RN (P​/T) Residential Group Home

Job Description

AHRC NYC is looking for Part-Time Registered Nurses (RN) for their IRA Group Home residences in QUEENS, MANHATTAN and the BRONX. The RN will evaluate and monitor health and safety needs of individuals with developmental disabilities to promote wellness. They will ensure that these services are in compliance with all federal and state regulations as well as agency policy.

Pay Rate: $48-$50 per hour

Schedule:

8-20 hours/week, flexible schedule.

• Coordinate medical care for assigned individuals, monitor and assess health needs including arranging for follow-up care as needed.
• Assess health status by direct observation of the consumer.
• Observe for signs and symptoms of discomfort, distress or illnesses.
• Evaluate changes in physical status for exacerbation of existing conditions, onset of disease and/or responses to care and treatment.
• Document and follow up on all findings.
• Communicate with physicians, families, interdisciplinary team members and clinicians involved in providing services to individuals.
• Follow up on consumer hospitalizations, emergency room visits, reports of injury, trauma, accidents, illness, distress and other health issues as required.
• Accompany individuals on medical appointments when necessary to advocate for and discuss health issues.
• Communicate results to team members.
• Handle urgent/emergent situations with phone calls outside of routine working hours regarding the caseload.
• Attend meetings with management, staff, families and clinicians to discuss health-related issues regarding the consumers served.
• Develop and update individual‑specific nursing plans and protocols to reflect changes in consumer status.
• Supervise AMAP administration of prescribed medication and routine treatments in accordance with federal and state regulations and agency policy.
• Administer STAT medication and treatments as prescribed.
• Participate in in‑services and train AMAPs as needed.
• Process AMAP certification, recertification and de‑certification as necessary.
• Regularly review medication administration records (MARs), treatment and adaptive equipment records, logs documenting vital signs, elimination, glucose readings, weight, menses and other records as specified.
• Report significant issues to appropriate clinicians and team members, including need for ordering medications, renewing or updating prescription orders and providing drug information sheets.
• Monitor and manage medication storage and disposal procedures in accordance with federal and state law.
• Monitor consumer dietary and nutritional needs.
• Provide in‑service support to staff in managing special meals and feeding of individuals served.
• Observe meal times for appropriate food choices, portions and use of adaptive utensils.
• Participate in re‑admission intake review with preparation of a preliminary plan based on available health records.
• Participate in discharge planning meetings, including writing recommendations for referrals to other agencies and following up on the plan of care.
• Write individual progress notes, annual nursing assessments/summaries for each individual and submit them for physician review and signature as needed.
• Ensure referrals are made for routine and special medical services and follow up afterward to ensure the recommendations and orders are carried out and managed.
• Monitor infection control, environmental changes, and ensure compliance with OSHA mandates regarding universal precautions.
• Order and maintain necessary first aid and medical supplies.