Registered Nurse

Direct Care Nurse

12-hour shifts - $10,000 sign on bonus

The Direct Care Nurse provides specialized nursing care to individuals with medical and physical disabilities in an Intermediate. This includes performing nursing duties under a person-centered care model, ensuring high-quality care that supports each individual's health plan. The nurse will be expected to work in a collaborative environment with healthcare professionals, caregivers, and families, providing consistent care, support, and advocacy for the individuals in the facility.

Responsibilities

A. Assessment:

• Conduct comprehensive, daily physical and health assessments of assigned individuals to monitor their medical conditions, growth, and development.
• Identify and respond to any changes in the health status of the individual in a timely manner.

B. Monitoring:

• Continuously monitor individuals' health conditions, including vital signs, medication effectiveness, and physical status throughout shifts.
• Regularly review care plans, ensuring that any changes in conditions or needs are addressed.

C. Administration of Medications and Treatments:

• Administer prescribed medications, tube feedings, and treatments in accordance with medical orders and care protocols.
• Ensure proper documentation and tracking of medication administration and treatment outcomes.

D. Documentation:

• Document all nursing interventions, assessments, and any changes in condition accurately and promptly in the electronic health record (EHR).
• Ensure that all documentation meets facility standards and supports quality care delivery.

E. Procedures:

• Provide and assist with medical procedures as needed, including wound care, and tracheostomy care, based on the training and needs of the individual.
• Ensure that all procedures are conducted safely and in alignment with the facility's protocols.

F. Emergency Response:

• Respond promptly and effectively to emergencies, including medical crises or accidents, by providing immediate care and implementing emergency protocols as necessary.
• Maintain readiness to provide care in urgent situations, ensuring the safety and well-being of the individual.

G. Inventory Management:

• Maintain an inventory of nursing supplies and medications, ensuring timely ordering, restocking, and tracking of medical equipment.
• Monitor expiration dates for medications and supplies, ensuring proper handling and disposal according to facility policies.

H. Policy Adherence:

• Adhere to all facility policies, safety protocols, and regulatory guidelines, including those for infection control, emergency procedures, and patient confidentiality.
• Participate in regular audits and reviews to ensure compliance with all policies.

I. Continuing Education:

• Participate in ongoing professional development and continuing education, staying current with best practices in pediatric nursing care, especially for individuals with complex medical needs.
• Attend mandatory in-services, workshops, and additional training as required by the facility.

J. Supervision and Leadership:

• Act as Charge Nurse as assigned, providing leadership and guidance to other nursing staff.
• Provide preceptorship for new nursing staff, supporting their integration into the team.

K. Care Plan Development and Participation:

• Collaborate with the interdisciplinary healthcare team to develop, review, and update individualized care plans (ISP) to meet the evolving needs of each individual.
• Ensure care delivery is consistent with the individualized plans and that all goals are met.

L. Collaboration with Healthcare Team:

• Work closely with physicians, therapists, and other healthcare professionals to coordinate care and support for individuals.
• Communicate any concerns or changes in an individual's condition to the appropriate team members and family members.

M. Advocacy and Support:

• Advocate for the rights and well-being of each individual, ensuring their dignity, comfort, and quality of life are maintained.
• Provide emotional support to both individuals and their families, fostering positive relationships.

N. Documentation and Reporting:

• Document all activities related to nursing care and medical treatments in a timely and accurate manner.
• Ensure proper communication of individual health statuses, treatment outcomes, and progress to families, staff, and the healthcare team

Requirements

Conduct:

• Complies with attendance and punctuality policies.
• Works collaboratively with all team members and is respectful toward families, staff, and visitors.
• Follows instructions with a positive attitude and a willingness to support others.
• Acts as an ambassador for the facility, ensuring a professional demeanor in all interactions.
• Wear appropriate job attire and ID badge as required.

Qualifications:

Education:

• Must be a graduate of an accredited nursing school.
• Must hold a valid, active Virginia LPN or RN license

Experience:

• Preferably one year of experience in pediatric or medical/surgical nursing.
• Experience in care for individuals with complex medical conditions, including those requiring specialized equipment (e.g., tracheostomies), is highly desirable.

Certifications:

• Current CPR certification.
• Additional training and certifications may be required, particularly for specialized care needs (e.g., tracheostomy).

Skills and Abilities:

• Ability to make critical nursing decisions in emergency situations.
• Knowledge and skill in administering medical treatments and specialized nursing techniques.
• Strong communication, leadership, and organizational skills.
• Ability to collaborate effectively with families, team members, and external healthcare providers.

Physical Requirements:

• Ability to lift up to 35 pounds and assist with patient mobility.
• Ability to stand, sit, and walk for extended periods as needed.
• Strong vision and hearing abilities to monitor patient health and ensure accurate assessments.
• Must always wear company-issued ID.

Additional Requirements:

• Flexibility in work hours: Must be willing to work a variety of shifts as required by the facility, including weekends, holidays, and emergencies.
• Ability to work independently and as part of a multidisciplinary team, contributing to a collaborative, person-centered care environment.

Core Values:

• Kind: Providing compassionate care with patience and understanding.
• Compassionate: Responding to the needs of individuals with empathy and genuine concern.
• Person-Centered: Tailoring care to the unique needs and preferences of each individual.
• Engaging: Actively participating in activities that enhance the quality of life of individuals.
• Collaborative: Working together with team members, families, and healthcare providers for the benefit of each individual.
• Fun: Creating an enjoyable, positive environment for both individuals and team members.