Registered Nurse

Responsibilities

• Oversees all medical aspects of the person supported health.
• 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 individual needs and regulatory requirements.
• Ensures all nursing assessments are completed accordingly.
• Ensures there is an adequate supply of medication for each person supported by completing medication storage at least monthly.
• Ensures 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. Documents findings/assessments/recommendations in a nursing note, if applicable.
• Acts as an advocate for the person supported during 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 met at a minimum of once a week, or as needed based on medical necessity and acuity.
• 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 orders/scripts, Plans of Nursing Services (PONS).
• Completes all medical reports for the person supported (CFA, ICFs only, or ISP, IRA only) in a timely manner. Participates in meetings to provide a medical update to the team and circle of supports.
• Oversees charts, including:
• MAR/Treatment Records (minimum of once a week)
• Updated Prescriptions/Formulary
• BM Charts (minimum of once a week)
• Medical Books
• Flow sheets including 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)

STAFF TRAINING RESPONSIBILITIES:

• In-service staff at scheduled trainings, staff meetings and shift meetings on general health issues (illness detection, OSHA/infection control, first aid, diets, diabetes, seizures, Epi-Pen, AMAP, hygiene issues).
• Staff to understand person-supported needs, procedures/issues, purposes of procedures/treatments, precautions, and possible side effects.
• PONS training annually or when there is a change in diagnosis or treatment plan.
• Train AMAP staff on responsibilities regarding medication administration.

OVERSIGHT RESPONSIBILITIES:

• Ensure health and safety procedures are followed according to state and federal regulations.
• Triage health concerns via telephone and provide directives to staff as necessary.
• Direct staff to utilize Telehealth services when appropriate to decrease Urgent Care/ER visits.
• Supervise AMAPs dispensing of medication and treatments as per prescriber orders.
• Ensure that medication errors are reported and the AMAP is trained on prevention measures.

PERFORMANCE:

• Maintain a standard of high quality of work and productivity.
• Have overall knowledge of the person supported (program plans, medical status, day program).
• Follow through on issues in a timely manner.
• Demonstrate good judgment and decision-making.
• Be a good role model for both staff and person supported.
• Maintain a positive attitude and team spirit.
• Be flexible and take initiative.
• Respond to directives as per the Nursing Supervisor.

QUALIFICATIONS:

• Licensed RN
• One year of experience working with people supported with an intellectual/developmental disability preferred
• Respect for the person supported and embodiment of person-first language & the Justice Center's Code of Conduct
• Valid New York State Driver's License

Yes. Yes, 25% of the time

High School or better.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.