Registered Nurse - 100FO - Sun-Thurs 7AM-3PM

Essential Accountabilities

• Coordinates medical pre-admission evaluation and screening of prospective people with disabilities.
• Reviews and updates the person’s pre-admission evaluations within thirty (30) days of placement.
• Develops the annual Nursing Care Plan.
• Reviews and revises the Nursing Care Plan at least quarterly.
• Compiles and/or tracks all health problems (acute/chronic) and prepares/updates Nursing Care Plans as needed.
• Transcribes medication orders and dispenses daily medication to all people served as indicated.
• Conducts monthly reviews of the medication record of each person served to monitor potential adverse reactions, allergies, interactions, contraindications, rationality and determine the need for laboratory test modifications.
• Advises the physician of any medication errors or issues and indicates/recommends changes.
• Reviews all consults and/or medical reports with recommendations and meets with the Residence Manager, Nursing Supervisor on a weekly basis to ensure that all follow up is completed.
• Reviews special dietary orders and ensures accurate documentation of blood pressure and weight for each person served.
• Provides first aid and daily nursing care to the people served as needed.
• Makes ongoing care management and treatment of medical issues as prescribed by the Nursing Care Plans and/or physicians instructions, including but not limited to, providing soaks, changing dressings and managing G tubes and colostomy bags etc.
• Escorts/accompanies individuals on medical or psychiatric appointments as needed to ensure appropriate exchange of information.
• Participates in the weekly consult review meetings and ensures that all appointments/evaluations are completed in a timely manner.
• Responds in a timely fashion (within ½ hour) to all contacts from the residence requesting medical consultation/guidance and directs medical intervention until the situation is resolved.
• Serves as assigned on emergency medical response team for the Day Habilitation programs.
• Shares rotating on-call nursing responsibilities for after-hours and weekend medical triage and consultation.
• Ensures that the Residence Manager and staff are appropriately trained on all aspects of care for acute and chronic conditions.
• Provides and documents on-going staff training in the following areas: Detecting signs and symptoms of illness Specific health needs of the people served, such as special protocols Diabetes Mellitus First-aid Proper oral hygiene methods Nutrition Infection control, including universal precautions and OSHA standards. Hospitalization and emergency medical procedures
• Provides AMAP training to Direct Support Professionals; supervises medication administration demonstrations and evaluates their performance on these tasks.
• Provides oversight/supervision of the activities of the Certified Nurse Assistants where appropriate.
• Participates in the prevention of communicable diseases and infections through the implementation of appropriate protective and preventive measures.
• Administers PPD test to staff as scheduled.
• Acts as a liaison with physician, dietitians, hospitals, pharmacies and families for all medical situations.
• Assists the Residence Manager in preparing information for Human Rights Committee and Surrogate Court decisions.
• Participates in Interdisciplinary Team Meetings.
• Attends regular supervision sessions with the Director of Nursing / Nursing Supervisor and keeps him/her informed of all significant developments.
• Attends nursing, team, consult/extended review, ISP meetings and other meetings as deemed necessary by his/her supervisor of the Director of Nursing.
• Serves on agency and department committees as requested.

Qualifications

• Must have a current NYS RN License.
• Minimum one year of experience.
• Experience working with people with intellectual/developmental disabilities preferred.