Registered Nurse na Christopher School

• Oversees all medical aspects of the person supported health:
  1. Has at least one face to face contact on a weekly basis with each person supported to ensure physical well-being.
  2. Ensures the required medical appointments for each person supported are scheduled based on his/her individual needs and as per regulatory requirements.
  3. 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. 
  1. 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. 
  1. Ensures that all health and medical-related issues are discussed with the Team to foster awareness and develop a plan of care.  
  2. 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:
  1. Nursing notes (minimum of once a month)
  2. Medical visit summaries
  3. Discharge summaries from Urgent Care/ER/Hospitalizations
  4. Prescriber's order/script
  5. 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:
  1. MAR/Treatment Records (minimum of once a week)
  2. Updated Prescriptions/Formulary
  3. BM Charts (minimum of once a week)
  4. Medical Books
  5. Flowsheets including, but not limited to: Vital signs, Blood Sugar Records, Body Check, Head Injury, Seizure, Repositioning, Controlled Substance Count, etc.
  6. 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:
  1. General health issues, including but not limited to Illness Detection, OSHA/Infection Control, First Aid, Diets, Diabetes, Seizures, Epi-Pen, AMAP, Hygiene Issues, etc.
  2. 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.
  3. 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:
  1. Program Plans
  2. Medical Status
  3. 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