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Assess health problems and needs of person(s) served, develop and implement nursing care plans, and maintain medical records. Administer nursing care to person(s) served. Advise person(s) served and staff on health maintenance and disease prevention and/or provide case management.
Essential job Responsabilities
" Regularly attends and actively participates in Team meetings as needed.
" Makes recommendations for nursing objectives/criteria to address needs identified through comprehensive nursing/health
assessments and evaluations.
" Acts as a consultant to other departments to en sure optimum habilitative potential of developed programs and services.
" Works closely with other health professionals/providers in planning, evaluating and implementing programs and services to
address the health needs of persons served.
" May be responsible for personally completing medication administration for a certain number of individuals.
" Ensures the provisions of nursing/health services as outlined in state and federal regulations and divisional directives.
" Ensures the provisions of nursing services/programs as outlined in Individual Program/Habilitation Plan and/or Service Plans.
" Ensures the provisions of nursing/health services ordered by physicians and other health professional consultants.
" Monitors the individual health status through provision of general nursing services as outlined/ordered.
" Reports changes in health status and pertinent information to attending physician, other health professionals, and IDT members as needed and in a timely manner.
" Ensures aggressive management of individual health needs when indicated by possible adverse changes in the medical/health status of a person served.
" Orders, reviews, monitors, and discontinues medications as ordered by the physician.
" Assists in maintaining and updating nursing, pharmacy, infection control, and health and safety policies and procedures.
" Assists in maintaining assigned nursing budget.
" Assists in carrying out and ongoing inservice program of nursing policies and procedures by responding timely to staff memos, providing Orientation to new employees, and conducting routine inservices as assigned.
" Arranges for and ensures completion of specialist, doctor appointments, and follow-ups.
" Works in conjunction with staff in other departments to ensure medical/nursing needs are communicated and monitored, and medical appointments are scheduled and met.
" Checks program/service area on a frequent, but not less than monthly basis (or established area guidelines), to ensure the
necessary medical/nursing supplies are available and in ample supply.
" Monitors incident reporting procedures for timeliness, completeness, and accuracy and examines individuals involved in incidents.
" Works closely with behavior intervention and staff in consulting on psychotropic medications, side effects, and medication
" Coordinates hospital admissions, discharges, and follow-ups.
" Monitors and reports communicable diseases, and works closely with appropriate staff as needed.
" Attends medical/health appointments as needed.
" Ensures the accurate and timely documentation of nursing/health assessments and evaluations.
" Completes TB skin tests and provides Hepatitis B vaccination series for individuals and employees as required.
" Writes and/or ensures monthly progress notes summarizing individual’s current health status for the month, including physician’s visits, dental hygiene visits, and changes in health status.
" Transcribes or ensures physician phone orders, and the transcription of other medically related reports, prior to filing in the
" Ensures the routine documentation of individual’s health status in nurse’s notes.
" Ensures furnishings and equipment are maintained within guidelines established to prevent the spread of disease.
Ensures the overall implementation and practice of infection control procedures.
" Ensures service sites and services provided meet established guidelines for health and infection control.
" May participate in health, safety, and infection control committees as assigned.
" Ensures safety programs, policies, and procedures are communicated to all staff.
" Provides in-service training in areas of health services, to include required OSHA training for bloodbourne pathogens.
" Trains staff on medications and side effects of medications.
" Completes any other medically related training during Orientation as needed.
" Other duties as assigned
Must be 18 years of age and have one year of nursing experience, Supervisory experience preferred.
Degree from an accredited school of nursing.
License as a Registered Nurse (RN), current and in good standing. Valid driver’s license from state of residence.
- Legally authorized to work in the United States
- Reliable transportation to and from work