Registered Nurse-77542101

divh2Registered Nurse/h2pLocation: Bronx 10466/ppSchedule: Full-time 40 hours/ppEssential Job Functions:/pulliParticipates in the pre-admission evaluation study and plan; the evaluation study, program design and placement of the resident at the time of admission to the residence; the periodic reevaluation of the type, extent and quality of services and programming; and the development of discharge plans and referral to appropriate community resources/liliBased on a comprehensive review of the clients overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the clients comprehensive treatment plan. Ensures, plans of nursing intervention include consideration of the clients cultural and ethnic background, customs, needs, beliefs, and primary language./liliDevelop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needed and selection of nursing procedures and practices which will best serve the residents health care needs./liliDevelops, nursing assessment to reflect holistic needs of each client with consideration of his/her psychological, physiological, social, ethnic, cultural, educational and spiritual strengths and needs./liliOversees the direct implementation of nursing care to ensure that it is carried out in accordance with the plan of nursing intervention, and overall treatment/service plan, and to ascertain if the needs of the client require modification of the plan./liliCoordinates nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan/liliParticipates at team meetings and provides nursing input on the development and implementation of treatment/service plans./liliConduct in-service training with regard to personal hygiene, medication administration, family life and sex education. Supervise medication administration practicums and sign off on medication administration monthly./liliControl communicable diseases and infections through: identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures./liliRecord on the residents medical records nursing observations and action taken, such as nursing care given, medications and treatments given, reactions to treatments, tests, the intake and output of fluids and solids and the residents vital signs. Record nursing needs of residents./liliModify the nursing plan, in terms of the residents daily needs, at least annually for adults in accordance with developmental and medical changes./liliBe available for on-call duty and to work varied shifts as the need arises./liliWork with all consulting and/or contracted medical service providers to in-sure appropriateness of service to insure that recommended treatments are appropriate and are carried out, integrated and documented into the treatment plan./liliEnsure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs./liliAccount for the issuance of controlled drugs and narcotics and inventories of these drugs./liliEnsures resident protection from health hazards such as transmission of infectious organisms, isolation of infected residents and use of properly sterilized equipment when its use is necessary./liliProvide appropriate information to the resident and family about such areas as sustaining and preventive health care, personal hygiene, methods of family or self-treatments, self-medication and possible side effects of medications./liliServe as liaison, residents interpreter with outside health services providers and escort residents to services as needed./liliTrain designated staff, by way of demonstrations and written and oral instructions, in the performance of select nursing techniques and the use of nursing equipment, and client specific condition trainings./liliProvides health education/teaching for clients and their families./liliParticipates in risk management and quality assurance concerning health related issues./liliProvides emergency care and crisis intervention/liliAccesses medications and observes and records effects and side effects./liliParticipates in professional activities to improve personal skills and knowledge./liliProvides Nurse Vacation coverage, phone availability during workday hours, and a minimum of one site visit at covering site, for Nurse Responsibility review and weekly reporting./liliIDD Division Nursing Triage Service - After Hours, Weekends, and Holidays (5pm 9am) On a pre-determined rotation, across all IDD Nurses/liliPerforms other related duties as assigned./li/ulpAdditional responsibilities of the Residential Nurse in the IDD Division:/pulliConsumer Medical Records-Maintain medical record of each individual and ensure all appointments occur as prescribed and on time/liliSchedule and coordinate all medical appointments in conjunction with Medical Specialist/liliFollow up on all Medical Doctor recommendations following every appointment/liliEnsure follow up on all medication changes, making sure the order has been sent to the pharmacy, Medication Administration Review has been updated, medication change log updates, bright colored posting of information has been placed and the information transcribed in the AMAP communication log/liliConducting weekly medical meetings( to occur every Wednesday)/liliReview all consults and ensuring compliance with all recommendations/liliEnsure the updating of the Appointment Tracking Log as it is a IDD Division System/liliComplete Residential Nurse Progress Note and filing all consults once the progress note has been written/liliReview and edit MARS Monthly upon delivery/li/ulpMedication- Responsible for Medication Administration without Error:/pulliEnsure all AMAP Certifications are current/liliSchedule and conduct all recertification pourings/liliEnsure all medication supplies of each consumer is present and labeled according to doctors orders/liliEnsure the consumers Medication Administration Review is updates according with all medication changes, neatly organized with formularies and doctors order attached/liliAt least once per week, conduct a full 100% audit of all consumers medication and document results on the IDD Division Medication Regimen Review Checklist. Follow up on any discrepancies immediately./liliEnsuring an adequate refill supply at all times by logging into refill alert and communicating with the pharmacy and medical doctor as necessary/li/ulpMedical Assessments:/pulliAnnual, Semi, Quarterly, Self-medication assessment, 24 hour Nursing Care and Medicaid Certifications as needed/li/ulpConsumer Weights:/pulliComplete within the first 7 days of the month and follow up on any significant increases or decreases immediately/li/ulpBowel Movement:/pulliEnsure Consumers bowel movement are charted consistently and implementing prescribed protocol should any discrepancies be noted/li/ulpWeekly Medical Reports:/pulliTo be disseminated at the end of each week to the team. Capturing a recap of all appointments from the week and all follow up recommendations./liliTeam members include: Manager, Assistant manager, QIDP, Medical Specialist, Senior Vice President, Area Director, Director of Nursing, Behavior Intervention Specialist, Director of Food and Nutrition and Consulting Dietician/li/ulpStaff Training:/pulliConducting AMAP refreshers at least quarterly and other in-services of consumer protocols as needed./li/ulpEssential Knowledge, Skills and Abilities:/pulliKnowledge of professional nursing concepts, principles and practices./liliKnowledge of concepts and principles from the biological sciences that is supportive of nursing practice/liliKnowledge of concepts and principles of health promotion and disease prevention./liliKnowledge of abnormal signs and symptoms relating to physical and mental illness, as well as indicators of wellness/liliKnowledge of medications and drugs, common dosages, their psychological, physical and physiological effects and possible adverse reactions./liliKnowledge of emergency treatments and interventions./liliKnowledge of teaching and consulting techniques./liliKnowledge of the Agencys routines, procedures and policies./liliKnowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence./liliAbility to recognize changes in signs and symptoms that warrant the immediate action of a physician./liliAbility to develop, evaluate, implement and modify a plan of nursing intervention to meet the needs of individual clients./liliAbility to secure the cooperation of and work effectively with others. Ability to prepare accurate and timely reports./li/ulpQualifications and Experience:/ppNew York State License and current registration to practice as a registered/p/div