About this role
• 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