Clinical Nursing Supervisor Respite Care

Position: Clinical Nursing Supervisor for Respite Care
Location: New York

An RN shall be responsible for the clinical nursing supervision of unlicensed Direct Care Staff in the performance of nursing tasks and activities. It shall be the responsibility of the agency to ensure that all staff is adequately trained regarding the elements of clinical nursing supervision, and the difference between clinical nursing supervision and administrative supervision. Adequate nursing supervision is the provision of guidance by an RN for the accomplishment of a nursing task or activity including:
Ensuring initial training of the task or activity occurs;
Periodic inspection of the actual act of accomplishing the task or activity;
Evaluation of the outcome for the consumer; and Availability for consultation and intervention as needed.

It is the responsibility of the RN to exercise his/her judgment as to the type and frequencyof supervision that is required. In determining the type and frequency of supervision required, the RN must consider:
The complexity of the task:
The skill and experience of the staff involved; and The health conditions/status of the consumer receiving the services.

Frequency of visits:

The frequency of visits by the RN providing clinical nursing supervision to IRA’s designated as an FSR center shall be at the discretion of that RN, but in no case shall visits occur less frequently than once a week when in operation. Such visits shall occur when individuals receiving respite are present in the facility.

Professional nursing availability:

There shall be am RN available to unlicensed direct care staff during all hours that they are on duty at the FSR center. The RN must be either on site or immediately available by telephone defined as responding within thirty (30) minutes. The RN assigned to the FSR, or during hours that this RN is not available, the RN on-call will be immediately notified of changes in medical orders for a consumer and/or of changes in a consumer’s health status.

Plan of nursing services.

The RN is responsible for ensuring that there is an appropriate individualized plan for nursing services for any consumer who requires nursing care at the IRA’s designated as a FSR center, including those who require medication administration for diagnosed medical conditions. Such plans will be reviewed and updated each time the individual is admitted for respite services, or if there is a significant change in the consumer’s condition during the respite session.

For scheduled respite, at least one week prior to an initial admission, the personrequesting the respite shall provide the following information:
Most recent annual physical with a list or current diagnosed medical conditions,including any known allergies and information related to special precautions suchas limitations on activities, weather precautions, etc. Any recent illnesses including known exposures to communicable diseases. List of all current physician’s/health care providers. Prescriptions/orders for all medication, including over-the-counter and as needed(PRN) medication that the consumer is receiving, including any information related to medication allergies.

Prescriptions and/or orders may be written by anyperson authorized to prescribe (e.g.; physicians, dentists, registered physician’sassistants, nurse practitioner’s, Orders for any treatments that the consumer may require during the respitesession. Immunization records, including date and result of last PPD. Information related to the individual’s diet, food likes and dis-likes, foodallergies, special dining equipment and/or precautions, history of difficultyswallowing or choking.

Information on the person’s sleeping habits, toileting needs, personal hygiene,communication adaptive equipment needs, safety needs, any special supervisionconcerns in the home or in the community, travel safety needs. Name of person who can give informed consent for medical or dental treatment,and contact person’s name (s) and phone number (s). The contact person must bea person who is ready, willing and able to care for the individual should the individual becomes ill to the extent that they can not continue the respiteexperience.

The RN shall review the…