Nurse, Healthcare Nursing

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Per COMAR, the Organization’s Nurse must be a Registered Nurse (RN). Under the supervision of the Director of Quality Assurance, The Arc Montgomery County Organization’s Nurse is responsible for the nursing care management of people supported by The Arc Montgomery County’s Employment & Meaningful Day and Personal Support programs. The organization’s nurse will not be a direct care provider but will act in monitoring and delegating capacities for employees (CMTs and/or LPNs) who provide direct care.

The organization’s nurse will be advocate for quality health care at The Arc Montgomery County. The organization’s nurse will perform all nursing functions in accordance with current Maryland Board of Nursing (MBON) regulations and as described in The Arc Montgomery County Policies and Procedures.

• Perform comprehensive initial nursing assessment when first assigned to a new person who is supported by The Arc Montgomery County and receives services requiring nurse delegation.
• Based on the initial assessment, write a Nursing Care Plan (NCP) describing the CMTs' intervention step‑by‑step, and document staff training on the NCP.
• Perform 45‑day nursing assessments and revise Care Plan as needed at a minimum of every 45 days for the assigned people by.
• Perform physical evaluations.
• Supervising compliance to MTTP regulations.
• Supervising other medical documentation follow‑up with appropriate staff.
• Monitor upcoming appointments and necessary medical follow‑up with supervisory staff.
• Perform a focused nursing assessment and revise the NCP after a person supported has received urgent care, emergency care, or seen by their PCP and given a new diagnosis, medication or there is an exacerbation of an existing condition within 48 hours.

• Evaluate Professional Medical Order Forms (PMOFs) to ensure Licensed Health Care Providers (LHCPs) order are current and signed by LH CP.
• Compare current PMOF with last PMOF to note changes in medication (i.e., new or discontinued), dosage, discontinuation, and how medication is to be given.
• Check all medication storage of prescribed medications including Schedule 4 for compliance with MTTP regulations.
• Perform 3‑way check of: (1) PMOF; (2) Pharmacy Label; (3) CMT correctly documenting administration of medications and explaining omissions.
• Document any non‑compliance to MTTP and Maryland Board of Nursing COMAR regulations and implement the Medication Error Action Plan as described in The Arc Montgomery County Policies and Procedures.
• Re‑train staff and utilize the Medication Error and Procedures, Section 6:
  Health Care Monitoring to address medication errors made by CMTs.

• Delegate nursing tasks to trained staff as designated by Maryland State Regulations 10.27.11, Delegation of Nursing Functions, and the Nurse Practice Act. This includes:
  Completion of Nursing Assessment forms;
  Completion of Nursing Care Plan and revising as needed;
  Assessment of needed Nursing Delegated tasks to staff; documented training of staff; document supervision of staff competency levels in performing delegated nursing tasks. Transcribe verbal orders from LHCPs onto PMOFs as needed and obtain LHCP signature on an as‑needed basis.
• On an as‑needed basis, will request the needed MTTP training materials from DDA and will conduct the 20‑hour MTTP class and the 4‑hour MTTP Refresher class for agency staff who are required to take this class to fulfill DDA training requirements for their position. On an as‑needed basis, share in the responsibility of nursing coverage with nursing consultants.

• Be available via telephone to answer questions and provide telephone triage to staff regarding health concerns or the people receiving support.
• Use organization’s email and check messages frequently to respond to staff as soon as possible after a message is received.
• Act as a liaison between the person…