Nurse

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Per COMAR, the Organization’s Nurse must be a Registered Nurse (RN). Under the supervision of the Director of Quality Assurance, The Arc Montgomery County Organization’s Nurse is responsible for the nursing care management of people supported by The Arc Montgomery County’s Employment & Meaningful Day and Personal Support programs. The organization’s nurse will not be a direct care provider but will act in monitoring and delegating capacities for employees (CMTs and/or LPNs) who provide direct care. The organization’s nurse will be advocate for quality health care at The Arc Montgomery County. The organization’s nurse will perform all nursing functions in accordance with current Maryland Board of Nursing (MBON) regulations and as described in The Arc Montgomery County Policies and Procedures.

Job-Specific Duties and Responsibilities

Perform Nursing Assessments

• Perform comprehensive initialnursing assessment when first assigned toa newperson who is supported by The Arc Montgomery County and receives services requiring nurse delegation.
• Based on theinitialassessment, write aNursing Care Plan (NCP) describing the CMTs intervention step bystep,and document staff training on the NCP.
• Perform 45-day nursing assessments and reviseCare Plan as needed at aminimumof every45-days for the assigned peopleby
• Performing physical evaluations,
• SupervisingcompliancetoMTTPregulations;and
• Supervisingother medical documentation follow-upwithappropriate staff.
• Monitor upcomingappointments and necessary medical follow-up withsupervisory staff.
• Perform afocused nursing assessmentandrevise the NCPaftera person supportedhas received urgent care, emergency care, or seen bytheirPCP and given a new diagnosis, medication or there is anexacerbation of an existing condition within48 hours .
  
  

Review Medical Records

• Evaluate Professional Medical Order Forms (PMOFs)to ensure Licensed Health Care Providers (LHCPs) order are current and signed by LH CP.
• Compare current PMOF withlast PMOF to note changes in medication (i.e., new ordiscontinued), dosage, discontinuation, and how medication is to be given.
• Check all medication storage of prescribed medications includingSchedule 4 for compliance with MTTP regulations.
• Perform 3-waycheck of: (1) PMOF; (2) Pharmacy Label; (3) CMTcorrectly documenting administration of medications and explaining omissions.
• Document any non-compliancetoMTTP and Maryland Board of Nursing COMAR regulations and implement the Medication Error Action Plan as described in The Arc Montgomery County Policies and Procedures.
• Re-train staff andutilizethe MedicationErrorand Procedures, Section 6: Health Care Monitoring to address medication errors made by CMTs
  
  

Delegate Nursing Tasks and Train Staff

• Delegatenursing tasks to trained staff asdesignatedby Maryland State Regulations 10.27.11, Delegation of Nursing Functions, and the NursePractice Act.This includes: Completion of Nursing Assessment forms; Completion of Nursing Care Plan and revising as needed; Assessment of needed Nursing Delegated tasks to
• staff; documented training of staff; document supervision of staff competency levels in performing delegated nursing tasks.Transcribe verbal orders from LHCPs onto PMOFs asneeded andobtain LHCP signature on an as needed basis.
• On an as needed basis,will request the needed MTTP training materials from DDA and willconduct the 20-hour MTTP class and the 4-hour MTTP Refresher class for agency staff whoare required totake this class to fulfill DDAtraining requirements for their position.On an as needed basis, share in the responsibility of nursing coverage with nursing consultants .
  
  

Communication

• Be available via telephonetoanswer questions and provide telephone triage to staffregardinghealth concerns or the people receiving support.
• Use organization’s email and check messagesfrequentlytorespond to staff as soon as possible after a message is received.
• Act as a liaison between the personreceiving supports , family members, employees, and medical professionals to clarify health-related information and advocate for the person receiving supports .
• Complete the Delegating Nurse/Case Manager Report with attachedNCP copy and send to the Assistant Director of the program, Coordinator, andthe assignedPCP Specialist at least one (1) week before the scheduled PCP meeting.
• When necessary, attendthe PCP meeting or other meetingvirtually, via telephone, or in personasrequiredto advocate for the health needs pf the person receivingsupports
  
  

Other duties as assigned, such as :

• Attend andparticipateas a member of theAdmissions, Discharge & Review Committee
• Providerecommendationsand concernsfor admissionstoand dischargesfrom the organization
• Attend andparticipateas a member of the Human Rights Committee
• Provide recommendationsand concernsfor Tier III Behavior Plans, Chemical Supports and Mechanical Supports for people supported by the organization
• Whenrequested, participate in theinitialintake meeting of a person seeking services from The Arc Montgomery County
• Ensure all health-related information is clarified
• Provide recommendations and concernsto ensure the organization can meet the healthneeds of the person requesting servicesand safety
• Upload nursing assessment, NPC,documentation of staff training,and all other nursing documentation into the agency’s database (CIMS) of the person supported
• Update the PCP Spreadsheet as nursing assessments, NPCs, and staff training are completed.
• Assist with COVID testing as needed.Obtain and provide results to theappropriate ProgramDirector.
  
  

Qualifications

• Registered Nurse (RN) with current licensure in the state of Maryland, current CPR certification, and some professional experience in nursing.
• DDA residential and home health experience preferred.
• Mustbe able to provide telephonetriageforpersonssupported withina timelymanner, 24 hours a day,7 days a week.
• Must have the ability to travel independently to all agency sites and/or homes of the people supported
• Must be personally responsible for MBON RN license renewaland formaintainingthe Registered Nurse/Case Manager/Delegating Nurse (RN/CM/DN) certification per Developmental Disabilities Administration (DDA) requirements.
• Work locations, caseload, and hours will be flexed to meet the organization’s needs.
  
  

Annual Salary: $74,117.00