Registered Nurse

Overview Oversees all medical aspects of the person supported health. Responsibilities Has at least one face to face contact on a weekly basis with each person supported to ensure physical well-being. Ensures the required medical appointments for each person supported are scheduled based on his/her individual needs and as per regulatory requirements. Ensure all nursing assessments are completed accordingly. Ensure there is an adequate supply of medication for each person supported by completing a medication storage at minimum at least once per month. Ensure persons supported are receiving prescribed medications, treatments and diets as ordered. Reviews all routine, pre- and post-surgical, and Urgent Care/ER visit summaries in their entirety. Document findings/assessments/recommendations accordingly in a nursing note, if applicable. Serves as an advocate for the person supported during their medical care with the prescriber. Maintains a high level of professionalism with the ability to lead professional settings such as audits and participate in conferences representing the agency. Visits the people supported during hospitalizations or nursing rehab admissions to ensure their healthcare needs are being met at a minimum of once a week, or as needed based on the medical necessity and acuity of the person supported. Provide RN Coverage of other I/DD sites deemed necessary. Clinical Responsibilities Actively participates as a member of the person supported program planning team. Ensures that all health and medical-related issues are discussed with the Team to foster awareness and develop a plan of care. Participates in program planning/goal development as it relates to the person supported's health/medical needs. Record Keeping Responsibilities Maintains all mandated medical records: Nursing notes (minimum of once a month) Medical visit summaries Discharge summaries from Urgent Care/ER/Hospitalizations Prescriber's order/script Plans of Nursing Services (PONS) Complete all medical reports for the person supported (CFA, ICFs only, or ISP, IRA only) in a timely manner. Participates in these meetings to provide a medical update to the Team and circle of supports. Responsible for the oversight of person supported charts, including: MAR/Treatment Records (minimum of once a week) Updated Prescriptions/Formulary BM Charts (minimum of once a week) Medical Books Flowsheets including, but not limited to: Vital signs, Blood Sugar Records, Body Check, Head Injury, Seizure, Repositioning, Controlled Substance Count, etc. PONS (updated annually or when there is a change in diagnosis or treatment plan) Participates in the internal auditing process utilizing the Chart Audit Tool on a quarterly basis. Staff Training Responsibilities In-service staff at scheduled staff trainings, staff meetings and shift meetings on: General health issues, including but not limited to Illness Detection, OSHA/Infection Control, First Aid, Diets, Diabetes, Seizures, Epi-Pen, AMAP, Hygiene Issues, etc. Person Supported specific needs, including the procedures/issues that are occurring, the purpose of the procedure/treatment, precautions, and possible side effects of the procedure/treatment. PONS training will occur annually or if there is a change in a diagnosis or treatment plan. Train AMAP staff on responsibilities regarding medication administration. Oversight Responsibilities Ensure that health and safety procedures are being followed according to State and Federal regulations. Triage health concerns of the individuals via telephone and provide directives to the staff as necessary. Direct the staff to utilize Telehealth services when deemed necessary to decrease Urgent Care/ER visits. Supervises the AMAP's dispensing of medication and treatments as per the prescriber's orders. Ensure that medication errors are reported accordingly and the AMAP is trained on ways to prevent medication errors in the future. Performance Maintains a standard of high quality of work and productivity. Has overall knowledge of the person supported: Program Plans Medical Status Day Program Follows through on issues in a timely manner. Demonstrates good judgement and decision-making. Is a good role model for both staff and person supported. Has a good attitude and team spirit. Is flexible and takes initiative. Has good attendance. Responds to directives as per the Nursing Supervisor. Qualifications Licensed RN One year of experience working with people supported with an intellectual development disability preferred Respect for the person supported and embodies the importance of person-first language & the Justice Center's Code of Conduct Valid N.Y.S Driver's License #J-18808-Ljbffr