on Demand has been designed to provide you or your family with the peace of mind that comes from knowing you are well cared for.
Services
Monthly Subscriptions
Weekly assessments with emphasis on your individual needs or concerns are included with your monthly subscription and may evaluate the following:
Vital Signs:
Blood pressure, temperature, pulse, oxygen saturation, pain level
Nutritional Status:
Weight/appetite changes
Availability of food and water
Assistive devices in place: large handle utensils, compartment plates, etc.
Hygiene:
Evidence of bathing/showering
Clean clothes and linens
Condition of living environment
Mood or Disposition:
Pleasant, cooperative, grumpy, tired, confused
Medications:
Demonstration of safe self-administration
Safe storage
Appropriate dose and indication
Supply on hand and refill status
Medication sets filled
Nails:
Trimmed as needed
Diabetic foot assessment
Skin:
Presence of bruising
Pressure ulcer prevention
Wounds - preexisting or new
Ostomy - preexisting or new
Voiding:
Hydration status
Bowel movements
Incontinence products available
Urinary catheters and condition of surrounding skin
Medical Equipment:
Oxygen tanks
Wheelchair
Walker
Shower chair
Bed canes
Walking canes
Lifts
CPAP
Hearing Aids:
Working condition
Batteries available
Eyeglasses:
Current prescription
Working order
Dentures:
Care products available
Monitor gums for pressure ulcer
Working condition
Presence of upper & lower
Mobility:
Assistive device present as needed
Timed Up and Go evaluation completed
Strength:
Establish baseline
Ability to use assistive device(s) safely
Safety:
Fall Prevention
Ability to call for help in an emergency
Running water and heat
Printed copies of evaluations will be available for your records and faxed to your physician by the end of the next business day.
Medical Escort
Our nurses are available to transport ambulatory clients to and from appointments: primary care physicians or medical specialists, diagnostic imaging, annual exams, physical or occupational therapies, infusion therapy, podiatry, ophthalmology, etc.
Medical Companion
RN on Demand can also provide medical companions for local outings such as beauty appointments, shopping, and entertainment.
Subscriptions & Hourly Fees
$500.00 Monthly Subscription
Our monthly subscription provides weekly contact with a licensed nurse. Limiting routine weekly house calls to two (2) hours maximum, care exceeding eight (8) hours per month will be charged an hourly rate of $50.00.
$125.00 Medical Transport
RN on Demand is currently transporting ambulatory patients or those capable of standing and pivoting. Not just providing transportation, we are available to attend your appointment(s) as well. Patients with memory deficits, procedures requiring sedation, family members unable to attend, our nurses are prepared to remain by your side throughout your appointment. Our base rate encompasses a 25 - 30 mile radius from Canby, Oregon.
Appointments over two (2) hours, including travel time, will be charged an additional $50.00 per hour.
Hourly Rates - No Required Minimum
Registered Nurse $75.00/hour
Owners
Kimberly Spangler RN, BSN
I am a proud graduate from and former employee of Oregon Health & Science University. I worked in acute care with patients needing emergency interventions for a wide range of issues including cancer, bowel obstructions, uncontrolled diabetes, pancreatitis, pressure ulcers, hernias, strokes, amputations, mental health disorders, cardiovascular disease, dementia, and delirium, etc. During my 9 years of employment, I was presented with a Daisy Award for exemplary patient care and nominated for Nurse-of-the-Year by my peers. Most recently employed as the resident care manager in a long term care facility, I am quality focused, a creative problem solver, an effective leader, and a strong patient advocate.
Michelle Spangler RN, BSN
I'm a registered nurse with 30 years of experience in healthcare. My practice has involved patients with head-and-neck cancers, neurological conditions such as stroke, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, spinal fusions, etc. I have had the honor of proving end-of-life care for several patients throughout my career at Oregon Health & Science University (OHSU). I have extensive experience as a triage nurse currently working at OHSU within the framework of their developing triage phone system. In recognition of voluntarily serving the hispanic migrant population during the Covid-19 pandemic, OHSU presented me with a Golden Rose Award. I am passionate about patient safety and education, preventative health, mental wellbeing and happiness.
