Registered Nurse - ON CALL

• Oversees all medical aspects of the person supported health:
  • Has at least one face to face contact on a weekly basis with each person supported to ensure physical well-being.

  • Ensures the required medical appointments for each person supported are scheduled based on his/her individual needs and as per regulatory requirements.

  • Ensure all nursing assessments are completed accordingly.
• Ensures that there is an adequate supply of medication for each person supported by completing a medication storage at minimum at least once per month.
  • Ensure persons supported are receiving prescribed medications, treatments and diets as ordered.
• Reviews all routine, pre- and post-surgical, and Urgent Care/ER visit summaries in their entirety. Document findings/assessments/recommendations accordingly in a nursing note, if applicable.
• Serves as an advocate for the person supported during their medical care with the Prescriber.
• Maintaining a high level of professionalism with the ability to lead professional settings such as audits and participate in conferences representing the agency.
• Visits the people supported during hospitalizations or nursing rehab admissions to ensure their healthcare needs are being met at a minimum of once a week, or as needed based on the medical necessity and acuity of the person supported.
• Provide RN Coverage of other I/DD sites deemed necessary.

CLINICAL RESPONSIBILITIES:

• Actively participates as a member of the person supported program planning team.
  • Ensures that all health and medical-related issues are discussed with the Team to foster awareness and develop a plan of care.

  • Participates in program planning/goal development as it relates to the person supported's health/medical needs.

RECORD KEEPING RESPONSIBILITIES:

• Maintains all mandated medical records:
  • Nursing notes (minimum of once a month)

  • Medical visit summaries

  • Discharge summaries from Urgent Care/ER/Hospitalizations

  • Prescriber's order/script

  • Plans of Nursing Services (PONS)
• Complete all medical reports for the person supported (CFA, ICFs only, or ISP, IRA only) in a timely manner. Participates in these meetings to provide a medical update to the Team and circle of supports.
• Responsible for the oversight of person supported charts, including:
  • MAR/Treatment Records (minimum of once a week)

  • Updated Prescriptions/Formulary

  • BM Charts (minimum of once a week)

  • Medical Books

  • Flowsheets including, but not limited to: Vital signs, Blood Sugar Records, Body Check, Head Injury, Seizure, Repositioning, Controlled Substance Count, etc.

  • PONS (updated annually or when there is a change in diagnosis or treatment plan)
• Participates in the internal auditing process utilizing the Chart Audit Tool on a quarterly basis.

STAFF TRAINING RESPONSIBILITIES:

• In-service staff at scheduled staff trainings, staff meetings and shift meetings on:
  • General health issues, including but not limited to Illness Detection, OSHA/Infection Control, First Aid, Diets, Diabetes, Seizures, Epi-Pen, AMAP, Hygiene Issues, etc.

  • Person Supported specific needs, including the procedures/issues that are occurring, the purpose of the procedure/treatment, precautions, and possible side effects of the procedure/treatment.

  • PONS training will occur annually of if there is a change in a diagnosis or treatment plan.
• Train AMAP staff on responsibilities regarding medication administration.

OVERSIGHT RESPONSIBILITIES:

• Ensure that health and safety procedures are being followed according to State and Federal regulations.
• Triage health concerns of the individuals via telephone and provide directives to the staff as necessary.
• Direct the staff to utilize Telehealth services when deemed necessary to decrease Urgent Care/ER visits.
• Supervises the AMAP's dispensing of medication and treatments as per the prescriber's orders.
• Ensure that medication errors are reported accordingly and the AMAP is trained on ways to prevent medication errors in the future.

PERFORMANCE:

• Maintains a standard of high quality of work and productivity.
• Has overall knowledge of the person supported:
  • Program Plans

  • Medical Status

  • Day Program
• Follows through on issues in a timely manner.
• Demonstrates good judgement and decision-making.
• Is a good role model for both staff and person supported.
• Has a good attitude and team spirit.
• Is flexible and takes initiative.
• Has good attendance.
• Responds to directives as per the Nursing Supervisor.

QUALIFICATIONS:

• Licensed RN
• One year of experience working with people supported with an intellectual development disability preferred
• Respect for the person supported and embodies the importance of person-first language & the Justice Center's Code of Conduct
• Valid N.Y.S Driver's License