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Form of workSalary Range: $30.00 - $33.50 Per Hour
Demonstrates sensitivity and the respect for the cultural diversity of others
Follow the responsibilities, as necessary, of a mandated reporter
Physically examines and determines health status for all residents upon admission, on a regular basis and as needed. Develops a rapport with each resident living in the houses assigned to support by interacting regularly with each resident in their home environment.
Accurately and consistently completes all required documentation practices, in a contemporaneous manner, utilizing the PrecisionCare software and in written form, when necessary.
Is available to staff, on a rotating on-call basis for triage purposes and notifications. On-call responsibilities are approximately one week per month according to an established schedule created by the Operations Manager with input from the Residential RNs. Maintains contemporaneous electronic documentation of all calls received and RN directives given in PrecisionCare. See "Residential Nursing Coverage" in the Community Services Protocol and Procedure Manual for specific on-call expectations.
Reviews on-call nursing notes entered into PrecisionCare on a daily basis, when not the scheduled on-call RN, and follows up when necessary. Reviews and updates the "On-Call Helpful Hints" document on a quarterly and as needed basis. Communicates new and/or pressing medical/health/illness information to the on-call RN via email.
Maintains accurate and up-to-date health information files on all residents.
Develops and maintains appropriate written general and resident-specific Plans of Nursing Services (PONS) as dictated by OPWDD regulations.
Initially, and then annually thereafter, assess each resident’s ability to self medicate in the form and format required by OPWDD. Subsequently develops appropriate objectives in this area according to skill level.
Develops and updates specific medication information.
Coordinates the medical/health related services (i.e., medical appointments), makes service reports in the resident’s electronic medical chart, and maintains effective communication with the PCP and all Specialists that are involved in the health care of each resident.
Accompanies residents to appointments as needed. Works with the Residence Manager to ensure appropriate staffing levels for all appointments. Shares all necessary information with direct support staff and the Residential Team as a result of any medical appointment.
Is available for hospitalization discharges of all residents, when possible. Works with the other RNs and/or Residence Manager to coordinate RN coverage when not available.
Reviews and records monthly doctors’ orders, reviews and prepares monthly MAR sheets including controlled drug sheets, home med sheets and key transfer.
Administers medically prescribed medications to the residents.
In conjunction with all Residential Nurses, provides for the teaching of the NYS OPWDD Medication Administration Course to appropriate residential staff.
Oversees AMAPs in medication administration responsibilities. Provides medication administration re-certification to all AMAPs on an annual basis.
In conjunction with the Residence Manager, follows up on all medication errors as dictated by Agency policy.
Maintains medical cabinet with all medically approved medications, supplies and equipment as per OPWDD regulations.
Maintains ongoing and effective communication with the nursing staff at each resident’s school/day program. Provide and accurately record any medications for school/day programs with school/day program nursing staff.
Participates on the Residential Interdisciplinary Team to establish, implement and maintain appropriate therapeutic programming for all residents.
Attends all case reviews, provides written reports on the progress of each resident.
Attends and participates in all team/program meetings and other meetings as requested. Works with the Residence Manager and QIDP to schedule and provide in-service training sessions for residential staff as dictated by OPWDD regulations. Specifically responsible to see that direct care residential staff receive training in detecting signs of illness or dysfunction that warrant medical or nursing intervention, basic skills required to meet the health needs of the residents, first aid and other health related areas.
Monitors control of communicable diseases and infections, through identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventative measures.
In conjunction with the Residential RNs and Operations Manager, develop and maintain all necessary medical, health and safety protocols and procedures as dictated by OPWDD regulations.
In conjunction with the Residence Manager, ensure that all medical, health and safety procedures are implemented as written.
Participates as an active member of the Residential Safety Committee.
Reviews all Incident reports and provides necessary medical attention and follow-up to injuries.
In conjunction with the Residential Manager, oversee and direct the DSP II Medical Liaison.
Monitors and maintains accurate data on staff required health testing mandated by the Department of Health.
Maintains CPR and First Aid Instructor certification, as requested by the Director of Community Services.
Other duties may be assigned.
Qualifications, Experience and Training
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A valid NYS license with an acceptable driving record according to MCCC guidelines is required.
Associate's degree from a two year college or university un Nursing is require. Bachelor’s degree (B.S.) from a four year college or university in Nursing is preferred. Certified by New York State as a Registered Nurse. One to two years related experience and/or training is preferred. Experience with individuals with developmental disabilities is desired.
Must maintain New York State Registered Nurse Licensure, Agency-Approved Driver status, certification in CPR, First Aid, SCIP-r and all other training mandated by OPWDD regulations. Must obtain OPWDD Nursing Certification.
Must have the ability and temperament to work effectively with youth and young adults who have developmental disabilities. Must be able to work alone and in a team oriented environment, possess strong communication skills including communicating effectively amongst staff, exhibit patience, be an effective trainer, etc.
Ability to read and interpret documents such as safety rules, protocol and procedure manuals. Ability to write routine reports and correspondence. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to speak effectively before groups of people. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
